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The Difficulty of Opening Medicine Containers in Old Age: A Population-Based Study

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Abstract

Objectives: To investigate elderly people’s ability to open medicine containers, and how this ability correlates to some common disorders that may cause functional or cognitive impairment.

Methods: Cross-sectional study of older people age 81 years and older, from the second follow-up (1994–1996) of the Kungsholmen project, a population based study of very old people in an urban area of Stockholm, Sweden. Six hundred and four persons (mean age 86.7 years) were tested for their ability to open three types of medicine containers. The disorders studied were rheumatoid arthritis, stroke, Parkinson’s disease, cognitive impairment (measured by mini-mental state examination, MMSE) and impaired vision.

Results: We found that 14% were unable to open a screw cap bottle, 32% a bottle with a snap lid, and 10% a blister pack. Female gender, higher age, living in an institution, Parkinson’s disease, rheumatoid arthritis, cognitive impairment and impaired vision were all associated with a decreased ability to open the containers. Less than half of the elderly people who were unable to open one or more of the containers received help with their medication. Among those living in their own homes only 27% received help.

Conclusion: Older peoples’ ability to open medicine containers is impaired by several conditions affecting physical and cognitive functioning. Many elderly people who are unable to open medicine containers do not receive help with their medication, particularly those living in their own homes.

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References

  1. PO Österlind G Bucht (1991) ArticleTitleDrug consumption during the last decade among persons born in 1902 in Umea, Sweden: a longitudinal population study Drugs Aging 1 477–86 Occurrence Handle1794034

    PubMed  Google Scholar 

  2. EA Chrischilles DJ Foley RB Wallace JH Lemke TP Semla JT Hanlon et al. (1992) ArticleTitleUse of medications by persons 65 and over: data from the established populations for epidemiologic studies of the elderly J Gerontol 47 IssueID5 M137–44 Occurrence Handle1512428 Occurrence Handle1:STN:280:By2A1c7ivFQ%3D

    PubMed  CAS  Google Scholar 

  3. FT Sherman JD Warach LS Libow (1979) ArticleTitleChild-resistant containers for the elderly J Am Med Assoc 241 IssueID10 1001–2 Occurrence Handle10.1001/jama.241.10.1001 Occurrence Handle1:STN:280:CSaC3M3gt1A%3D

    Article  CAS  Google Scholar 

  4. JC Darnell MD Murray BL Martz M Weinberger (1986) ArticleTitleMedication use by ambulatory elderly. An in-home survey J Am Geriatr Soc 34 IssueID1 1–4 Occurrence Handle3941238 Occurrence Handle1:STN:280:BimD1cnovFM%3D

    PubMed  CAS  Google Scholar 

  5. DW Jahnigen (1988) ArticleTitleProblems with pill packaging J Am Geriatr Soc 36 279–80 Occurrence Handle3339234 Occurrence Handle1:STN:280:BieC3MnksVU%3D

    PubMed  CAS  Google Scholar 

  6. S Keram ME Williams (1988) ArticleTitleQuanitfying the ease or difficulty older persons experience in opening medication containers J Am Geriatr Soc 36 IssueID3 198–201 Occurrence Handle3339227 Occurrence Handle1:STN:280:BieC3Mnkt10%3D

    PubMed  CAS  Google Scholar 

  7. LJ Robbins DW Jahnigen (1984) ArticleTitleChild-resistant packaging and the geriatric patient J Am Geriatr Soc 32 IssueID6 450–2 Occurrence Handle6725807 Occurrence Handle1:STN:280:BiuB3MzmvVc%3D

    PubMed  CAS  Google Scholar 

  8. PA Atkin TP Finnegan SJ Ogle GM Shenfield (1994) ArticleTitleFunctional ability of patients to manage medication packaging: a survey of geriatric inpatients Age Ageing 23 113–6 Occurrence Handle8023717 Occurrence Handle1:STN:280:ByuB1MrktlM%3D

    PubMed  CAS  Google Scholar 

  9. HK Edelberg E Shallenberger JY Wei (1999) ArticleTitleMedication management capacity in highly functioning community-living older adults: detection of early deficits J Am Geriatr Soc 47 IssueID5 592–6 Occurrence Handle10323653 Occurrence Handle1:STN:280:DyaK1M3lsFamsQ%3D%3D

    PubMed  CAS  Google Scholar 

  10. T Nikolaus W Kruse M Bach N Specht-Leible P Oster G Schlierf (1996) ArticleTitleElderly patients’ problems with medication. An in-hospital and follow-up study Eur J Clin Pharmacol 49 255–9 Occurrence Handle10.1007/BF00226324 Occurrence Handle8857069 Occurrence Handle1:STN:280:ByiD3M%2FgtVw%3D

    Article  PubMed  CAS  Google Scholar 

  11. JM Ruscin TP Semla (1996) ArticleTitleAssessment of medication management skills in older outpatients Ann Pharmacother 30 IssueID10 1083–8 Occurrence Handle8893112 Occurrence Handle1:STN:280:ByiD2cfislI%3D

    PubMed  CAS  Google Scholar 

  12. J Agnholt K Bendixen J Fossgreen (1983) ArticleTitleMedicinemballageoplukning af patienter med reumatoid arthritis Ugeskr Laeger 145 IssueID29 2216–9 Occurrence Handle6612864 Occurrence Handle1:STN:280:BiyA3czkvFU%3D

    PubMed  CAS  Google Scholar 

  13. E Glerup H Dengsö (1990) ArticleTitleÅbning of medicinemballage Ugeskr Laeger 152 IssueID28 2047–50 Occurrence Handle2142351 Occurrence Handle1:STN:280:By%2BA3M3nt1I%3D

    PubMed  CAS  Google Scholar 

  14. RB Lisberg C Higham MIV Jayson (1983) ArticleTitleProblems for rheumatic patients in opening dispensed drug containers Br J Rheumatol 22145 95–8

    Google Scholar 

  15. BNE Verheggen-Laming H Phiferons EFM Mulder NT Meij ParticleVan Der RPW Harten ParticleVan BAC Dijkmans (1988) ArticleTitleComparison of packages for suppositories by patients with reumatoid arthritis Scand J Rheumatol 17 161–5 Occurrence Handle3175546 Occurrence Handle1:STN:280:BiaD3MbhsVE%3D

    PubMed  CAS  Google Scholar 

  16. L Fratiglioni M Grut Y Forsell M Viitanen M Grafström K Holmen et al. (1991) ArticleTitlePrevalence of Alzheimer’s disease and other dementias in an elderly urban population: relationship with age, sex and education Neurology 41 1886–92 Occurrence Handle1745343 Occurrence Handle1:STN:280:By2D1c%2Fgs1c%3D

    PubMed  CAS  Google Scholar 

  17. L Fratiglioni M Viitanen L Bäckman P-O Sandman B Winblad (1992) ArticleTitleOccurrence of dementia in advanced age: the study design of the Kungsholmen project Neuroepidemiology 11 IssueIDSUPPL 1 29–36 Occurrence Handle1603245

    PubMed  Google Scholar 

  18. L Fratiglioni M Viitanen E Strauss Particlevon V Tontodonati A Herlitz B Winblad (1997) ArticleTitleVery old women at highest risk of dementia and Alzheimer’s disease: incidence data from the Kungsholmen Project, Stockholm Neurology 48 132–8 Occurrence Handle9008508 Occurrence Handle1:STN:280:ByiC287isFU%3D

    PubMed  CAS  Google Scholar 

  19. MF Folstein SE Folstein PR McHugh (1975) ArticleTitle’Mini-Mental State’: A practical method for grading the cognitive state of patients for the clinician J Psychiatr Res 12 189–98 Occurrence Handle10.1016/0022-3956(75)90026-6 Occurrence Handle1202204 Occurrence Handle1:STN:280:CSmD2s7mtVE%3D

    Article  PubMed  CAS  Google Scholar 

  20. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed., revised (DSM III-R). Washington, DC 1987.

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Authors and Affiliations

  1. Apoteket AB, Stockholm, Sweden

    Anna Beckman, Anna Beckman & Cecilia Bernsten

  2. Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institute, Stockholm, Sweden

    Marti G. Parker, Mats Thorslund & Johan Fastbom

  3. Stockholm Gerontology Research Center, Box 6401, 11382, Stockholm, Sweden

    Marti G. Parker, Mats Thorslund & Johan Fastbom

  4. Department of Social Work, Stockholm University, Stockholm, Sweden

    Mats Thorslund

Authors
  1. Anna Beckman
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  2. Cecilia Bernsten
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  3. Marti G. Parker
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  4. Mats Thorslund
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  5. Johan Fastbom
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Corresponding author

Correspondence to Anna Beckman.

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Beckman, A., Bernsten, C., Parker, M.G. et al. The Difficulty of Opening Medicine Containers in Old Age: A Population-Based Study. Pharm World Sci 27, 393–398 (2005). https://doi.org/10.1007/s11096-005-7903-z

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  • DOI: https://doi.org/10.1007/s11096-005-7903-z

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