A guest post by Dr. Christina Leclerc, Associate Lecturer in the Department of Psychology

What do old pill bottles and plastic beads have to do with aging? A lot actually if you were in my Psychology of Aging (PSY 325) class a few weeks ago. Students in my class had a chance to take part in a fully immersive experience about what it feels like to manage multiple medications.
During our coverage of the most common issues related to health in aging, the students learned that the use of both prescription and over-the-counter medications is one of the most important health issues faced by older adults today. Older adults take more medications on average than any other age group, with older adults prescribed about 50% of all drugs in the United States. When you include supplements, vitamins, and over-the-counter drugs, that can mean about six to seven medications per older adult in the population. That is a lot of pills to manage, each with their own set of safety information, instructions for use, and risks of side effects.
While the explosion of new prescription and over-the-counter medications over the past few decades has opened up the opportunity for many additional treatment options for chronic conditions common in the aging population, taking more drugs also means that keeping track of them all becomes more difficult. Imagine having to keep track of six different medications, each of which has a different schedule. Medication adherence (taking medications correctly) becomes less likely the more drugs people take and the more complicated the regimens are. The oldest old (those over the age of 85) are especially at risk; the most common problem is that they simply forget to take the medication. Yet adherence is crucial to their treatment success.
During their immersive activity, students in the class took on the role of an older adult who was prescribed six different medications, including those that treat mild cognitive impairment, anxiety, allergies, an acute infection, and the symptoms of arthritis.

Our simulated older adults needed to indicate to their partner all of the necessary information about each drug to ensure they understood the medications. They noted how many times a day the medication should be taken, a specified time of day it should be taken if only once, the dosage of the medication, any special instructions about taking it with food or without, and how many refills they had left on their prescription.

Once they had demonstrated knowledge of their medication list, our “older adults” were asked to set up their daily medication schedule for a full week on a chart to demonstrate how they might space out their medications to get clear picture of how frequently they would be taking medication throughout a day and just how many pills they would be taking on a regular basis. When those charts were full, there were a lot of “pills” out there! The class gained a real appreciation for the psychological and practical impacts of being responsible for that many medications and why some older adults struggle with this task in their later years, especially when their health begins to deteriorate.

When I am not making my students count plastic beads and play with pill bottles, you can frequently find me teaching Lifespan Development, Research Methods, and Introductory Psychology, but my passion for teaching is really the in depth topic electives like the Psychology of Aging. The aging population fascinates me, not because of its differences from younger age groups, but because of its remarkable similarity to individuals who are much younger. Our ability, throughout the aging process, to compensate for normal age-related declines is amazing and the passion for understanding and appreciating that ability to compensate is something I hope I am able to share with my students.
********
Thanks to Dr. Leclerc and her students for this insight into the Psychology of Aging!
















