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About Portland observer. (Portland, Or.) 1970-current | View Entire Issue (Nov. 3, 1982)
Portland Observer, November 3 ,1962 Page 3 As the election returns filtered in, the Street Beet team asked, “ H ow do you by Lenita Duke and Richard Brown feel about the outcome o f the elections?” Karl Albarding Unemployed Joe Wright Meat Cutter Open House at Yaun House brought meny com munity members to visit. Above are Judy Stanan- cuk. Referee at Juvenile Court, end her deughter Kate; Paul Backus. Director of Yaun House; Wil liam Jennings, volunteer; and Mr. and Mrs. Bust, volunteers. (Photo: Richard Brown) 1 was p leased. H o w e v e r, I w anted to see m ore D em ocrats make it in to o ffic e . A n d I w ould have liked to see the b o ttle and can b ill pass in W a s h in g to n State. I ’ m a Dem ocrat and I wanted Ted K u longoski. He w ould have made a difference and I fe lt the sta te needed a ch an ge . We should have given him a chance. E v e ry th in g else I w a n te d passed. I d id n ’ t w a n t to pum p m y own gas. Hardie Davis Maintenance I heard on the ra d io that #51 flu n k e d to m y d is m a y . T he p o w e r s tru c tu re needs checks and balances. W ith o u t it people in p o w e r have a free hand fo r abuse. Pow er lies w ith the peo ple and th a t’ s w here it sh ou ld stay. Elderly misuse prescribed drugs ‘ ‘ M a n y tim e s , signs and s y m p to m s o f adverse d ru g r é a c t io n s - c o n fu s io n , weakness and letha rg y— are m istakenly a ttrib u te d to s e n ility o r disease,” S im o n so n p o in ts o u t in a recent p a p e r, "D ru g s : pharm acology, adm in istra tio n , to x ic ity and n u rs in g im p lic a tio n s ." It is a chapter o f a new book in the n a tio n a l N u rse s’ R eference L ib ra ry series. “ I f the adverse re a c tio n is n ’ t id e n tifie d , the patient may continue to receive the drug. A n d he may re ceive unnecessary a d d itio n a l m ed i cation to treat com plications caused by the o rig in a l d r u g ,” S im o n so n warned. “ A lth o u g h any m e d ic a tio n can cause adverse re a c tio n s , m ost serious adverse re a c tio n s in the el d e rly arc caused by re la tiv e ly few m e d ic a tio n s ,” S im o n so n w ro te . "T h o se caring fo r the elderly should be p a r tic u la rly aw are o f to x ic itie s resulting fro m d iuretics (used to re m ove excess b o d y flu id s ) d ig o x in (h e a rt m e d ic in e ), c o rtic o s te rio d s ( f o r a r th r itis and o th e r diseases), sleep m edications and nonprescrip tio n drugs (a s p irin s , la xa tive s, c a th a rtic s )." W hy d o a p p ro x im a te ly one th ird o f a ll the e ld e rly fa il to take th e ir medicines as prescribed? “ A n age-related decline in sigh t and hearing is a m a jo r reason,” ac cording to Sim onson, w ho has done research on the subject. “ F or exam ple, an e ld erly p a tie n t w ith im paired vision may have d if f i c u lty re a d in g p re s c rib e d in s tru c tions. W ith hearing loss, the patient may not understand verbal in s tru c tio n s . A ls o , p h y s ic a l d is a b ilitie s , such as those produced by a rth ritis , The older you get, the more m edi c a tio n s yo u need b u , e ld e rly p e r sons have special needs and p ro b lems a lso re la tin g to ta k in g th e ir m edicines p ro p e rly, says an Oregon JState U n iv e rs ity p ha rm acy p ro fe s sor w ho is a n a tio n a l a u th o rity on .drug therapy in the elderly. " A b o u t one th ir d o f the e ld e rly 'f a il to take th e ir medicines p ro p e r ly , " it was noted. ‘ " M e d ic a tio n c o n s u m p tio n in creases d ra m a tic a lly w ith a g e ,” P ro f. W illia m Simonson points out. " I n the U nited States, fo r example, a m an betw een ages 25 and 44 re ceives 3.4 new o r r e fill p re scrip tio n m edications annually, and a woman . o f the same age group, 7.3. ; " M e n and w om en aged 65 and over receive 11.2 and 14.3 new or re f i l l p re s c rip tio n s re s p e c tiv e ly . In ■ fact, the elderly (over 65) in the U.S. make up about 11.3 per cent o f the pop ulatio n , but purchase 25 percent o f all prescription and non-prescrip- tion drugs so ld .” In s titu tio n a liz e d eld erly patients ; (hospitals, nursing homes, etc.) take . between fo u r and seven d iffe r e n t m edicines at the same tim e on the average. E ld e rly o u tp a tie n ts (at home) usually take between tw o and fo u r d iffe re n t m edications. A lth o u g h m ed icin es fre q u e n tly cure o r manage disease in the elder ly , they may also cause adverse ef- ' fects ra n g in g fro m m in o r d is c o m fo r t to to ta l d e b ilita tio n and even death. Simonson observed. Adverse d ru g re a ctio n s are c o m m o n and those ca ring fo r the e ld erly need to be m in d fu l th a t dru gs in c o m b in a t io n have the p o te n tia l fo r serious problem s i f not p ro pe rtly prescribed ( and adm inistered, he added. may hinder old people fro m opening ‘ c h ild p r o o f ’ m e d ic a tio n c o n ta in ers.” O ld e r persons on fix e d incom es and in a fin a n c ia l p in ch may tr y to m ake m e d ic a tio n s last lo n g e r by skipp ing some doses, the pharm acy leader said. "T h e im portance o f fo l lo w in g the d o c to r ’ s orders e xa ctly needs to be stressed c o n tin u a lly .” Some m edications have to be ta k en w ith m eals, to o , so i f meals are s k ip p e d , doses m ay be m issed, Simonson pointed out. ‘ ‘ P ro p e r n u rs in g care can h e lp manage, reduce o r overcom e m any m edicine problem s in the e ld e rly ,” he concluded. Sim onson was appointed last year to the n a tio n a l a d v is o ry p an el on g e ria tric s by the U .S . P h a rm a - co pe ia l C o n v e n tio n and a b o o k he has w ritte n on drugs and the elderly w ill be published in early 1983. 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Broodway coats D o w n-filled and p o ly e s te r-fille d styles Misses, petites an inside pocket W o o l and polyester, w ith ■Angela's Hair f Design Jr I w ish the D em ocrats w o u ld have g o tte n m o re seats in the Senate. I ’ m glad B allot Measure 3 fa ile d because it w o u ld have h urt the state in the long run. I f it passed we w ould have to go to s o m e th in g lik e a sales ta x . I d id n ’ t w ant to see that. They turned o u t the way I ex pected. I ’ m a school bus d riv e r a nd i f 3 had passed m y jo b w ould have been gone.” Grand k Opening - • iX ' Lester Johnson Truck Driver I ’ m s a tis fie d w ith th e o u t come. M ost o f the winners I had v o te d f o r . T he o n ly ite m th a t was a d is a p p o in tm e n t was the race fo r G o verno r. I wanted to see someone else in o ffic e . /