• 2019 Senior Report Senior Report: Older Americans have more options for home care, but still struggling.

    The United Health Foundation has released results of a sweeping new study benchmarking the health of older adults. The America's Health Rankings® Senior Report was created in partnership with GAPNA to improve the health of America's seniors.

    The data will help advanced practice nurses and other providers deliver quality care.

    Find out about it!

  • FREE continuing education credit is available for the following session:

    "Decisional Capacity"

    (session captured at the GAPNA 2018 Annual Conference)


    For July/August 2019 - Get Your Free CNE Now!

  • Save $90 - Register Now with Early Bird Savings!
    38th Annual GAPNA Conference

    October 3-5, 2019 at the Paris Hotel, Las Vegas, NV.

    Focused education; lasting connections, networking, free access to the GAPNA Online Library.

    Earn up to 22 contact hours (including pre-conference workshops).

    Get more information and register now!

  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

    Find out about it!

Opioid Misuse and ED Visits Among Older Adults

Opioid misuse in older adults is an underappreciated and growing problem. Among patients aged 65 and older, the number of opioid-related emergency department visits doubled from 18,100 in 2010 to 36,200 visits in 2015.

  • Among patients aged 65 years and older, the rate of opioid-related hospitalizations increased more than the rate of nonopioid-related hospitalizations between 2010 and 2015.
  • Inpatient stays: A 34.3% increase in the rate of opioid-related stays, from 199.3 to 267.6 per 100,000 population, versus a 17.4% decrease in the rate of nonopioid-related stays
  • Emergency department (ED) visits: 74.2% increase in the rate of opioid-related ED visits, from 44.7 to 77.9 per 100,000 population, versus a 17.4% increase in the rate of nonopioid-related ED visits

Compared with nonopioid-related stays among patients aged 65 years and older in 2015, opioid-related stays involved:

  • Higher average inpatient costs and ED charges.
  • Elderly adults with Medicare and other public insurance coverage were more likely to fill at least one opioid prescription (24.4%) and to have four or more opioid prescription fills (11.2%) than those with Medicare only (18.8% & 7.6%) and those with Medicare and private insurance coverage (18.9% and 6.1%).
  • A higher proportion of patients discharged against medical advice.
  • A higher proportion of patients with multiple chronic conditions.
  • A higher hospitalization rate among patients residing in western states relative to other regions.

For more info, see Weiss et al. (2018). Opioid-related inpatient stays and emergency department visits among patients aged 65 years and older, 2010 and 2015. Statistical Brief #224. Rockville, MD: Agency for Healthcare Research and Quality.

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