Overmedication injuring and killing elderly people, world-first NZ study shows

A world-first study of its kind in New Zealand shows elderly people taking multiple high-risk medications for sleeping, pain or incontinence are twice as likely to fall and break bones, with many dying within a year of injury.

The University of Otago, Christchurch study is the first in the world to measure the impact of taking multiple medications on fractures in the elderly.  

It found people taking more than three Drug Burden Index medications - specific medicines that sedate or affect a person’s cognition - are twice as likely to break their hip than those taking no medications. 

Between 20 and 30 per cent of elderly die within a year of suffering a fracture, and 90 per cent of fractures in elderly people are the result of a fall.

The information will now be used in a nationwide study of pharmacy databases to see if prescriptions of certain high risk drugs can be reduced in the elderly.

The overmedication and fractures study was led by geriatrician and University of Otago, Christchurch researcher Dr Hamish Jamieson. It also involved scientists from six other Universities, including Harvard and John Hopkins Universities and the Universities of Sydney and Canterbury and was funded by the Government’s Ageing Well National Science Challenge.

Dr Jamieson says the impact of fractures on individuals and the community is immense. They result in loss of mobility, poorer quality of life, early entry into an aged care facility, and in up to a third of people with a broken hip, death within a year of the injury, he says. 

Dr Jamieson says understanding how taking multiple medications impacts on falls and broken bones is a significant piece of information for patients, their GPs and pharmacists. 

The reason multiple medications cause falls is because drugs have side effects and each medication may react with others to create additional effects, he says.

Medications linked with significantly increasing the risk of broken bones had ‘sedatory’ and ‘anticholinergic’ side effects. These medicines are common and prescribed for many conditions such as sleeping, pain and incontinence. Side effects of the medicines include sedation, a dry mouth, blurred vision, dizziness and confusion, Dr Jamieson says.

“All medications have beneficial impacts.  However, increasingly we are studying the long term side effects of medications in the elderly.  The impacts can be subtle but this can cause a major impact in the frail elderly and can cause falls, loss of independence and even premature death.”

Dr Jamieson says a number of factors predispose the elderly to medication side effects. This includes not being able to metabolise medications as well as young people, being on multiple medications, and frail and more susceptible to side effects.  

Rather than stopping medications themselves, elderly patients should regularly get their GP to review their medication, he says.

University researchers measured the impact of taking multiple medications, finding they can react with others and cause falls. Source: 1 NEWS



Owner of dog who became internet sensation after Kawakawa escape speaks with Seven Sharp

A Bay of Islands woman told TVNZ1's Seven Sharp she is "never going to live this down" after footage of her rescue dog Lily dragging a bakery's flag down the main street of Kawakawa went viral around the globe.

CCTV footage of the freedom-seeking furball's runner — accompanied by Yakety Sax, the song made famous by the Benny Hill Show — has been viewed more than 500,000 times since it was posted to Facebook last night.

Lucie Green, a volunteer with Bay of Islands Animal Rescue, was taking the basset hound for a walk last week when she decided to stop at a local business to buy Lily a treat.

The basset hound, named Lily, was tied to a large flag outside a dairy. So she took the flag with her on her wild escape. Source: Facebook/James Mcdonald

But the Basset Hound received a fright and bolted despite being tied to a large Coca-Cola flag forcing Lucie to give chase.

"For an animal with just little legs, my god she can run," Lucie told Seven Sharp.

Lily, Lucie and the rogue flag brought Kawakawa's State Highway 1 strip to a standstill, the whole escapade captured on CCTV.

"My partner owns a local CCTV company I got to the office and I told him what had happened.

"He didn't tell me he'd done it, but he edited footage and put the music on and uploaded it to Facebook and tagged me in it.

"I knew it was trouble when basically by the time we'd gone to bed last night it had hit 100,000 views," Lucie said.

The basset hound, named Lily, was tied to a large flag outside a dairy. So she took the flag with her on her wild escape. Source: Facebook/James Mcdonald

Thousands of people have since commented on the video, with many of them admiring the dog’s spirit.

"I'm laughing my guts out it's so funny," wrote Facebook user Annie Hicks.

Lucie does see the funny side of events however.

"They say every dog has their day, so I guess Lily is enjoying her 15 mins of fame." 

Lily made a run for it when owner Lucie Green stopped at a shop in the Northland town. Source: Seven Sharp


Tracking down New Plymouth youth MP candidates after Andrew Little's 'hip' appeal

Labour MP Andrew Little released a tongue in cheek video encouraging young people from New Plymouth to get involved in politics today.

The video inspired TVNZ1's Seven Sharp to travel to Mr Little's old school to find the perfect candidate for its new youth MP.

Judge for yourself if New Plymouth Boys' High students Thomas Foy and Jarrod Wilson have what it takes in the video above.

Tamati Rimene-Sproat is on the case after the Labour MP's piece of political theatre. Source: Seven Sharp

TODAY'S
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Watch: Take a tour inside Kate Sheppard’s former house where suffragists worked to get women the right to vote

Suffragist Kate Sheppard's old house in Christchurch goes up for auction next month - so Seven Sharp host Hilary Barry took a tour.

Ms Sheppard was instrumental in gaining New Zealand women the right to vote in 1893. She carried out important work for the suffrage movement in the house during the late 19th Century.

Today saw celebrations around the country marking 125 years since women gained the right to vote in New Zealand.

Jacinda Ardern has indicated the Government is interested in buying the house for the nation. It's expected to fetch in excess of $3 million when it goes under the hammer on October 17.

Hilary Barry met with the home's current owner Julia Burbury who showed her around the dwelling set on one acre of gardens.

The house has a category one heritage listing.

The piece of New Zealand history in Christchurch, worth more than $3 million, is up for auction. Source: Seven Sharp


Mum distraught as son turned away from Hutt Valley High School because he didn't have permanent address

Being homeless has become an obstacle for one mother wanting to give her child an education.

Helen Taitapanui and her son were turned away from Hutt Valley High School last week because they don't have a permanent residential address.

Ms Taitapanui, is currently battling cancer and lives in a motel with her teenage son while they wait for a permanent home.

"We've got to be glad that we've got that when we know that a lot of our families are out there living in cars," Ms Taitapanui told 1 NEWS.

However, this was a problem when she tried to enrol her son at a local school.

"The response was it's against their policy to register children living out of a motel. you had to have a residential address," Ms Taitapanui said.

She complained to the Ministry of Education and shortly after Hutt Valley High School reversed its decision.

Ms Taitapanui says her son's excited about going back to school.

"I know once he steps back into the realm of education he'll be well and truly away."

She hopes by speaking out, another unnecessary obstacle will be removed for the homeless.

Being homeless threw up an unexpected obstacle for a mum wanting to educate her child. Source: 1 NEWS