After age 65, drinkers are 16 times more likely to die of suicide, which is often precipitated by depression. Older adults have a higher suicide rate than any other subgroup. Making the Diagnosis Because symptoms can be so similar for alcoholism, diseases of later life and adverse drug reactions, it is important to develop diagnostic procedures. No one sign is indicative of alcoholism in the elderly, but several indicators, especially in multiples, are highly suspicious. On physical exams, remember to note bruises, abrasions and scars that can suggest frequent falls.
Cigarette burns on the fingers can suggest falling asleep or passing out.
Lab values need to be compared with elderly patients that are not alcoholic. A thorough mental status exam is necessary to evaluate cognitive functioning, emotional affect and recent memory. In Home Assessments Home visits are a real plus in the whole picture of assessing and treating adults for chemical issues. Simultaneously, we are able to assess the client's environment and family interactions, factors that help greatly in choosing appropriate services. It is clear that we as clinicians in the field of chemical dependency have a responsibility in helping society to become more educated and understanding with heightened awareness regarding chemical dependency issues.