leap disturbances decreased appetite increased fatigue decreased motivation and they have vague pain complaints um and they're back hurts now their neck hurts now their neighbors and the problem with that is that physicians get criticized for ignoring the physical complaints of older adults yardley say this morning it's disease your treat it so what happens is every time they complain about a pain they call the position they get another medication set out to them and once medications are started with older adults they're rarely stopped about two years ago i surveyed my patients in rehab hospitals and nursing homes by the western no significant difference between the two populations regarding this witness research question the question was how many pills a day or the taking two years ago when i get my little informal survey average number of medications michaels for taking a day my patients were taking a day thirty two pills a day thirty-two and the most typical time for them to receive pills with seven am seventeen pills down the hatchet seven am in a progress noted eight o'clock that says patient refused breakfast no kidding try seventeen pills and see what your stomach feels like an hour later selva lots of pills which really set them up for delirium stuff and if they don't get set up for delirium stuff the position gets criticized for ignoring their complaints and the most typical pill to be sent out for an older adult in my experience for pain 