Alcohol use among older adults has been rising steadily over
the past few decades. By 2020, it is estimated that
5.7 million seniors will use or misuse alcohol.

While the reasons elders choose to drink vary, one thing
is certain. It becomes a dangerous combination
for those with chronic conditions.

We asked Certified Dietary Manager, Beth Scholer, CC, CDM, CFPP
from Caregiver’s Kitchen to help shed some light on the

problem and offer some helpful tips for caregivers.

Here’s what she told us:

Increased health care costs associated with alcohol use in Medicare patients topped over $26 billion in 2006. Medical and related expenses were even higher for older adults with chronic conditions like cardiovascular disease, diabetes, kidney disease and others.

Aging and the Effects of Alcohol

Growing older affects the body’s senses, digestion, and absorption of food. How the body handles alcohol also changes with age, even for someone who has consumed it for many years. Some older people feel “high” without changing the amount they drink, especially older women.  This “high” leads to more falls and fractures and other kinds of accidents. 

Drinking can also cause dehydration, worsen depression, or other mood disorders.  Long-term alcohol use causes elders to be more confused or forgetful – symptoms often are mistaken for Alzheimer’s or dementia.

Medications Don’t Mix

Prescription and over-the-counter medications taken while alcohol is in the body is particularly dangerous. Interactions can make medications ineffective or cause side effects like feeling dizzy, drowsy, or unsteady on their feet. More serious interactions can cause heart problems and internal bleeding. Women typically experience more problems than men because of body size and composition.

Diabetes and Alcohol

Elders diagnosed with diabetes need to carefully consider if alcohol is worth the risk.  Alcohol can cause blood sugar to rise too high (hyperglycemia) or drop too low (hypoglycemia) – depending if it consumed with food and other factors.  Out-of-control blood sugar can cause nausea, vomiting, headaches, jitters, tiredness and a general feeling of being unwell.   Both conditions put elders at risk for falls, fractures, and trips to the emergency room.

Drinking and Heart Disease

Small or moderate amounts of alcohol have been shown to lower the risk of cardiovascular disease – moderation is key!  For elders with high blood pressure, a past heart attack, or congestive heart failure, the risks outweigh the benefits.

Alcohol worsens hypertension and can raise triglycerides in the blood – increasing the risk of a fatal heart event. Drinking adds empty calories but no nutritional value. Extra fluids are problematic for those with heart failure, especially those who are following a restricted-fluid diet to manage symptoms.

How Can You Help?

If clients still choose to drink alcohol, here are a few ways to help: 

  • Work with the care team to find the safest medications prescribed.  Ensure direct care provides medication reminders to keep the elder on track.
  • Provide training for staff on common chronic diseases, especially cardiovascular disease and diabetes.  Make sure they understand how alcohol can affect the condition and elder’s nutritional health, interact with medication, and cause complications. 
  • Enlist caregivers to closely monitor those who may be at risk for alcohol abuse or disease-related complications.  Reporting concerns early can prevent big problems down the road.

If you suspect the elder has a drinking problem, enlist help from a physician or other professionals trained in substance abuse. Making the first call can help put an elder on the road to recovery.

To find a professional in your area, contact the
Substance Abuse and Mental Health Services Administration.

 SAMHSA’s National Helpline
 1-800-662-HELP (4357)

Want more tips like this for your care team?

intheknow is excited to offer two courses from Chef Beth’s Culinary Skills for Caregivers℠ training series to our online learning subscribers.

If you already subscribe to the intheknow online learning library, you’ll gain access to Chef Beth’s courses completely free! Plus, you’ll get plenty of tips and recipes searchable in the intheknow-on-the-go WIKI.

Not a subscriber yet?

Now’s the time to come aboard! When you subscribe to intheknow’s online learning library, you’ll gain access to Chef Beth’s Culinary Skills Training in addition to 170+ more online learning courses created exclusively for caregivers!

Reach out to a Caregiver Training Advisor for your customized demo and find out how easy it is to grow with intheknow!

About Chef Beth

Chef Beth Scholer, CC, CDM, CFPP, is a food scientist, culinary instructor, author, and founder of Caregivers Kitchen. She is passionate about empowering caregivers to make positive nutritional changes and mealtime meaningful for those in their care.   She can be reached at



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