What is the primary consideration when prescribing benzodiazepines to an elderly client?

When prescribing benzodiazepines to an elderly client, the risk of dependency is the primary consideration. Older adults often have altered pharmacokinetics and pharmacodynamics, which can lead to increased sensitivity to the effects of these medications. This heightened sensitivity not only means that the elderly may experience more profound effects from lower doses but also makes them more susceptible to potential adverse effects, including sedation, confusion, and falls.

Furthermore, long-term use of benzodiazepines can lead to physical and psychological dependence. This is particularly concerning for older adults who may already have a higher risk of cognitive impairment or other comorbidities. Therefore, it is crucial to weigh the benefits against the risks of dependency before initiating treatment with benzodiazepines in this population.

While other considerations like increased potency, delayed sedation, or dehydration may also be relevant, they do not hold the same level of priority as the risk of developing dependency, which can significantly impact the client's overall health and quality of life.