MediSafe Project: Never Forget to take Medications

Managing medication compliance keeps getting easier. At David York Agency, we are excited about the MediSafe Project, one of the latest technological innovations to help ensure that you and your loved ones never skip or take the wrong dose of a prescribed medication or supplement. MediSafe is a user friendly app that you can download for free at their website and use to set alerts to remind you to take your various medications or supplements. This new award winning mobile pillbox technology is also a way for supportive families, friends and caregivers to identify when patients have taken medication and be alerted when they did not.

mediSafeFor those who don’t have smartphones, caregivers and relatives can download the app and track the medication compliance for the patient. Also, beginning in 2015, the system will become accessible to people without smartphones via an automated phone system and text messaging. Patients will be able to record medication doses via touchtone and caretakers will be able to receive alerts via incoming, automated calls.

Medication non-adherence is a pervasive and costly problem in terms of time, money and health. This problem tremendously impacts health outcomes and even causes fatalities. Whether they are elderly, diabetic, or suffering from another illness, adherence is critical to patient health. In fact, the National Community Pharmacists Association estimates that it adds $290 billion to healthcare spending annually.

In the elderly, impediments to adherence include dementia and lack of adequate support from caregivers. Though a child, spouse, or senior caregiver is usually taking some level of responsibility for their daily routine, it’s hard for everyone to remember every medication on time.

MediSafe’s mission is to solve the problem of medication non-adherence and increase the power of family & friends to achieve positive, healthy outcomes for each other on a daily basis by delivering personalized medication reminder notifications specific to each patient & medication. It tells you when it’s time to take a medication; then you enter that you have taken it so the software can record that for you. It is the first-of-its-kind cloud-synced mobile medication database management system with an iOS and Android mobile app. Here is a quick video to show you how it works.

David York Agency is expert at the care and management of various diseases endemic to the elderly. Our home health aides are fully aware of the problem of missed medication doses and most of them have smartphones that could be utilized for MediSafe if the family desires.

David York Home Healthcare Agency provides skilled home health aide services for home healthcare and could assist you in mapping out and managing the total care of your senior loved one. Please call us at (718) 376-7755 or visit us on our website  www.davidyorkagency.com to become acquainted with all we offer.
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A Tool to Diagnose Depression in the Elderly and Type 2 Diabetics

According to a recent article in Home Healthcare Nurse entitled “Diabetes, Depression, and OASIS-C”, among the population 65 years and older, one in six suffers from depression and this is especially true among elderly adults who receive home care.  Identifying depression in the home bound elderly and effectively treating it may be key to decreasing their hospitalization rates and all its associated health and financial costs since the effects of depression can send the elderly adult down a path of negative complications. 

depressionAn additional finding that has some serious implications for our aging population is that research indicates depression is higher among adults with diabetes than the general population.  In fact, diabetics are twice as likely  to suffer from depression.  Under the best of circumstances, our senior citizens have increased chronic and acute diseases; with the interplay of diabetes and depression the rate of mortality, cardiac problems, diabetes related problems, functional impairment as well as hospitalizations increase.  A significant reduction in the overall quality of life ensues due to the resulting combination of events of poor self care, functional impairment and significant nutritional issues. 

Depression is a very treatable condition.  New York City Department of Health and Mental Hygiene research has shown that 70% to 80% of patients respond well to treatment and good medical care. 

As an essential start, before this issue can be adequately addressed, the patient must be seen by trained nurses and clinicians and a medical doctor should screen for any endocrine disorders.  After other medical issues have been ruled out, the Centers for Medicare and Medicaid Services (CMS) has mandated using a new diagnostic assessment tool in the form of a PHQ-9 questionnaire which is a validated instrument used in primary care to screen for depression in home care patients with Type 2 diabetes.  The questionnaire is an upgrade from the one formerly used because it measures the physical symptoms of depression as well as the level of interest in activity and mood.  With a score of 3 or higher, the patient is referred to a clinician by the home healthcare team

Training a home healthcare provider to recognize symptoms of depression will greatly increase the prospect of its treatment, especially in Type 2 diabetics and home bound elderly patients where its prevalence is so much higher.  Cooperation and communication between all the healthcare disciplines is essential in order to achieve successful diagnosis, treatment and follow-up care. 

The home healthcare team at David York Home Healthcare Agency is on the lookout for the signs and symptoms of depression in the elderly and is eager to be an active player in the treatment plan of the total elderly caregiver team.  Please call us at (718) 376-7755 or visit our website at http://davidyorkhomehealthcare.com/.  You could also like us on Facebook or follow us on Twitter or LinkedIn.