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Smart Pillbox

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pillboxpill.jpgVaica Medical has developed a programmable pill box for those taking a complicated regiment of pills. The Smart Pillbox contains a grid of boxes for a week with four scheduled times a day. The unit plugs into the phone line and is programmed by a provider to call the patient and notify which compartment holds the right pills for that day and time.

The SimpleMed ™ system reminds the user both visually and audibly to take his/her medication at the right time.

SimpleMed ™ also features a panic button with a 2 way communication system. All events are logged and sent periodically to the monitoring center and caregivers.



 Developer:  SimpleMed

Gait Monitor in a Wristwatch

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University of Virginia engineers, clinicians, and the school's Institute of Aging, have teamed up with AFrame Digital, a company building mobile sensors and networks, to create a large scale real-time gait monitoring system.

Using wrist worn sensors, the goal is to keep an eye on signs of declining walking ability in senior and geriatric patients. The gait sensors, now about the size of a digital watch face, can measure and transmit data on a wide range of human motion, including
  • linear acceleration, or how fast patients move in a straight path, and
  • rotational rate, which together provide six degrees of freedom motion capture.

The sensors are now in their third generation of development.

Current gait monitoring systems are costly and limited in application. Monitoring gait-related problems typically requires patients to visit a health care facility, where they walk on a pressure sensitive treadmill and are monitored by video cameras.

AFrame's  wireless monitoring and alerting system is designed to enhance the independence and security of healthcare facility residents and patients as they move about in care facilities as they participate in the activities of daily living. Knowing that they are monitored can provide  greater peace of mind and confidence that leads to a more active lifestyle.

AFrame solutions and services
The Centers for Medicare and Medicaid Services conduct Quality Indicator Surveys of nursing homes.  The same quality factors would be good for families to know about...and ask about before admitting their family member to the facility. 

Here are some of the factors they look for:

  • Familiarity of the nursing and licensed staff with individual resident/patient care requirements
  • Updated "Care Item" lists
  • Diligence with Weight monitoring -- for 30, 60, 90 and 180 days.
  • Weekly Weightings.  And alert dietary and the doctor of gains or losses of 3 pounds or more.
  • Monitor room Trays.  Weight loss prevention is closely connected to food.  Is the food appealing and easy to chew...are their oral hygiene problems?
  • Billing Logs.  Check on "demand billing" and Medicare Denials.  Incomplete forms and information can reduce quality of care available to the patient.
  • Audit Medicare Denials.  Check Medicare forms for completeness and professionalism
  • Audit the Dining Experience.  Watch the entire dining experience:  room temperatures, lighting, staff  communication, food handling and variety of food choices.  Watch clean up and watch infection control practices.
  • Resident Census.  How many residents are away for home visits, or doctors appointments or in the hospital?  Check the list of those admitted and discharged over the last 30 days for trends.
  • Specialized Care List.  Check lists of residents who receive ventilators, dialysis, hospice or end of life services.  Compare trends in a number of prospective nursing homes to understand trends and quality of care connectons.

These tips are based on tips provided to nursing home staff to help them cope with Medicare and Medicaid Services inspections.  Some of this information will not be available to individuals, but knowing which care standards are audited can provide you with good questions to ask, and how to observe quality of care before you make important care decisions.

REFERENCE: Ecumen Consulting Services (www.ecumen.org), provides long term care consulting, training, management, development and repositioning services for nursing homes, assisted living, Continuing Care Retirement Communities (CCRCs) and home care and community-based services.


At the National Alliance for Caregiving's Lotsa Helping Hands website, visitors may create their own caregiving site to coordinate support needed for the caregiver and care recipient.

Most of us have experienced the crisis of a friend or loved one suddenly unable to function as they had for their family or themselves. Perhaps it's a debilitating illness, or post-surgery rehabilitation necessitating weeks or months of bed rest.

In many instances of long-term family caregiving or caring for an aging loved one, those affected must also cope with finding support for meal preparation, grocery shopping, transportation for themselves and their dependent family members.

But it is often difficult for patients and family caregivers to ask for help. And if help is offered, managing that help can be a significant part-time job: coordinating family, friends, neighbors, colleagues, and church or synagogue members who do not all know each other can be complex and time-consuming, with endless phone tag and forgotten commitments.

Private Group Calendar for Sharing Caregiver Tasks

Lotsa Helping Hands is a free caregiving coordination web service that provides a private, group calendar where tasks for which a caregiver needs assistance can be posted. Family and friends may visit the site and sign up online for a task.

The website generates a summary report showing who has volunteered for which tasks and which tasks remain unassigned. The site tracks each task and notification and reminder emails are sent to the appropriate parties.

To sign up for a free Lotsa Helping Hands account or to learn more, please visit the National Alliance for Caregiving's Lotsa Helping Hands website.


During a patient stay in a hospital, nursing home, or other health care setting, the staff will work with you to plan for the patient discharge. The patient and their caregiver are important members of the planning team. This is a checklist of important things you should know to plan for a safe discharge. To view the checklist, click here.

Examples of the items in the checklist include:

1.  Who will you contact to get care after you are discharged?

2. Do you understand your health condition(s)?

3. Do you know what problems to watch for...and how to handle them?

Check the checklist for more details.

Public agencies have resources available such as home-delivered meals and rides to appointments. Ask a social worker at your health care provider for more information about the local community services and support available in your area.

Area Agencies on Aging (AAAs)
Assist adults age 60 and older and their caregivers.  Call the Eldercare Locator at 800-677-1116 weekdays or visit their website at www.ElderCare.gov

Aging and Disability Resource Centers (ADRCs)
Assist people of all incomes and ages in 43 states.  Check the website to see if your area is served:  www.adrc-tae.org

Centers for Independent Living (CILs)
Assist people with disabilities. A state directory can be found at www.ilru.org

State Technology  Assistance Project
Information on medical equipment and assistive technology.  Contact the RESNA - Rehabilitation Engineering and Assistive Technology Society of North America to get contact info for your state.  www.resna.org

State Medicaid Agency
Information about Medicaid. To find your local office visit www.nasmd.org/links/links.asp. It has a clickable map of the US.

Medicare
Call 1-800-Medicare (800-633-4227) or visit www.medicare.gov/LongTermCare/Static?Counseling.asp

 

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