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Support for Aging in Place: A Smart Medication Dispenser

The Research Team. Mary McHugh, RN, PhD, UCHSC, National Chair, Nursing Informatics Certification PanelRahmat Shoureshi, PhD, School of Mines, Director, Center for Artificial IntelligenceRob Valuck, PhD, UCHSC, PharmacyRuby Martinez, RN, PHD, UCHSC, Colorado Minorities Council. The Problem. Elde

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Support for Aging in Place: A Smart Medication Dispenser

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    1. Support for Aging in Place: A Smart Medication Dispenser

    2. The Research Team Mary McHugh, RN, PhD, UCHSC, National Chair, Nursing Informatics Certification Panel Rahmat Shoureshi, PhD, School of Mines, Director, Center for Artificial Intelligence Rob Valuck, PhD, UCHSC, Pharmacy Ruby Martinez, RN, PHD, UCHSC, Colorado Minorities Council

    3. The Problem Elderly people may have a medication regimen that requires them to take 20 or more medications a day. Even for alert and oriented young people such a regimen is difficult to follow. But most elderly who require so many medications tend to suffer some cognitive impairment, even if able to live safely at home otherwise. If medication regimens are not followed, an early consequence is often increased confusion, leading to even poorer compliance with the medical plan.

    4. Versatility of the Device Although initially to be tested on an elderly population, the device will be useful for any person who requires support for difficult medication administration regimens, such as AIDS patients, children or adults on complex cancer medications, or people whose cognitive deficits may lead to medication errors.

    5. Specific Aims of the Study To complete development and device validation of the prototype Smart Medication Dispenser (SMD). To reduce medication errors made by elderly people To reduce the average number of acute hospitalizations and nursing home placements for elderly people

    6. PROTECTIVE MECHANISMS Auditory alarms LCD screen with printed alarms Double Locking Mechanism Wireless Communication to Nurse Case Manager or Physicians Office

    7. RESEARCH METHODS SAMPLE: 200 people aged 75 and over. Subjects recruited from Larksfield Place in Wichita, KS Design: Two group experiment with random assignment to treatment vs control group

    8. RESEARCH METHODS Procedure: Both groups have monthly visit from study nurse. Pill counts and patient interviews conducted for both groups. Control group uses daily plastic pill boxes. Study group receives SMD

    9. EXPECTED OUTCOMES Fewer medication errors Reduced number of hospitalizations Increased ability to remain living at home instead of requiring nursing home care

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