medication management

I am fortunate to have a paper copy of 'Inside GCM' in front of me (related website is aginglifecare.org) -- the publication of the "National Association of Professional Geriatric Care Managers" (NAPGCM). Geriatric care managers are typically trained and certified in coordinating care needs of seniors, referred by MDs or engaged by family members, particularly in long-distance care situations. They can be drawn from fields like social work, nursing, occupational therapy or other specialties.

The medication reminder world has had three tiers of product offerings -- telephone-based reminders, reminders linked to emergency response offerings, and electronic pillboxes. And medication errors, including those from incorrectly filling pillboxes, continue to be vexing.

It's always hard to tell whether something is observation or insight (or just plain wrong). But I've done 13 interviews in the past few months about home health technologies, with vendors ranging from A (Advanced Warning Systems) to Z (Zume Life). I am beginning to see a pattern about product offerings that seems to have three dimensions. These may be related to product success long term -- cost, capital, clinician involvement.

Recently I sat next to a neurologist on a flight who complained to me about a vexing problem. Elderly patients with dementia would arrive at her office to have their medications adjusted, but would bring no documentation of what they were already taking. Often the patient arrived from an Assisted Living or nursing home facility -- their excuse? Carrying the paperwork in the van was a violation of the patient's privacy.