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Separating each medication into a pill box can also make it easier to take the right medication at the right time.
Using computerized pill boxes.  For seniors with memory difficulties, computerized pill boxes will open when it’s time to take the medication, and sound an alarm until it is taken.
Our clients should be aware that our volunteers cannot provide any medication management.  If you want to continue living at home, but need help managing medications, licensed home care providers can help you.
The problem of abuse of ADHD medications like Adderall among high school and college students is becoming such a huge issue that a number of colleges are addressing stimulant medication abuse proactively, according to the New York Times.
When kids who don’t need Adderall, Vyvanse, and other ADHD medications take the pills, they experience a stimulant effect. Some schools are asking students to sign a contract that says they will not share their pills with others, sell them or in any way distribute them, or abuse their medications when they receive a diagnosis of ADHD or get a prescription for the medications. Many kids start abusing stimulant medications prescribed for ADHD during their high school years. Call us at Muir Wood today to learn more about how you can help your son stop abusing prescription drugs of all kinds. It all essentially boils down to these questions: How can we best confirm what a patient’s exact home medications are when they are admitted to hospital? New technology has the potential to greatly help solve this problem, especially if medication lists are clarified within one central computer system. Have a pharmacist stationed in the ER dedicated to documenting a complete and thorough medication list for every patient admitted to hospital (there may need to be more than one pharmacist for busier EDs).
The pharmacist should again review the medications and go over any changes with the patient upon discharge. Many hospitals are finally realizing the importance of medication reconciliation and putting significant resources into solving the problem. Tags:accurate medication lists, best way to do medication reconciliation, getting medication reconciliation right, healthcare quality improvement, Healthcare safety, hospital quality improvement, how to do med rec?, how to do medication reconciliation?, improving healthcare safety, improving patient safety, improving the medication reconciliation process, Institute of Medicine, Meaningful Use, medication errors, medication reconciliation, medication reconciliation best practice, medication reconciliation list, medication reconciliation meaningful use, medication reconciliation on admission, medication reconciliation on discharge, Patient safety, pharmacy medication reconciliation, reducing medication errors, To Err is Human: Building a Safer Health System, who should do medication reconciliation? If the medication isn’t taken, the computerized pill box records that, and then locks the medication up again. Please call the office at 425-369-9120 if you or your family member needs a referral to home care providers in our community. So many students are learning which symptoms they have to fake in order to get a prescription that will provide them a stimulant boost – and ultimately, a stimulant addiction – that dependence upon ADHD medications are skyrocketing. Many use this to help them to complete projects, stay up late and study for tests, and manage schedules that include work, school and extracurricular activities.


Other schools do not allow their doctors to diagnose ADHD in students while others do not allow their doctors to prescribe stimulant ADHD medications. Jon Porter is the Director of Medical, Counseling and Psychiatry Services at the University of Vermont.
If they are prescribed the drug, they may find that their body responds differently to the medication over time as they grow and opt to keep taking the medication.
In the midst of all the other challenges in healthcare, it is a surprisingly under talked about issue. Medication reconciliation. And how can we ensure that this list is again clarified during any in-hospital transfers and upon discharge? When a patient is admitted to hospital, the doctor takes a complete history and performs a physical examination (hopefully by then we are confident of the diagnosis).
Lack of a universal computer system which is connected to the patient’s primary care doctor or pharmacy. Often three or more different ones from the primary care physician, prior hospital records, and the patient themselves!
Doctors, pharmacists and administrators have to work closely together to drive this quality improvement.
Taking the wrong drugs together could cause an adverse reaction.  In fact, 40 percent of all adverse drug reactions occur in people over 60.
A study done by the National Institutes of Health found that about 34 percent of students had used prescription ADHD medications to get them through academically stressful periods.
Still others require their doctors to call the parents of the student in order to confirm the symptoms described by the student and get a full medical history.
For anyone non-medical reading this, in a nut-shell medication reconciliation is all about clarifying the patient’s home medications when they are admitted to hospital, and then confirming them again—with any changes—upon discharge. Neither should the solution rest with relying on patients to give us a complete medication list—that isn’t likely to work any more than a car service center expecting a customer to know all the details of their last repair work.
Medication errors were first brought into the national spotlight in 1999, with the Institute of Medicine’s landmark report, To Err is Human: Building a Safer Health System. Unfortunately, because hospitals have rushed to comply, not enough thought has been put into the underlying processes. The first goal should be to have a definite process in place whereby the accurate list is known on admission.
If you are a senior (or are a family member helping one), there are several ways you can help make sure that you’re taking medications correctly, while maintaining your independence.


Though it may not sound like a bad thing, the mental health and physical effects can be devastating; a good grade isn’t worth the toll the pill takes on the mind and body. According to JCAHO (Joint Commission on Accreditation of Healthcare Organizations) the definition is “the process of comparing a patient’s medication orders to all of the medications that the patient has been taking”. At that time, it was estimated that about 100,000 deaths per year were because of hospital errors. Simply putting everything on the computer doesn’t automatically make everything okay if it’s the wrong list in the first place!
Several studies have in fact shown that pharmacists are the professionals best equipped to do this, since their whole expertise and focus is on reviewing medicines.
Please click on the menu to learn more about me and also check out my manifesto for improving frontline hospital care. Latest statistics suggest that this figure may be even higher, as much as a staggering 400,000 per year according to a recent study in the Journal of Patient Safety. In my experience, this is very true, and I’ve been fortunate enough to work with some great pharmacists in my time as a hospital medicine doctor. By doing this seemingly simple thing, we will be taking a huge leap forward into the new healthcare era. Computerized medication reconciliation is a classic example of a great idea, which simply takes too long on our currently available cumbersome computer systems.
It’s typically the pharmacy that acts as a back up anyway for physicians when they write any medication orders. I’ve found this to be an elusive goal in every single hospital I’ve ever worked in, all the way from rural hospitals to major academic teaching centers. Far more accurate right now would be to have a laminated list of the correct medications that was kept in a secure part of the chart. Frontline doctors are well used to communicating with pharmacists on a daily basis (usually after receiving an informational message on their pager).
The Institute of Medicine estimates that the average hospitalized patient is subject to at least one medication error per day, of which more than 40 percent are thought to be the result of poor reconciliation. It is therefore very dangerous to have any confusion surrounding the patient’s medications.



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