What is Medication Management?
Medication management is the process of ensuring the medications prescribed for a patient are taken properly and achieving their planned, therapeutic outcome.
A critical aspect of successful medication management is medication adherence which means taking the right dose, at the right time, in the right way and frequency.
Many patients do not follow health-care provider instructions on how to take medications for various reasons. Such as, not understanding the directions, forgetfulness, multiple medications with different regimens, unpleasant side effects or the medication doesn’t seem to be working.
Importance of Medication Management?
The results of this are poor health outcomes, increased doctor visits, potential overdoses, and increased readmissions to the hospital, particularly for people with chronic conditions.
Prolonged illness can weaken immune systems and physical strength, causing additional illness or falls. And poor outcomes can land patients back in the hospital or on a revolving door of doctor visits.
Your pharmacist is an expert in medications, find one that you trust to work with you and your doctor on how best to take your medications.
Tips For Managing Medications:
Active Ways To Stay On Top Of Your Medications
Keep Your Medications Safe
Article submitted by Oaklawn Pharmacy. To learn more about Med Packs call 214-954-7389 or visit www.oaklawnpharmacy.com
Originally Posted September 15, 2023Long-term care facilities, also referred to as Nursing Homes Working to improve the quality of care for elderly residents, the Biden Administration has given CMS the authority to implement new regulations that mandate nursing homes participating in Medicare and Medicaid to maintain minimum staffing levels and promote transparency. Outlined in a report from The White House, the new regulations target the long-standing concerns of understaffing and the impact it has on the quality of life and care of vulnerable residents in nursing homes. In this blog, we will discuss implications of the new rules and their potential to make an impact on long term care in the United States. Understaffing ProblemFor years understaffing has been an ongoing issue in U.S. nursing homes, with consequences being inadequate care to elderly neglect and abuse. The COVID-19 pandemic called attention to the vulnerabilities our loved ones face in these facilities, over 200.000 lives were lost in long-term care facilities (npr.org), which prompted a call for systemic change. As nursing homes struggled to cope with the demands of the pandemic, the need for more personnel and better staffing ratios became glaringly evident. New Regulation FocusThe Centers for Medicare & Medicaid Services (CMS) has introduced new regulations requiring nursing homes to meet minimum staffing requirements, in an ongoing effort to improve the quality of care for Medicaid and Medicaid recipients and are expected to have a profound impact on the industry. New Regulations Key Provisions Minimum Staffing Levels: Nursing homes are now required to maintain a minimum staffing level, ensuring there are enough nurses and other staff members to meet residents needs adequately. These levels will vary depending on the size and needs of the facility. Staffing Ratios: Facilities must now have an appropriate number of registered nurses (RNs) on staff 24/7 to provide skilled nursing care to residents. Transparency: Nursing homes must be transparent about their staffing levels and retention, making this information readily available to residents and their families. As staffing levels and turnover have shown to be directly correlated with quality of care1. CMS database of nursing home owners and operators.2. Improve transparency of facility ownership and finances.3. Enhance nursing home Care Compare rating website.4. Examine the role of private equity investors in the nursing home sector Accountability: CMS will enforce these regulations through regular inspections and assessments. Nursing homes failing to meet the requirements may face serious penalties of lose their eligibility to Medicare and Medicaid fundingPotential Impact There are several positive changes these new regulations are expected to make in the long-term care industry Improved Quality of Care: Appropriate staffing levels mean better care for residents, as their needs will be addressed more promptly. When a residents need is met in a timely manner it can lead to preventable medical complications and overall improvement in the residents quality of life. (PubMed) Improved Resident Safety: Incidents of neglect and abuse may decline with more staff members available, ensuring a safer environment. Better Staff Retention: CMS is investing $75 million in financial incentives, in things like tuition reimbursement to help improve retention at nursing homes. (npr.org) When a facility is staffed adequately it can reduce burnout and stress, leading to less staff turnover and hopefully as a result will attract more skilled professionals to the industry. Informed Choices and Transparency: Nursing Home Five-Star Rating System will aid families in making informed decisions when choosing a facility for their loved ones. Government Accountability: Oversight and government enforcement are critical in ensuring nursing homes are held accountable and lead to systemic positive changes.Challenges and ConcernsImplementation: Due to nationwide shortages in nursing and healthcare supportive staff, nursing homes participating in Medicare and Medicaid may struggle to meet the new regulations standards.Costs: Hiring additional staff equates to increased costs which are often passed on to the residents. The American Health Care Association believes that the proposal will worsen current conditions and cost nursing homes billions. (Associated Press)Monitoring and Enforcement: Effectiveness of the new regulations will rely on regular monitoring and enforcement by CMS. With 75% of nursing homes nationwide being impacted, this could potentially lead to closures and additional struggles, especially in remote areas. (Associated Press)Not Enough: Leader of Long-Term Care Community Coalition, Richard Mollot, called the measures completely inadequate. While admitting that the 24/7 nursing requirement may make small improvements in some of the worst facilities. (Associated Press)There is no question that we all want quality care in a safe environment for our elderly and loved ones. While there will be many challenges to overcome implementation, the benefits in enhanced quality care, resident safety, and transparency outweigh the concerns. Only time will tell if these new regulations will truly be able to aid nursing homes in making changes that yield positive long-term outcomes for residents. Families being able to make better and more informed choices as to where their loved ones receive care is a step in the right direction. After decades of caring for loved ones, there is nothing that can compare to having a family member or friend that checks in on their person regularly. Being present and knowing youre coming has a positive impact not only on the residents but the staff too. Long-term care is a team effort and taking an active role to be a positive part of that team can make a significant difference. 'Britt Hemsell | Senior Living Advisor & Blog ContributorResources:The Associated Press by Matt Sedensky: reader.dallasnews.com/infinity/article_popover_share.aspx?guid=87cfddf9-73c6-4259-a88b-e6e912921658The White House: FACT SHEET: Biden-Harris Administration Announces New Steps to Improve Quality of Nursing Homes | The White HouseNPR: Biden New Federal Standards for Nursing Home Care : NPRPubMed: The association between nurses' burnout and objective care quality indicators: a cross-sectional survey in long-term care wards - PubMed (nih.gov)
Dementia and OCD Lead to Compulsive ShoppingTavis SchrieferCEO @ teleCalm, Phone service for Alzheimers & dementia, both at home and in senior livingMarch 1, 2024Obsessive-compulsive disorder (OCD) is a mental health condition that affects about 1.2% of U.S. adults. People with OCD experience unwanted and intrusive thoughts (obsessions) that cause them anxiety or distress. They also perform repetitive behaviors (compulsions) to try to reduce or neutralize their anxiety. For example, someone with OCD may have a fear of germs and compulsively wash their hands or even develop a compulsive shopping disorder.OCD can be a chronic and disabling condition that interferes with daily functioning and quality of life. Unfortunately, some people with OCD may also be at a higher risk of developing dementia, a group of brain disorders that affect memory, thinking, and behavior. Dementia is more common in older adults, especially those over 65 years old, and it can cause cognitive decline, confusion, and personality changes.How OCD is linked to dementiaAccording to a recent study published in the Journal of Clinical Psychiatry , people with OCD are more likely to develop dementia than people without OCD. The study used data from a large insurance database in Taiwan and followed 1,347 people with OCD and 13,470 matched controls without OCD for an average of 11 years. The researchers found that:People with OCD had a higher risk of developing Alzheimers disease, vascular dementia, and unspecified dementia than people without OCD.People with OCD developed dementia about 6 years earlier than people without OCD (70.5 years versus 76.7 years).People with OCD had a higher rate of early-onset dementia (before age 65) than people without OCD (1.7% versus 0.1%).The exact reasons why OCD is associated with dementia are not clear, but some possible explanations are:OCD may share some genetic or environmental risk factors with dementia, such as the APOE gene or chronic inflammation.OCD may cause chronic stress or damage to the brain over time, which may increase the vulnerability to dementia.OCD may make it harder to detect or treat dementia symptoms, as some cognitive impairments or behavioral changes may be attributed to OCD rather than dementia.How OCD and dementia affect compulsive shoppingOne of the possible consequences of having both OCD and dementia is compulsive shopping, which is the uncontrollable urge to buy things that are not needed or wanted. Compulsive shopping can cause financial problems, family conflicts, and emotional distress for the person and their caregivers.Compulsive shopping can be triggered by different factors in people with OCD and dementia, such as:Obsessions: People with OCD may have obsessive thoughts about buying certain items or completing certain collections, which may drive them to shop compulsively.Compulsions: People with OCD may use shopping as a way to cope with their anxiety or to perform rituals related to their obsessions, such as buying multiples of the same item or checking prices repeatedly.Memory loss: People with dementia may forget what they have already bought or why they bought it, which may lead them to buy the same things again or buy things they dont need.Impulsivity: People with dementia may lose their ability to control their impulses or plan ahead, which may make them more prone to buy things on a whim or fall for marketing tricks.Boredom: People with dementia may feel bored or lonely due to their cognitive decline or social isolation, which may make them seek stimulation or comfort through shopping.Compulsive shopping can be especially problematic when it involves purchasing products from home shopping channels and other ads on TV. These sources of shopping may be more accessible, appealing, or persuasive for people with OCD and dementia, as they may:Provide constant exposure to new products and offers that may trigger obsessions or impulses.Use high-pressure tactics such as limited-time deals, scarcity cues, testimonials, or guarantees that may exploit cognitive biases or vulnerabilities.Offer easy payment methods such as credit cards, phone orders, or online transactions that may bypass rational decision-making or budgeting.Deliver products directly to the home without requiring transportation or social interaction that may deter or limit shopping.How teleCalm service can helpIf you have a loved one who suffers from both OCD and dementia and engages in compulsive shopping from home shopping channels and TV ads, you may feel frustrated, worried, or helpless. Fortunately, there is a service that can help you manage this issue: teleCalm.teleCalm is a phone service that is designed specifically for seniors with dementia and their caregivers. It works with any existing phone and phone number, and it offers several features that can prevent or reduce compulsive shopping, such as:Blocking unwanted outgoing calls to home shopping channels and TV adsBlocking ALL incoming calls from telemarketers, scammers, and any other numbers you choose.Allowing only trusted callers to reach your loved one, such as family, friends, doctors, or emergency services.Viewing your loved ones phone activity and alerting you of any suspicious or unusual calls, such as repeated calls to the same number or calls at odd hours.Providing you with a dashboard on an app where you can control and customize your loved ones phone settings, such as call blocking, call filtering, or call scheduling.By using teleCalm, you can protect your loved one from compulsive shopping and its negative consequences, while also preserving their dignity, independence, and connection. You can also reduce your own stress and worry, knowing that your loved one is safe and supported.If you are interested in learning more about teleCalm, please visit teleCalmProtects.com or call 1-888-701-0411.
Navigating the Extra Day: A Journey Through Leap YearsLeap years, those quadrennial anomalies in our calendar, have intrigued and puzzled people for centuries. While the concept may seem simple, the implications of leap years are far-reaching, affecting the lives and experiences of individuals across generations.The Earth's orbit around the sun takes approximately 365.25 days. To account for this fractional day, our calendar includes an extra day, February 29th, every four years. This additional day is what we commonly refer to as a leap day.The leap year calendar, also known as the Gregorian calendar, is the most widely used calendar system in the world. It was introduced by Pope Gregory XIII in October 1582 to reform the Julian calendar and correct inaccuracies in the calculation of leap years.Under the Gregorian calendar, a leap year occurs every four years, except for years that are divisible by 100 but not by 400. This rule helps synchronize the calendar year with the solar year, making it a more accurate representation of the Earth's orbit around the sun. Imagine reaching the remarkable milestone of 100 years old. Those fortunate enough to celebrate a century of life would have experienced numerous leap years. By the time someone reaches the age of 100, they would have witnessed 25-26 leap years. If you were born on February 29, 1924, and you want to count the leap year in which you were born, then you would experience 26 leap years by February 29, 2024. This includes the leap year of your birth in 1924 and all subsequent leap years every four years, up to and including 2024. The baby boomer generation, born between 1946 and 1964, has experienced a varying number of leap years depending on their current age. As of 2024, the youngest baby boomers would be around 60 years old, having experienced 15-16 leap years. Those born in the mid-1940s would be in their late 70s, with 19-20 leap years under their belts. The number of leap years increases with age, contributing to the diversity of experiences within the baby boomer generation.For individuals aged 55 and above, leap years hold a unique significance. These extra days serve as reminders of the passage of time, providing an opportunity for reflection and celebration. Leap years often coincide with major life events, such as milestone birthdays or anniversaries. The occurrence of an extra day in the calendar can be seen as a symbolic bonus, a chance to appreciate the gift of time and the memories accumulated over the years. Leap years, with their irregular but predictable cadence, add a layer of complexity to our understanding of time. For centenarians, baby boomers, and those in the 55+ age group, these extra days contribute to the tapestry of memories and experiences that shape their lives. As we navigate the twists and turns of our temporal journey, let us embrace the quirkiness of leap years and appreciate the additional moments they provide for reflection, celebration, and gratitude. Happy Birthday to all the Leap Day Babies!