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Cognitive Patient Ergonomics
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Third, these more comprehensive frameworks have the potential to enrich our understanding of theoretical constructs related to self-care, such as environmental support. Simply adding information or tools to the environment as an external resource does not in itself constitute environmental support, as shown by the fact that environmental support can increase as well as decrease age differences in task performance. Morrow and Rogers (2008) addressed these disparate findings in the literature by analyzing the relationship between individual cognition and environmental support design (e.g., pre-requisites for using environmental support). For example, using a pill organizer may actually decrease adherence if it is difficult to place pills in the appropriate compartments. A more comprehensive distributed cognition account may provide further insight that guides the design of effective environmental support, such as the relation of a tool to other external information representations (e.g., user-generated notes) or how well the tool meshes with multiple agents’ goals (e.g., representation-goal parity; Hutchins 1995). Such a view places a premium on environmental support that promotes efficient performance by integrating external as well as internal resources.
Assessment Screening Tools and Approaches
Published in Danielle L. Terry, Michelle E. Mlinac, Pamela L. Steadman-Wood, Providing Home Care for Older Adults, 2020
Courtney O. Ghormley, James “Chip” Long
Finally, a cognitive assessment provides necessary information for comprehensive treatment planning within the interdisciplinary team setting. The MH provider plays a notable role in the development of the treatment plan, both in the identification of goals and determining the most effective ways to meet these goals. One example might be recognizing the importance of medication adherence in managing the patient’s health issues. While this seems elementary, if there are cognitive problems that could interfere with the patient’s ability to meet this treatment goal then the MH provider can inform the team of this issue and assist in identifying compensatory strategies. Some options might include the following: utilizing an alarmed pill organizer, educating the family about the patient’s memory limitations and the need for supervision, or leaving a written list of the patient’s medications in the home so it can be referred to if there is a question. In order to fully maximize the treatment-planning process, the MH provider must be comfortable working with other disciplines. And while this is true for all MH providers in medical settings, it is especially true in the field of geriatrics. Understanding the interplay between medical and psychological variables when working with older adults is vital. MH providers can maximize this dynamic in such a way that optimizes the efficiency of the care provided to the older adult.
Home care service employees’ contribution to patient safety in clients with dementia who use dietary supplements: a Norwegian survey
Published in Scandinavian Journal of Primary Health Care, 2021
Hilde Risvoll, Frauke Musial, Marit Waaseth, Trude Giverhaug, Kjell Halvorsen
Home care services assist community-dwelling persons (clients) in need of help with their prescription drugs (PDs), nutrition and personal hygiene [1,2]. In Norway, home care services is part of the social welfare system and is provided by local health authorities at the municipality level [3]. Home care service employees have different educational qualifications, some are nurses at the bachelor’s level; however the majority of home care service employees have health-related education at the high school level (auxiliary nurses), and a few are assistants without formal education. All employees, including employees without former education, are allowed to administer PDs from an automated drug-dispensing system and from a prefilled pill organizer to clients after being certified in the control and administration of medication (theoretical and practical education). Some advanced treatments are restricted to those with more education, but for the majority of clients, all types of employees perform the same tasks.
Unintentional exposure to pregabalin in ≤6-year-old children: a nationwide French Poison Control Center study
Published in Clinical Toxicology, 2021
Laurène Dufayet, Fleur Monnet, Hervé Laborde-Casterot, Weniko Caré, Béranger Lekens, Jérôme Langrand, Bruno Mégarbane, Dominique Vodovar
Among the 313 pregabalin exposures, 109 (35%) involved additional toxicants and 204 (65%) were pregabalin-only exposures. In the multidrug cases, children had access to the family medicine cabinet or pill organizer and the exact drugs combined with pregabalin were uncertain. Thirty-nine (12%), 20 (6%) and 19 (6%) cases of pregabalin-only exposures had an unknown or uncertain ingested dose or outcome, respectively, and were excluded. Finally, 126 pregabalin-only exposures (40%) were included in the analysis.
The Effect of Soybean Lunasin on Cardiometabolic Risk Factors: A Randomized Clinical Trial
Published in Journal of Dietary Supplements, 2020
Sara Haddad Tabrizi, Ella Haddad, Sujatha Rajaram, Keiji Oda, Amandeep Kaur, Joan Sabaté
Our dietitian evaluated compliance by counting capsules remaining at the midpoint (week 4) and the end (week 8) of each treatment period. To increase compliance, we provided each participant with a pill organizer to keep track of their supplement intake for each week. In addition, the Lunasin Study provided participants with a preoutlined diary in which they could place a check mark after taking their daily dose of supplements.