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You can get prescriptions filled so that the pills come prepacked so that it is easier to take them There are also pill boxes that have alarms so that it reminds you to take a pill and the pill can not be taken before it is time. the "problem" with that is that someone has to be there to fill the pill box. A caregiver can prefill pill boxes, the simple ones you can get almost anywhere. If you hire a caregiver from an agency they can not dispense meds but I am sure they can fill a weekly pill box. They can also remind a person to take a pill. If mom needs more help than simply filling a weekly pill box it might be time to think about a caregiver that will come in daily. If she needs more help than that then it is a full time caregiver or the possibility of looking for a facility that will meet her care needs. (AL, MC, or SNF)
Oh - I forgot to mention - I use a fabric paint ( a marker would work just as well) to create a "star" on the top of every pill bottle that my husband (patient) needs to take daily. Sometimes there are short-term or trial medications which are not continued, or some medications in 2 bottles from the pharmacy. Anyway, I mark the tops of the bottles so I know which ones to set up in his daily pill organizer.
We've been dong this for many years now. I swear, I wouldn't know what day it is if it weren't for the pill organizer!
A pill organizer helps, if she is able to use it. Someone else may need to fill it up weekly. And hide or take away the rest of the medications, to avoid an accidental overdose. If you are able to use this method, with a daily phone call to remind her, "take the Thursday pills", that could work for a while. But, it is time to start thinking long-term. If she is unable to manage this, then there is a lot more that she is unable to manage on her own. Time to start looking into assisted living, memory care, or skilled nursing facilities.
You ask what kind of in home help you could look for.
Sadly, most home care aides are not qualified/authorized to give medications. They can "remind" the patient to take their medications.
Unless you have the money to hire a nurse, or a trained medical assistant to administer medications, you will have to find a more creative solution.
Pill dispensers are great for seniors who don't have middle to late stage dementia. It would be a huge help if you could go over her meds with her doctor to eliminate the ones she really doesn't need.
I used to set up my mom's dispenser weekly and that worked great for a long time. The system failed after her dementia caused her to be suspicious of the pills and she wouldn't put certain ones in her mouth or she'd hoard them. Now her pills are handed to her twice a day by a medication technician in her memory care facility. Mom sometimes argues with the med tech and says "I don't recognize this pill! I'm not taking this!" So her antipsychotic is a powder mixed into her water and she drinks it without a hassle.
I’m sorry to hear about your mother’s situation. If she lives at home, she needs to go a facility where medication reminders are available to administer them.
The pharmacy will put his meds into little plastic zip lock bags sorted into morning, afternoon or evening. They do this for free. just call them. most even deliver.
Hospice Nurses gave my brother a big pill organizer box holding Sunday-Saturday AM, Noon, PM pills for a month. I have to only load the proper pills for him once a week and he's set for the week. I can do it for a longer period of time if we have enough pills in his RX bottles.
My Mom didn't have dementia, but she was 90 years old and after 2 TIAs and higher cholesterol and artery blockage she had alot more medicine to take. Her gerintology doctor had a nurse case manager assigned. The case manager didn't come to the house, but she did connect my Mom with a pharmacy that packaged her pills together by date and time of day. So Monday morning pills were in one pack. It was clearly marked. All she had to do was open the pack and take the pills.
I'm with a lot of people here suggesting the automated pill dispenser. It has 28 compartments and for a person taking pills 2x a day it can last for 2 weeks. Programmable and doesn't open until it's time. My mother liked the flashing light and the way it talked to her to let her know it was time. I believe it was about $90 but well worth it!! Because it has to be turned over to get the pills, I suggest a rubber placemat so they don't roll away. It was a blessing to me, I'd go over and fill it because I couldn't trust her to get the right doses. I recall putting 4 tablets for the morning in one compartment and 2 for the evening and alternating until it was full. This is an amazing item!
A nurse fixed my parent's pills using tea cups and saucers! She sorted them by morning(breakfast), noon(lunch) and evening(dinner) and bedtime(snack time)! She taped instructions on each plate to take before eating or only take with food and drink a glass of water with the pills! The pharmacy containers were in the cups and they practiced with her how to take the correct cup and read the instructions taped on the lid! open the bottle 1 at a time and recount to make sure they took the right pills on the instructions! We got them easy to heat foods and snacks! My mother was on way too many pills! Half were not to be taken at all in combination ever! Her doctor over prescribed to keep her from complaining! The nurse called him and cancelled pharmacy refills on the bad drugs! We had to hide them because she complained that she needed them! They each had their stacked cups and got real good at stacking them correctly! They were in the middle of the kitchen table! Is there a home visit nurse? They could probably coordinate a system for her! If she doesn't Medicare covers visits and even physical therapy! I had both for several weeks!
There are electronic pill dispensers that you can put on a timer. They can be a little pricey, but cheaper than full time care. https://www.alzstore.com/electronic-pill-dispenser-p/0032.htm
I got my mom the Hero when she was still living at home. I was responsible for reloading it and I had the app on my phone. What was really great about it, was not only was she actually keeping up with taking her meds, the app would let me know when she's taken them. That helped me know that she was up and moving around, not fallen somewhere.
Amazon sells a pill dispenser that is great! It’s called “Live Fine 28 Day Automatic Pill Dispenser”. One pill a day for 28 days or more pills for less days depending on how many times a day she takes the pills. I bought one for my husband because he kept taking pills out of desperation because his head hurts. He didn’t know what he was taking or how many times take. I bought a locking medicine box to store extra meds and the pill dispenser so he could manage his own doses. Morning pills go in slot 1, afternoon pills in slot 2, and night pills in slot 3. That’s 9 days of pills. You set an alarm for each dose and lock the dispenser. I then lock the key in the medicine box.
A very loud alarm goes off when it’s time for each dose and it continues until he picks up the dispenser, slides open the door and turns the container vertical to get the pills. When the next dose is due, the pill tray rotates to the next set of pills and the alarm sounds. This way, he never forgets a dose and he can’t take more than he is allowed. He waits by the container because he knows when it’s going to sound.
My mom was taking 30 days worth of pills in a week or less. My dad refused to believe it - insisted she was just dropping them, but also getting angry with the insurance companies that refused to refill her scripts 1 week into a 3 month supply. I bought my mom this pill safe dispenser and I filled it every week and the safe would sound an alarm and dispense ONLY the pills in that time stamped compartment. We would still occasionally find pills stashed in random places though. But my theory that she was taking all pills at once was proven by multiple calls within minutes of each other multiple times per day about how "this thing is broken because I can't get it open". My dad still refused to believe it (but he had undiagnosed vascular dementia and anosognosia - that's a long story in itself). The pill safe helped to at least prevent her from taking too many pills in a day... link to safe dispenser on Amazon: https://www.amazon.com/dp/B08KJHKSP1?ref_=ppx_hzsearch_conn_dt_b_fed_asin_title_3&th=1
Hi, in addition to all the other great answers, we used a Ring camera to visually check to see if meds were taken. Here's how it worked.
We used weekly pill boxes which were filled by family members (or could be a nurse who comes in for you).
We did have home health care each morning. The aide would empty the AM and PM pills into two small cups color coded for AM and PM. She would assist mom with the AM medicines and leave the PM pills in the cup for Mom to take later.
I set up a Ring camera out of the way but focused on the table where the cups were left. Each afternoon/evening, I would check the camera to be sure that the PM medications cup was empty.
If Mom hadn't taken the PM meds, I would call to remind her and could even watch on the camera while she took them.
I convinced Mom that the camera was not an invasion of privacy because it was focused solely on the table with the medication cups and I promised I would never use it just to "spy" on her.
Eventually, we had cameras all over the house but that came later.
Time to plan your mom's future care. It is extremely important for your mom to take the correct medications and dosages. Either hire home health care or plan to move your mom to an assisted living facility because this situation will get worse. I have been there and I know.
Not sure where u r based but here they can give patients a small folder- cant recall what it’s called but it has each days tablets counted out against Monday am lunchtime tea time etc ask her doctor failing that before my dad got that we bought small plastic sauce containers and labelled them AM and PM you could do that and add day of week Tiber alternative and it’s a bit exhausting is to seek help to share this and call her daily to remind her good luck
We used a dispenser for my mom, you set it to the times you want the pills available and it reminds you to take the correct pills at the correct time only allowing the correct ones to be taken. She took morning and evening pills so we were able to fill two weeks worth at a time which was a huge help and when she was on antibiotics that she needed to take 3 times a day we just put the afternoon pill in one of those week containers. She was hard of hearing as well as not great about taking meds, ever so one of us would call her or drop in on the Alexa Show and remind her or just check in to make sure she had taken them. This allowed her to remain more independent for much longer than she would have been able to otherwise. She has now passed and I do have her pill dispensers if you are interested, I just haven’t gotten around to listing them anywhere.
I did this for my uncle when I w3nt to help him rehab after heart surgery He said it worked so good he kept doing it this way long after I went back home.
set up only the pills to take at each time of the day to take them on a piece of white paper.
8am take these pills. You can also put the pill names. Here too….. (lay out pills for this time)
12 noon take these pills….(lay out pills for this time)
6pm etc…
take a picture of this paper with all time and pills clearly visible. Now print the picture you took. Put all pills used for this back in their proper bottles.
Keep this printed reminder of pills, their names, times to take them and what they look like including their color in front of the bottles.
Now the person can see what pills to take from the bottle each day and place them on the paper according to their names, times, and colors. Fill out for one entire day and repeat for each day.
We used 4 different colored boxes and highlighted the calendar. That way I could confirm with her that she took the “Monday Pink”. When she needed an afternoon pill, we added black/white. Mom eventually got to the point where we had to have an aide come to make sure she really was taking them, but this system was relatively easy and helped set her up for a month at a time.
Knit4pixies ~ excellent answer! So many children don't add up the "signs" they are seeing and just chalk it up to normal aging. When pills end up on the table or floor, BIG red flag. Don't know if the original poster is in the same area as her Mom, but I would be proactively making decisions to keep Mom safe. Do not wait for the "other shoe" to drop (like getting "the call" that Mom has fallen) and be totally unprepared for hospital, nursing home, memory care, etc decisions. Been there, done that. Original poster should be making preparations NOW for Mom's future care (logistically and financially). I hope she's on her Mom's bank accounts and is familiar with her finances, banking info, etc. Advice to others: have these caregiving conversations with parents BEFORE dementia sets in.
My mom did great with her meds until she fell and broke her hip. She was in the hospital and rehab for a month and so did not need to manage her meds. At discharge 2 meds remained the same, one morning med was substituted and a new med (1/2 tab 3/daily) was added. She couldn't handle that change.
She is good about taking her morning and evening meds. We have Alexa remind her daily to take her noon meds.
I started filling a pill organizer for her weekly but it was too stressful to make sure I got there in time to fill the next supply. So I got her a 31 day organizer from Amazon.
It stores each day vertically. If the green end is up there are pills in it. After each day you flip the daily compartment to red on top.
Confusion about what/when to take, the inability to sort this out on their own or with help OR to remember what was taken and when; is one of the instrumental activities of daily living deficits that may indicate broader cognitive issues or growing issues. I tried using one of those weekly day and time pill box sorters w/my mom (82 at the time w/cognitive issues and later diagnosed w/dementia) but she would argue and be oppositional about what was actually supposed to be taken. She would try to read the instructions, which said take 1 pill every 12 hours and then be convinced, she only need one pill a day. She could no longer grasp the concept that there are two 12 hour periods in one day -- ergo take two pills a day ONE every 12 hrs. It was maddening.
We even tried the Amazon pillpacks: that sort one's meds by day and time and they come in date/time stamped packets for a full month so one does NOT have to sort them in one of those pill box sorters. She'd just throw them away, as "they are not my real pills"...."my real pills do not look like that." OMG But here is the Amazon thing if that is of help https://pharmacy.amazon.com/pillpack
Sadly, it may be time to consider Assisted Living, Memory Care or Skilled Nursing Care; each can do what is called "medication management" and depending on other medical or memory issues (deficits with ADLs or IADS), the proper level of care can be arranged.
Sorry you are dealing with this. It does not get easier. Planning for what is next, what her care needs will be is key. Hopefully, you have all the legal paperwork done so you can step in more as needed.
Get 2 weekly am/ pm pill containers and pre fill them. Make sure the day of week and am/pm text is very clear on each day and time. Also make sure the individual pill day is easy to open yet hard to open if it drops( test by dropping yourself). I used this method successfully for years w both my parents and now use for myself. I hope this helps.
I have a Hero pill dispenser to help me and anyone I have assist me with caring for my Granny who has dementia. Costs about $40 per month. You set it up and the machine beeps when it's time. You push the button and the pills dispense. Makes things easier.
I agree with the other posters that this can be a warning sign that more help might be needed than just managing meds. My mom takes a lot of pills — her Parkinson’s meds alone account for twelve pills a day — but she knew what they were all for, and she was always good about sorting them and taking them on time. Then a few months ago I realized she was starting to have trouble, that instead of sorting them for the week she’d do just a day or dose at a time, and she might sleep through a pill time or forget that she skipped a dose. She had enough pills on the floor and tabletops to start her own pharmacy. I chalked that up to her arthritis, which made it difficult for her to handle the pills and caused her to drop a lot of them, so I started sorting them all for her once a week. That’s when I started to see that she was sometimes missing doses, and I knew that with her random sleep schedule, she wasn’t taking meds at regular times. I wasn’t able to be there every day to make sure she took them, and I was in the same spot as you, trying to figure out how to manage this, when she fell and broke her hip one night, which brought a whole cascade of health issues that ultimately resulted in her going to a long-term care facility. I see now that this is always where things were headed, and the med management was just one of several warning signs. The broken hip just accelerated the process. This might be the time, as others have said, to look into assisted living, memory care, and/or long-term care, if you haven’t done so already. It’s very likely that a health crisis will occur sooner or later, unfortunately, and the more you can do now to prepare logistically, legally, financially, etc., the more you can reduce your stress when that time comes. I wish you so much strength and peace. There’s nothing easy about any of this. But I do believe there are blessings and wisdom to be found too. Please keep us posted.
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APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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There are also pill boxes that have alarms so that it reminds you to take a pill and the pill can not be taken before it is time.
the "problem" with that is that someone has to be there to fill the pill box.
A caregiver can prefill pill boxes, the simple ones you can get almost anywhere. If you hire a caregiver from an agency they can not dispense meds but I am sure they can fill a weekly pill box. They can also remind a person to take a pill.
If mom needs more help than simply filling a weekly pill box it might be time to think about a caregiver that will come in daily. If she needs more help than that then it is a full time caregiver or the possibility of looking for a facility that will meet her care needs. (AL, MC, or SNF)
https://www.amazon.com/Soobest-Dementia-Electric-Ringtones-Alzheimers/dp/B0D4Q1C1FP/ref=asc_df_B0D4Q1C1FP
We've been dong this for many years now. I swear, I wouldn't know what day it is if it weren't for the pill organizer!
Someone else may need to fill it up weekly. And hide or take away the rest of the medications, to avoid an accidental overdose.
If you are able to use this method, with a daily phone call to remind her, "take the Thursday pills", that could work for a while.
But, it is time to start thinking long-term. If she is unable to manage this, then there is a lot more that she is unable to manage on her own.
Time to start looking into assisted living, memory care, or skilled nursing facilities.
You ask what kind of in home help you could look for.
Sadly, most home care aides are not qualified/authorized to give medications.
They can "remind" the patient to take their medications.
Unless you have the money to hire a nurse, or a trained medical assistant to administer medications, you will have to find a more creative solution.
I used to set up my mom's dispenser weekly and that worked great for a long time. The system failed after her dementia caused her to be suspicious of the pills and she wouldn't put certain ones in her mouth or she'd hoard them. Now her pills are handed to her twice a day by a medication technician in her memory care facility. Mom sometimes argues with the med tech and says "I don't recognize this pill! I'm not taking this!"
So her antipsychotic is a powder mixed into her water and she drinks it without a hassle.
https://www.divvydose.com/
DivvyDose will sort your prescriptions, OTC medication and supplements into easy-to-use packs marked with the day, time and dose.
They each had their stacked cups and got real good at stacking them correctly! They were in the middle of the kitchen table! Is there a home visit nurse? They could probably coordinate a system for her! If she doesn't Medicare covers visits and even physical therapy! I had both for several weeks!
A very loud alarm goes off when it’s time for each dose and it continues until he picks up the dispenser, slides open the door and turns the container vertical to get the pills. When the next dose is due, the pill tray rotates to the next set of pills and the alarm sounds. This way, he never forgets a dose and he can’t take more than he is allowed. He waits by the container because he knows when it’s going to sound.
I fill all of his pills every 9 days. I love it!
link to safe dispenser on Amazon:
https://www.amazon.com/dp/B08KJHKSP1?ref_=ppx_hzsearch_conn_dt_b_fed_asin_title_3&th=1
We used weekly pill boxes which were filled by family members (or could be a nurse who comes in for you).
We did have home health care each morning. The aide would empty the AM and PM pills into two small cups color coded for AM and PM. She would assist mom with the AM medicines and leave the PM pills in the cup for Mom to take later.
I set up a Ring camera out of the way but focused on the table where the cups were left. Each afternoon/evening, I would check the camera to be sure that the PM medications cup was empty.
If Mom hadn't taken the PM meds, I would call to remind her and could even watch on the camera while she took them.
I convinced Mom that the camera was not an invasion of privacy because it was focused solely on the table with the medication cups and I promised I would never use it just to "spy" on her.
Eventually, we had cameras all over the house but that came later.
Best of luck with this!
ask her doctor
failing that before my dad got that we bought small plastic sauce containers
and labelled them AM and PM
you could do that and add day of week
Tiber alternative and it’s a bit exhausting is to seek help to share this and call her daily to remind her
good luck
set up only the pills to take at each time of the day to take them on a piece of white paper.
8am take these pills. You can also put the pill names. Here too….. (lay out pills for this time)
12 noon take these pills….(lay out pills for this time)
6pm etc…
take a picture of this paper with all time and pills clearly visible. Now print the picture you took. Put all pills used for this back in their proper bottles.
Keep this printed reminder of pills, their names, times to take them and what they look like including their color in front of the bottles.
Now the person can see what pills to take from the bottle each day and place them on the paper according to their names, times, and colors. Fill out for one entire day and repeat for each day.
This really helped us!
She is good about taking her morning and evening meds. We have Alexa remind her daily to take her noon meds.
I started filling a pill organizer for her weekly but it was too stressful to make sure I got there in time to fill the next supply. So I got her a 31 day organizer from Amazon.
It stores each day vertically. If the green end is up there are pills in it. After each day you flip the daily compartment to red on top.
https://www.amazon.com/dp/B00C350W9E?ref=ppx_yo2ov_dt_b_fed_asin_title
Works great! Of course, at some point this won't cut it but for now she is alert enough to manage it.
We even tried the Amazon pillpacks: that sort one's meds by day and time and they come in date/time stamped packets for a full month so one does NOT have to sort them in one of those pill box sorters. She'd just throw them away, as "they are not my real pills"...."my real pills do not look like that." OMG But here is the Amazon thing if that is of help https://pharmacy.amazon.com/pillpack
Sadly, it may be time to consider Assisted Living, Memory Care or Skilled Nursing Care; each can do what is called "medication management" and depending on other medical or memory issues (deficits with ADLs or IADS), the proper level of care can be arranged.
Sorry you are dealing with this. It does not get easier. Planning for what is next, what her care needs will be is key. Hopefully, you have all the legal paperwork done so you can step in more as needed.