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MEDICATION
MANAGEMENT
  TIPS AND
   TOOLS

Roberta Carson, Creator of ZaggoCare ®
                System
Christy S. Harris, PharmD, BCPS, BCOP
MEET ROBERTA AND CHRISTY
Roberta Carson, creator of   Christy S. Harris, PharmD,
ZaggoCare® Systems           Dana-Farber Cancer Institute




                                                            2
WHY WATCH THIS PRESENTATION?
   Over 50% of Americans do not take medications as
    prescribed

   Medication non-adherence can lead to adverse
    health-related events or even death

   Up to 50% of patients misunderstand dosage
    instructions on prescription labels



                                                       3
KEEPING ORGANIZED USING A MEDICAL
NOTEBOOK
   Notes during appointments

   Symptom tracking

   Medications prescribed

   Test results



                                    4
WHY, WHAT, WHEN AND HOW
   Questions I need to know about every medication I
    am taking:
     Why am I taking this medication?
     What is the medication’s name and dose?
     When do I start and stop the medication?
     How do I know if the medication is working?
         What side effects I might have?
         What steps should be taken if I have a side effect?




                                                                5
SPECIFIC MEDICATION INFORMATION
 Exactly what times to take the medication
 How the medication should be taken

 Any foods or beverages to avoid

 Any concerns over:
     Alcohol
     Sun exposure
     Driving




                                              6
SPECIFIC MEDICATION INFORMATION
 What to do if the medication is vomited
 What to do if a dose is missed

 Any special storage or disposal requirements

 If the patient has difficulty swallowing:
     Liquid form available?
     Can pills be crushed?
     Can capsules be opened?




                                                 7
SPECIFIC MEDICATION INFORMATION
   Any potential adverse reactions with other
    medications being taken including
     Over-the-counter
     Herbal supplements
     Vitamins
     Nutritional supplements
   For complicated medication regimens:
       Can the schedule be arranged to minimize the number
        of times each day I need to take medications?


                                                              8
TIPS FOR FILLING PRESCRIPTIONS
 Write down the name and dose at the doctor’s
  office and double check before paying
 Try to fill all prescriptions at one pharmacy

 Ask the pharmacist about possible drug
  interactions including those with non-prescription
  medications/supplements
 Do not wait until the last minute to fill
  prescriptions



                                                       9
IF THE PATIENT IS IN THE HOSPITAL
 Check with the attending nurse before all
  medications are given to make sure they are
  correct
 If the patient takes medications that are not
  available at the hospital (clinical trial drugs,
  special compounds, rare medications, etc.), bring
  the medications with you and give them to the
  nursing staff to store and dispense
       Make sure you take your medications back home with
        you when you are discharged

                                                             10
STORAGE AND DISPOSAL
 Do not store medications where they will be
  exposed to heat and humidity
 Properly dispose of unwanted or expired
  medications:
     Do not flush down the toilet
     Do not throw away in the trash if children or pets
      could get to it
     Cities and towns often run an annual “take-back” day
     Go to www.disposemymeds.org for information




                                                             11
ORGANIZING THE MEDICATIONS
   Use a weekly pill container with compartments for
    each day




                                                        12
MEDICATION CHART             MEDICAT     Pill     Pill    Inha     Shot      Mass Pain
                                ION       A        B       ler      C         age Med
                              NAME                                           Legs  A
 If the patient is taking   TREATM
                               ENT
                                         Bloo
                                          d
                                                  Seiz
                                                  ures
                                                          Breath
                                                           ing
                                                                   Blood
                                                                   Thinne
                                                                              Blood
                                                                               clot
                                                                                       Pain


  multiple medications
                                         pres                         r      prevent
                               FOR       sure                                  ion
                                                                                         As

  throughout the day,        INSTRUC     With
                                                  With
                                                                   Rotate
                                                                    shot
                                                                                       neede
                                                                                       d, no
                                         wate                                          more
  use a medication chart     TIONS        r
                                                  food             locatio
                                                                      n
                                                                                        than
                                                                                       4x/da
                                                                                          y
 Download and                MED.       Sma
                                           ll
                                                  Rou
                                                   nd
                                                                                       Small
                             Descripti   whit     blue
                                                                                       yellow

  customize your own           on        e pill    pill
                                                                                        pill



  chart at
                             6:00 am     Ο Ο                                  Ο
                             8:00 am                       Ο
  www.ZaggoCare.org          10:00 am                               Ο
                             Noon        Ο                                    Ο
                             2:00 pm              Ο
                             4:00 pm                                Ο
                             6:00 pm                       Ο                  Ο                 13
                             8:00 pm     Ο
MEDICATION REMINDERS
   Set up a system to ensure medications are taken
    at the correct time
     Leave the medication where you will see it and take it
     Set alarms on cell phones and digital watches
     Buy a pill container with a built-in alarm




                                                               14
Thank You!


For more information, go to www.zaggocare.org or
  www.dana-farber.org



                                                   15

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How to Manage Your Medicatoins

  • 1. MEDICATION MANAGEMENT TIPS AND TOOLS Roberta Carson, Creator of ZaggoCare ® System Christy S. Harris, PharmD, BCPS, BCOP
  • 2. MEET ROBERTA AND CHRISTY Roberta Carson, creator of Christy S. Harris, PharmD, ZaggoCare® Systems Dana-Farber Cancer Institute 2
  • 3. WHY WATCH THIS PRESENTATION?  Over 50% of Americans do not take medications as prescribed  Medication non-adherence can lead to adverse health-related events or even death  Up to 50% of patients misunderstand dosage instructions on prescription labels 3
  • 4. KEEPING ORGANIZED USING A MEDICAL NOTEBOOK  Notes during appointments  Symptom tracking  Medications prescribed  Test results 4
  • 5. WHY, WHAT, WHEN AND HOW  Questions I need to know about every medication I am taking:  Why am I taking this medication?  What is the medication’s name and dose?  When do I start and stop the medication?  How do I know if the medication is working?  What side effects I might have?  What steps should be taken if I have a side effect? 5
  • 6. SPECIFIC MEDICATION INFORMATION  Exactly what times to take the medication  How the medication should be taken  Any foods or beverages to avoid  Any concerns over:  Alcohol  Sun exposure  Driving 6
  • 7. SPECIFIC MEDICATION INFORMATION  What to do if the medication is vomited  What to do if a dose is missed  Any special storage or disposal requirements  If the patient has difficulty swallowing:  Liquid form available?  Can pills be crushed?  Can capsules be opened? 7
  • 8. SPECIFIC MEDICATION INFORMATION  Any potential adverse reactions with other medications being taken including  Over-the-counter  Herbal supplements  Vitamins  Nutritional supplements  For complicated medication regimens:  Can the schedule be arranged to minimize the number of times each day I need to take medications? 8
  • 9. TIPS FOR FILLING PRESCRIPTIONS  Write down the name and dose at the doctor’s office and double check before paying  Try to fill all prescriptions at one pharmacy  Ask the pharmacist about possible drug interactions including those with non-prescription medications/supplements  Do not wait until the last minute to fill prescriptions 9
  • 10. IF THE PATIENT IS IN THE HOSPITAL  Check with the attending nurse before all medications are given to make sure they are correct  If the patient takes medications that are not available at the hospital (clinical trial drugs, special compounds, rare medications, etc.), bring the medications with you and give them to the nursing staff to store and dispense  Make sure you take your medications back home with you when you are discharged 10
  • 11. STORAGE AND DISPOSAL  Do not store medications where they will be exposed to heat and humidity  Properly dispose of unwanted or expired medications:  Do not flush down the toilet  Do not throw away in the trash if children or pets could get to it  Cities and towns often run an annual “take-back” day  Go to www.disposemymeds.org for information 11
  • 12. ORGANIZING THE MEDICATIONS  Use a weekly pill container with compartments for each day 12
  • 13. MEDICATION CHART MEDICAT Pill Pill Inha Shot Mass Pain ION A B ler C age Med NAME Legs A  If the patient is taking TREATM ENT Bloo d Seiz ures Breath ing Blood Thinne Blood clot Pain multiple medications pres r prevent FOR sure ion As throughout the day, INSTRUC With With Rotate shot neede d, no wate more use a medication chart TIONS r food locatio n than 4x/da y  Download and MED. Sma ll Rou nd Small Descripti whit blue yellow customize your own on e pill pill pill chart at 6:00 am Ο Ο Ο 8:00 am Ο www.ZaggoCare.org 10:00 am Ο Noon Ο Ο 2:00 pm Ο 4:00 pm Ο 6:00 pm Ο Ο 13 8:00 pm Ο
  • 14. MEDICATION REMINDERS  Set up a system to ensure medications are taken at the correct time  Leave the medication where you will see it and take it  Set alarms on cell phones and digital watches  Buy a pill container with a built-in alarm 14
  • 15. Thank You! For more information, go to www.zaggocare.org or www.dana-farber.org 15