Senior Care

Beyond the prescription refill: Strategies for medication success in older adults

Most pharmacies provide reminders by phone or email to their customers to pick up a needed refill of a daily prescribed drug. That’s great, but it does not solve the problem for older-aged adults of remembering to take a daily medication and take it correctly. Indeed, around 50% of all seniors prescribed medication to manage their disorders do not take them as prescribed. Besides forgetting to take a prescribed pill, taking them at the wrong time of day or mixing them up altogether also occurs.  

The following are some alarming statistics to consider about older-aged adults’ medication use. At least 90% of all seniors in the US take at least one prescribed daily medication, and 36% take five or more different ones each day. Meanwhile, up to 96% of seniors report that they frequently make mistakes in taking their prescribed drugs (per an article in 2019 in Expert Review of Clinical Pharmacology). 

How to lessen the likelihood of forgetting which daily medication to take 

Many prescribed pills look quite similar. However, some are of a different color, have indented areas in order to cut them, or have the pharmaceutical manufacturer’s name carved into them. Yet others are rectangular rather than round, or are in capsule or gummy form. Creating a poster to tape to your bedroom wall of a photo of each pill – with its name plus its corresponding instructions for use – is one strategy that can aid you (or your loved one) in telling those daily medications apart. This can take time to create, but it can be especially useful for people who put their pills in some type of pill box organizer. 

Rather than placing all daily pills in a single (small) pill box, using a large pill box organizer with separate compartments for each day of the week can be an excellent strategy. However, the correct pill still has to be placed in the correct compartment. By taking a photo of each medication with its description (pasted onto a poster board that is taped to a wall), a dropped pill that lands on the kitchen table can be more easily identified to place it back in the correct compartment. 

Using digital devices as a reminder tool for taking medications 

Smartphones and other digital devices can be set up to provide a reminder on-screen to take your daily medication. In a recent study focused on people diagnosed with epilepsy, 71% reported using their cell phones to remind them to take their daily medication. Writing down each pill to be taken each day into a desk “calendar” (that includes a line for each hour of the day) may appear to be best for senior-aged people that do not know how to use smartphones or tablets. However, that manual method typically requires far more time and mental concentration to maintain correctly. Furthermore, it can result in accidentally writing the medication reminder on the wrong date and/or on the wrong calendar line corresponding to the time of day to take each pill. 

A better strategy includes using all-in-one home health devices that can store your medications, take pictures, serve up pictures on each medication, and send reminders.  

That’s exactly what the Ōmcare Home Health Hub®  does while providing smartphone updates and real-time reporting to loved ones and caregivers. This eliminates the burden of manual sorting, manual reminders, or needing multiple devices to put it all together. 

However you go about it, increasing the ease of getting the right med at the right time is critical to patient comfort, quality of life, and safety.

by Ōmcare

Connecting rural communities to better healthcare through technology

Rural communities in the US are the least likely to have Internet connectivity. In particular, many rural areas lack broadband connectivity, which is the high-speed Internet capacity that exists in non-rural communities. According to the US Department of Agriculture, at least 22% of all rural communities lack broadband, as compared to only 1.5% of urban communities. As you probably are well aware, the reason that broadband is now so critical is that it is required for cell phone and mobile device Wi-Fi, web-browsing, video-streaming, and many other types of connections. Moreover, it enables users to have a constant Internet connection, rather than having to connect through a dial-up modem.

Why is broadband internet connectivity needed by healthcare providers? 

Healthcare providers, hospitals, and healthcare systems depend upon having a broadband connection to accomplish numerous and diverse tasks, including the following: 

• Share health data (such as share a hospital record with a patient’s outpatient physicians);  
• Offer telehealth services to patients; 
• Interact in groups with other healthcare providers via videoconferencing software;  
• Quickly communicate with patients and each other via a mobile phone call or text message; 
• Share large amounts of data with state public health departments (such as share data about in-patients in each hospital admitted monthly with a Covid-19 infection); 
• Submit a new medication prescription or a “refill” request online to a pharmacy.

Changes that are enabling increased broadband internet access in rural communities 

Various federal governmental executive orders have enabled funding for the infrastructure needed for broadband (“high-speed”) Internet connections. This includes installing the underground cables and nearby satellite towers required for broadband Internet connections. Federal grants and loans have been offered/provided to develop broadband infrastructure in rural populated areas.  

However, a gap still remains between broadband Internet in the homes of rural community residents in the US as opposed to residents of cities. According to a Pew Research Center report in 2024, 73% of adults in rural communities now have broadband Internet at home, as compared to 77% of adults in urban areas and 86% of adults in suburban areas. Notably, that proportion for rural residents was only 58% in 2018. 

The capacity to access telehealth services & why it matters for patient health 

The advantage of having access to telehealth services was highlighted during the Covid-19 pandemic, when access to “in-person” care became limited. One reason was that healthcare providers were concerned about contracting a Covid-19 infection from patients, and another was that patients were concerned about contracting Covid-19 from a healthcare setting. Therefore, telehealth became widely embraced as a way that patients could receive healthcare services without leaving home. This was especially valued by senior-aged and/or immune-compromised adults, who are at increased risk. 

The use of videoconferencing software for telehealth interactions between clinicians (such as doctors and mental health therapists) was embraced, and continues to be particularly beneficial to the following groups of people: 

• Adults aged 65 and older; 
• Adults with physical disabilities; 
• Adults without access to transportation to travel to a healthcare provider’s office. 

People who live in rural communities frequently live far from the nearest hospital and their healthcare providers. The National Rural Health Association reports that – for every 100,000 people in a rural area of the US – there are 39 physicians to serve them. This is a direct contrast to 53 in urban areas. Meanwhile, there are only 30 specialist physicians (such as cardiologists) in rural areas, as opposed to 263 in urban areas. Hospital closures in rural areas in the past few years have far outpaced hospital closures in urban and suburban areas of the US.

The link between lack of broadband internet and chronic health disorders 

It is vital to realize that a lack of access to physicians/hospitals in rural communities is a reason that the residents of rural communities in the US have more chronic health disorders than those not living in rural regions. Since prevention and early treatment of chronic disorders (such as Diabetes-Type 2) are often delayed due to lack of physician access, healthcare researchers have concluded that the high prevalence of chronic disorders in rural residents is largely due to a lack of early prevention and treatment access. Therefore, broadband Internet to access telehealth can be a “super-determinant” of health, per the US Substance and Mental Health Services Administration (SAMHSA). 

Digital options for connection 

As innovation continues in the home health space, many companies are moving toward cellular or low internet requirements to make this burden less prevalent and better reach rural communities.

For example, while the Ōmcare Home Health Hub still requires internet to function currently, it is the lowest amount possible, allowing for a lower need by both the patient and provider.

by Ōmcare

Aging in the digital age: seniors and smart devices

Use of digital and other tech devices is commonplace among younger adults, but less so among seniors. However, this reality is changing, and largely due to the broad embracement of “Smart” devices. According to the Pew Research Center, 61% of adults aged 65 and older now own a Smartphone. While this is in comparison to 95% of adults aged 30-49 (plus 83% aged 50-64) the gap between Smartphone adoption among younger adults and seniors is rapidly shrinking. There are now actually a tremendous variety of “Smart” devices that can make life easier and safer for senior-aged adults. The following describes four of the categories of “Smart” devices that can be especially helpful to seniors in their daily lives. 

Voice-activated digital and tech-driven devices 

The ability to voice-activate digital devices can be a crucial aid for seniors, due to age-related health conditions that can limit finger dexterity or mobility. From turning on the overhead lights in the morning to unlocking the front door, voice-activated “Smart” devices such as Alexa and Google Assistant – paired with a Smart Home gadget – can simplify routine daily tasks. Six other tasks that this type of voice-activated device can do are: 

• Let the device user know the day’s weather forecast; 
• Turn on (and off) a coffee-maker, microwave oven, or robotic vacuum cleaner; 
• Adjust the thermostats in the home to align with the desired temperature; 
• Play selected music or an audio book; 
• Add a food item to a digital list of groceries to purchase at a supermarket; 
• Remind the user of a daily task to be performed such as picking up prescription medications from the drugstore 

Around 47% of all adults aged 65 and older have diagnosed osteoarthritis (OA). Meanwhile, nearly 26% of senior-aged people have hand/finger OA. Therefore, voice-activated “Smart” devices can enable seniors living with OA to perform activities that would otherwise be far more difficult, if not impossible. 

“Smart” medical alert systems 

Medical alert systems that automatically dial 9-1-1, request an ambulance, and/or contact a patient’s doctor can be life-savers for senior-aged people. Three-fourths of all strokes occur in adults aged 65 and older, per a medical research article published in Aging. Without fast treatment, even a mild stroke can result in paralysis. Likewise, heart attacks require immediate medical intervention. For diabetics, a sudden spike in blood sugar level can necessitate obtaining an insulin injection to prevent slipping into a diabetic coma. 

While medical alert systems – that paired a device similar to a landline telephone with a wristband (or neck pendant) containing an activation “button” – have existed since the 1980s, “Smart” alert systems now exist on most cell phones and many other types of digital devices. 

Medication reminder and dispensing systems 

It can be hard to remember to take a prescribed pill at any age, and this is particularly so for senior-aged adults. One reason that remembering to take prescribed medications can be more difficult for seniors is that adults aged 65 and older tend to take more daily pills than younger adults. More than half of all senior-aged adults take at least five daily prescription drugs. Telling those pills apart can be hard, and especially in elderly people with worsening eyesight or early Alzheimer’s disease. In turn, this can lead to a mix-up of taking too many pills each day of one prescribed medication and not enough of another. 

While a medication reminder can be provided utilizing various “Smart” devices (such as a Smartphone), there are far fewer that can dispense the medications. The Ōmcare Home Health Hub® is one of those “Smart” devices that can dispense medications, as well as provide a reminder to take them. 

“Smart” fitness trackers 

Engaging in regular daily exercise is important for overall health, and this can be vital in senior-aged people to prevent heart disease. Notably, daily exercise has been found to ward off cognitive decline (such as short-term memory loss) in older-aged people. Mechanical devices such as pedometers have long been recommended to track steps per day. 

However – ever since the first Fitbit was marketed to the public in 2009 – there has been an explosion in the availability of “Smart” fitness trackers. Not only have these been used by people (including senior-aged adults) while engaging in fitness activities, but they also have enabled their users to monitor heart rate, respiration rate, and blood pressure.  

Overall, utilizing a “Smart” device can assist seniors in maintaining their personal independence, as well as boosting the likelihood of preserving health. Thus, this type of device can aid in reducing the likelihood of developing a preventable disability. By choosing the Omcare Home Health Hub, you can access its diverse capabilities that would otherwise require owning many different “Smart” devices.

by Ōmcare

The rise and fall of healthcare trends since the pandemic

Trends in healthcare are constantly changing to adapt to hospital, physician, and patient needs. The Covid-19 pandemic necessitated new ways of delivering patient care that reduced the likelihood of infecting clinicians and patients. Meanwhile, technological advances enabled the development of more collaborative approaches by physician teams to treat patients. However, no change happened so quickly and dramatically as the shift toward providing online “telehealth” services to patients (per a medical research article in 2020). The following describes three rising healthcare trends since the onset of Covid-19, and three healthcare system “norms” that are fading away. 

Three rising trends in healthcare delivery to patients 

• Increased adoption of team-based approaches to providing patient care: 

The high cost of treating chronic disorders such as heart disease, Diabetes Type 2, and asthma has led public health leaders to promote healthcare provider team-based approaches to care. Likewise, the health complications commonly found in hospitalized Covid-19 patients after their discharge required more collaborative efforts.  

For example, kidney damage was found in at least 30% of people hospitalized due to Covid-19. Without long-term physician care, daily medications, and dietary changes, people with kidney damage can progress to the life-threatening disorder of kidney failure. By enabling collaboration between primary care doctors (PCPs), specialist physicians, mental health therapists, and nutritionists, a post-hospitalization care approach for recovered Covid-19 patients with kidney damage could be quickly developed and implemented. 

Videoconferencing software linking networks of healthcare providers boosted the capacity for healthcare teams to collaborate more efficiently. This continues to enable increased collaborative efforts, and is a rapidly-growing nationwide trend.  

• Providing “telehealth” patient care as opposed to requiring a doctor’s office visit:

The use of videoconferencing software and digital solutions has exploded since the onset of the Covid-19 pandemic. Besides enabling people diagnosed with Covid-19 to interact with their healthcare providers without infecting them, telehealth visits also enabled outpatient clinicians to provide help each day to more patients. This was because there was no need to clean and re-stock an exam room for each new patient, since the interactions were conducted online. In addition, it eliminated the necessity for patients to travel to the healthcare provider’s office to receive care. 

Elderly patients tend to have an especially difficult time in finding a way to travel to a healthcare provider’s office. Many people aged 70 and older either no longer drive or are unable to use public transportation to reach their healthcare provider’s office. This is especially problematic for seniors without any adult children living close to them, or who have physical disabilities that limit walking.  

The huge advantage of “virtual” office visits is that it enables people to receive care from their clinicians without leaving home. Consequently, this has led to an expansion in the capacity of “virtual” technological solutions to deliver healthcare to patients. Not only have healthcare providers and patients embraced “virtual” visits since the onset of the Covid-19 pandemic, mental health therapists are hopping on the bandwagon in large numbers. 

• The use of robotic devices to perform surgery:

While the first robotic device used to perform surgery was FDA-approved in the early 2000s, advances in robotic device mechanisms have led to increased usage of robotic devices to perform surgeries. This is especially the case for surgeries requiring finger dexterity beyond that normally possible for the human hand. Outside of use by the military in field hospitals, FDA-approved surgical robotic devices are most often utilized in hospital operating rooms to assist in performing minimally-invasive (laparoscopic) procedures. For example, in 2021, the Hominis Surgical System was approved by the FDA to perform transvaginal hysterectomies. 

The use of robotic devices to perform surgical procedures has enabled surgeries to occur with just the presence of a surgeon and one or two assistants, rather than numerous Operating Room (OR) staff members. Therefore, the daily scheduling of more minimally-invasive surgeries per day by hospitals is possible. Due to its revenue-boosting potential, use of robotic devices to perform surgeries is an increasing trend that we imagine will only continue to rise. 

Three falling (and disappearing) trends 

• Short waiting times in hospital Emergency Rooms (ERs): 

Healthcare staff “burn-out” is contributing to fewer personnel to assist patients who walk into a hospital Emergency Room (ER), rather than arriving in an ambulance. However, another reason waiting times are lengthening is that an increasing number of community hospitals are closing, with more people seeking ER care at the remaining hospitals.  

• Manual healthcare billing systems: 

Billing systems used in physician group practices that send out invoices manually are going the way of the dinosaur. In their place, technologically-driven systems, that can quickly identify correct billing codes and spot billing errors, are becoming a standard practice.  

• Rapidly finding an available bed in a nursing home when needed: 

Since 2016, more than 500 nursing homes have closed, and many more plan to do so. A chief reason specified by nursing home owners is that they simply cannot afford to stay in business. Meanwhile – as a consequence of the Covid-19 pandemic – it has also been harder for nursing homes to find and hire new nursing aides willing to work for low pay while risking a Covid-19 infection. Since a minimum staff-to-patient ratio is required by state governments, nursing homes cannot accept more patients than they have nursing aides on staff to care for them. Therefore, finding an available nursing home bed to take your elderly family member who can no longer safely live at home is taking far longer than in the past. 

These are just some of the changed trends currently occurring across our healthcare system. Advances in Artificial Intelligence (AI) medical research, the development of mRNA cancer treatments, and the continuing shift toward value-based payments by both Medicare and private insurers are other trends that are gathering steam. 

Among its numerous capabilities, the Ōmcare Home Health Hub® can enable you to engage in virtual healthcare visits as well as appointment/medication reminders and medication dispensing allowing home to be the site of care.

by Ōmcare

Is technology the cure for the loneliness epidemic?

Senior-aged adults experienced a loneliness surge during the height of the Covid-19 pandemic. Yet, even before the pandemic, 40% of adults over age 65 reported feeling lonely. This makes sense when we consider that social isolation is a major cause of loneliness in senior-aged adults. Despite fewer Covid-19 hospitalizations, the Covid-induced increase in social isolation continues to persist among senior-aged adults. Technology use was embraced by many seniors during the pandemic mainly due to its capacity to enable online interpersonal connections. Medical research findings published in 2022 confirmed this increased Internet and digital device utilization among the elderly due to the Covid-19 pandemic.  

The causes of senior-aged social isolation 

Nearly four in 10 senior-aged adults live with extended family worldwide. However, those in the US rarely do. As of 2020, 28% of community-dwelling seniors lived alone. While death of a spouse or dementia in a spouse are major reasons for increased social isolation among older-aged adults, an increased amount of disability and death among longstanding friends is another cause. The following are four other causal factors: 

• Relocation by adult children to a new residence far from their senior-aged parents; 
• Worsened eyesight, leading to reduced driving to engage in social interactions; 
• Chronic health disorders and physical disabilities that limit visiting family and friends; 
• Higher risk to contract an infection resulting from large social gatherings.  

At least 50% of adults aged 60 or older are at risk for social isolation, with 33% expected to experience a high degree of loneliness in future, per a recent article in BMC Public Health. In turn, this reveals that a loneliness epidemic in senior-aged adults requires immediate attention. 

The link between loneliness, depression, and chronic health disorders  

Loneliness can lead to chronic depression in both younger and older adults. However, chronic depression in seniors is also strongly-linked to the development of the following chronic health disorders:  

1. High blood pressure; 
2. Heart disorders such as arrhythmia; 
3. Obesity; 
4. Alzheimer’s disease and other dementias

According to the National Institute of Mental Health, chronic depression also increases the risk for chronic pain. In addition, it increases the risk for sleep disorders such as insomnia. Notably, sleep disorders are linked to an increased risk for depression and numerous chronic health conditions. Most of all, chronic depression and sleep disorders both tend to lessen the brain’s release of certain biochemicals – such as Serotonin – that boost mood and stave off depression. 

Mental health benefits of technology utilization in the elderly 

At 70 years of age, two out of three adults in the US have some level of cognitive impairment, most commonly short-term memory deficits and worsened reflexes. Overall, mental health is worsened by cognitive impairments (such as decreased problem-solving capacity). Since chronic depression as well as diverse chronic health disorders can foster increased cognitive impairments, engaging in digital “brain health” activities in can be beneficial for preserving cognitive functioning.  

Brain plasticity & technology use 

Brain plasticity—meaning the capacity for creating new nerve pathways in the brain—boosts cognitive ability and overall brain health. While younger brains have a higher degree of brain plasticity, findings published in Frontiers in Aging Neuroscience have shown that the elderly can also boost their brain plasticity. This is a particular reason that learning new information and skills (such as the use of tech gadgets) is especially beneficial for the mental health of senior-aged adults. 

Additionally, continuous learning activities have been clinically recognized as protective of cognitive functioning in senior-aged adults. Therefore, learning new technology programs and digital devices can aid elderly individuals to both preserve their level of cognitive function, as well as interrupt further cognitive decline.  

How technology can address the loneliness epidemic 

While technology by itself cannot “cure” the loneliness epidemic, it can certainly help. Senior quality-of-life can be improved by interacting with others via technological approaches, which can boost both mental/emotional well-being and overall health.  

Videoconferencing programs and social media have enabled interpersonal communication to continue among adults living with disabilities that limit their capacity to attend “in-person” social activities. This is especially the case for disabled senior-aged people who can no longer venture far from home. In this way, technology utilization can both lessen social isolation and loneliness – thereby reducing the likelihood of worsened mental health and physical health. 

Ōmcare not only serves as a medication reminder and telehealth interface, but it also connects seniors to loved ones with the simple touch of a button. To learn more about how we’re bringing health and connection into the home, visit omcare.com.  

by Ōmcare

Why medication adherence is important and how to improve it 

Most adults with chronic health disorders are treated with medication, vitamins and minerals, or hormones. However, 50% of adults in the US living with chronic disorders do not take their daily medication (or other self-administered oral or IV therapies) as prescribed. According to a research article in The Permanente Journal, this results each year in around 100,000 preventable deaths and $100 B in preventable healthcare costs. Forgetfulness is not the only reason that medication nonadherence is so widespread, but this is a particular problem for the homebound elderly. Besides leading to worsened health status, not taking medication as prescribed is contributing to a worldwide public health problem. 

Impact of antibiotic nonadherence and drug-resistant infections 

The diagnosis of a skin, urinary tract, respiratory, or other bacterial infection often requires treatment with an oral antibiotic for five to seven days to eliminate the infection. However, people typically begin to feel better earlier than the last prescribed dosage day, so discontinue taking the prescribed antibiotic pills. Consequently, the bacteria that cause human diseases are becoming more drug-resistant. The Centers for Disease Control (CDC) reports that 2.8 million drug-resistant infections occur in the US per year, and with an estimated 35,000 resultant deaths. Therefore, the common occurrence of patients not taking a prescribed antibiotic for the full course prescribed to them has led to more bacteria becoming resistant to all antibiotics. 

Methicillin is an antibiotic that is a derivative of penicillin, and people afflicted with Methicillin-Resistant Staph. Aureus (MRSA) infections are 64% more likely to die from this type of antibiotic-resistant infection. Since Staph. aureus is one of the most common skin infection-causing bacteria (as it is commonly found on our skin), the increasing ability of this bacteria to survive all antibiotic treatments is causing tremendous medical concern. Meanwhile, surgical patients remain the ones at highest risk for developing a Staph. aureus infection in the incision site, but MRSA can also be transmitted by an infected person to someone else through hand-to-skin contact. In 2019, 27,314 MRSA-infected people in high-income countries alone (and 93,767 elsewhere) died due to their antibiotic resistance. 

Nonadherence to blood pressure medication and consequences 

Nearly 66% of people diagnosed with hypertension who are prescribed drugs to lower their blood pressure are nonadherent to medication treatment, per an article in Medicine in 2017. Since 70% of adults aged 65+ have hypertension – and hypertension is strongly linked to a heightened risk for heart attack and stroke – lessening the prevalence of hypertension (high blood pressure) has been a major US healthcare goal to curb national healthcare costs. Meanwhile, heart disease is the foremost chronic health disorder in the US, and the leading worldwide cause of death in adults. 

Diabetes Type-2 and nonadherence to medication 

Study findings published in Patient Preference and Adherence revealed that 45% of adults with diabetes (Type-2) are not able to maintain glucose control, and poor medication adherence is a major reason.  The lack of taking medication aimed at glucose control can result in diabetes-afflicted people developing diabetes complication such as peripheral neuropathy (nerve pain), heart disease, and kidney failure. In turn, these complications can result in permanent disability and a far lower overall “quality-of-life”. 

Reasons for medication nonadherence 

Described in a medical research article in 2019 are the following five dimensions that affect patient adherence to their prescribed medication:  

• Social and economic factors (such as ability to afford the prescribed drugs); 
• Therapy-related factors (such as understanding why the drugs are necessary); 
• Disease-related factors; 
• Patient-related factors; 
• Healthcare system-related factors 

For adults aged 65+ who are enrolled in a Medicare Part D drug plan, there are wide variations in the cost of a prescribed medication that must be borne by the enrollee. If not enrolled in a Part D drug plan (or without any other drug coverage), the older-aged person may be faced with paying for the medication “out-of-pocket”.  

The average annual cost of taking an oral glucose-lowering medication to manage diabetes (Type-2) in 2017 was $2,727 – which had increased by 147% from 2015. It is well-recognized that the cost of prescribed medication to control diabetes (Type-2) is high, and this is a main reason that diabetics do not take the prescribed medication that could preserve their health and prevent premature death. Therefore, seniors – many of whom are living on fixed incomes – often fail to take their prescribed medication. 

A tremendous problem for elderly people is polypharmacy – which is the daily taking of many prescribed drugs aimed at different health disorders. For example, a senior living with diabetes (Type2) may also need to take medication for heart disease, nerve pain, a scrape on the foot that has become infected, low thyroid level, and many other health problems. Consequently, mixing up pills (and taking too many of one drug and not enough of another) can easily occur. 

Cognition worsens during aging – even in elderly adults not living with Alzheimer’s Disease – so remembering whether a given pill was taken or not with breakfast every day can become difficult. This type of forgetfulness can leave any older-aged person who has been prescribed multiple medication feeling extremely frustrated. Furthermore, the Alzheimer’s Association notes that around one in nine adults aged 65+ has Alzheimer’s Disease, so forgetting to take prescribed medication (and/or mixing them up) is even more likely in these senior-aged adults. 

Strategies that foster improved medication adherence 

Physician office phone calls to remind older-aged people to take their prescribed medication have been found to be effective in promoting medication adherence, as have daily text messages and automated reminders on digital wearables. Meanwhile, calls from pharmacies – and especially if an existing medication prescription is not re-filled – have been found to be effective, as well.  

Besides reminders, physician-initiated discussions about the financial impact on a patient of a prescription can enable recognition if cost is the main factor. In that case, helping the patient to learn about ways to reduce the cost (such as through enrollment in a clinical trial where drug cost may be covered) can boost adherence to prescribed treatment.  

Learning that a different Medicare Part D plan covers the cost of a specific prescribed drug (and then switching plans during Medicare’s “open enrollment” period) may be all it takes for a person with a history of medication nonadherence to change that behavior. The ease of comparing health insurance plans is increased for seniors through access to computer training in combination with ownership of a computer, so independent and assisted living facilities geared to older-aged adults can be part of the solution by engaging their residents in utilizing technological devices. 

The Ōmcare Home Health Hub is an all-in-one home telehealth device aimed at senior-aged adults, and that can be used to promote medication adherence.

by Ōmcare

Senior care facilities: How to encourage age-tech adoption 

Learning new skills helps seniors to maintain cognitive abilities such as problem-solving. Since most adults aged 65+ did not grow up utilizing technology, it is not something that many senior-aged people feel is necessary for them. Nevertheless, the gap in digital device use between the 18-29 year old age demographic and adults aged 65+ has closed by 53 percentage points since 2012, per the Pew Research Center. At least six in 10 adults aged 65+ now utilize the Internet to acquire some type of information. Assisted living facilities, rehab centers, and nursing homes can aid senior-aged people to preserve mental faculties and reduce symptoms of depression and/or anxiety by improving senior-oriented tech device understanding. 

Why senior-aged adults have difficulty learning to utilize technology

The language of technology is unfamiliar to many older-aged adults, so tech support instructions that make sense to a younger adult can sound like gibberish to an elderly person. Even telling a senior-aged person to click on an “icon” on the computer screen can make utterly no sense, as this is not the definition of that word in the dictionary of their childhoods. Therefore, online instructions to aid technology learning can be totally ineffective. Instead, a person teaching hardware and/or software skills on a one-to-one (or small group) basis works best for older-aged adults.  

Providing “in-person” training and classes is just one way to boost interest in age-tech adoption, as family members and senior care facility employees may also be able to teach the older-aged person some desired tech skills. By increasing the size of fonts (so that the senior using the tech device can more easily see what is on the screen) and enabling voice-activation, the common problems of decreased eyesight and arthritic fingers to manipulate a tech device can be greatly minimized.  

Findings published in Frontiers in Psychology in 2017 revealed that lack of guidance plus lack of confidence and/or feelings of inadequacy were key reasons for seniors’ disinterest in using digital devices.  

Enabling seniors to utilize videoconferencing for clinician visits

Socialization and communication with others are a strong motivator for elderly people to learn to utilize videoconferencing software on digital devices. However, another motivator is reducing the need for travel to an office appointment with a physician (or other clinician) through the utilization of videoconferencing software on a digital device to participate in a “telehealth” visit. According to Fierce Healthcare, telehealth utilization has increased by 340% among Medicare-eligible senior-aged adults since the onset of the Covid-19 pandemic. One major reason is that it decreased the likelihood of contracting Covid-19 (or some other respiratory infection) in the physician’s office or hospital setting. 

For a senior care facility to appear attractive to a person aged 65+ in comparison to some other facility, demonstrating a willingness to aid seniors in acquiring and learning technological devices can be an important factor. Loss of former mobility and/or symptoms of dementia are major reasons that elderly people (and their family members) choose to relocate to assisted living facilities and other senior care facilities. Consequently, senior care facilities that offer computer rooms, tech-related classes, and the ability to engage in a telehealth visit with an on-site clinician are more appealing to elderly people than ever before.  

The Population Research Bureau estimates that nine million senior-aged adults in the US will be living with dementia by 2030, and 12 million by 2040. Many of them will require placement in a senior care facility, so embracing the utilization of technology by seniors can aid them in remaining as functional in their usual daily living activities as possible. 

Ōmcare provides technology solutions for both consumers and providers, and inclusive of senior care facilities.

by Ōmcare

Home care and medication management: How technology can help 

Chronic disease management frequently involves the patient requiring more than one daily prescribed medication. According to medical research findings in Patient Preference and Adherence, heart failure patients after hospital discharge are typically prescribed eight drugs for long-term use. For adults living with Type-2 diabetes, five is the average number of daily medications utilized. Among senior-aged adults with early (or later-stage) dementia, differentiating between different daily drugs so as not to take them at the wrong time each day can be difficult. Since many adults also take daily vitamins and/or naturopathic supplements, confusion as to which pill is which can lead to a preventable mix-up that worsens overall health. 

Managing medications with pill boxes: Why this is not a solution

Placing pills in a plastic box with plastic dividers denoted for each day of the week is the usual way that senior-aged people have kept track of their daily medications (with one of each prescribed drug placed in a separate compartment for that day). The problem is that the pill needs to be placed correctly in the pill box for this manual system to work (and most pill boxes do not enable the person to remember what time of day is correct for taking that pill). Meanwhile, around one-third of all senior-aged adults lives alone, so there is often nobody else in the home to quickly notice if that senior placed the wrong medications in the pill box. Additionally, 40% of adults aged 65+ have some short-term memory impairment. 

Study findings published in Health Services Research showed that each additional drug taken daily by an elderly person can increase the risk for a visit to a hospital Emergency Room (ER) by 4% (and hospitalization by 3%) specifically due to mistakes related to multiple medication use. Therefore, an increased focus on utilizing technology to aid medication management has occurred over the past decade, with automated phone calls from home healthcare providers’ offices as an early technology-driven method. 

Phone apps, videoconferencing, and technology

The frequent use by senior-aged people of face-to-face videoconferencing with healthcare providers has increased as a consequence of the Covid-19 pandemic, and resultant from fear of Covid-19 infection due to close proximity to others in a healthcare setting. In addition, 50% of all adults aged 65+ (and 73% of all adults aged 50-64) used social media regularly as of 2021 – so comfort with using an app on a computerized device has hugely increased among older-aged adults. Consequently, many software development companies have focused at least some attention on designing technological ways that can enable senior-aged adults to better manage medications.  

There are diverse phone apps that can be utilized alone – or in combination with – other technological methods for aiding seniors to keep track of what they are taking each day to improve health. Besides reminders to take the drug at a specific time, these can include all or some of the following medication adherence aids: 

• Health education (such as explaining why the medication is needed, as well as the risks to health of not taking the medication as prescribed). 
• Medication side effects and drug interactions (such as explaining possible side effects of each prescribed medication, and the possible drug interactions between them) and what to do if experiencing a medication-related symptom. 
• Display of an enlarged photo of the medication (as a visual reminder of that specific pill, so that a person with memory impairment can distinguish one pill from another in order to utilize the correct one). 
• Capacity to ask questions and receive answers (either from a chat bot or a healthcare provider in “real-time”) regarding medications. 
• Ability to enable designated loved ones to receive the same health information provided to the senior-aged adult living at home (which can be vital for a dementia-afflicted person to remain living independently at home). 
• Online interactions with healthcare providers and home health agency clinical staff regarding physical and mental health issues inclusive of medication discussions.

Not only can apps and other technological approaches aid senior-aged adults in taking the medications (plus daily vitamins and supplements), it can also aid healthcare clinicians to understand the medication adherence issues affecting their patients in order to better address them. 

Age-appropriate solutions for medication management

The majority of senior-aged adults have eyesight problems, with 12% of those aged 65-74 (and 15% of those aged 75 and above) afflicted with total vision loss. Moreover, 4% of community-dwelling adults aged 65+ have both vision and cognitive impairments (such as short-term memory loss). Thus, pressing keys on SmartPhones and reading tiny print on small digital screens can be frustrating and error-prone for elderly people. Due to this reality, cell phones specifically designed for senior-aged adults were developed (such as the Jitterbug in 2006) that have larger-than-normal screens and simpler user interfaces. 

The Centers for Disease Control (CDC) notes that the foremost causes of vision problems in adults aged 40+ are cataracts, diabetic retinopathy, glaucoma, and age-related macular degeneration. While voice-activated SmartPhone commands can be helpful for severely visually-impaired people, these are not always sufficient to enable acquisition of appropriate online information regarding medication side effects or drug interactions. The capacity to talk to a clinician about a medication if anxious about the correct dosage, a drug side effect, or any other medication issue is preferable.  

Recently, there have been a wide variety of apps and other technological solutions developed that are geared to medication management. Some include various aspects of patient monitoring (such as glucose or sleep apnea monitoring) aimed at home-based seniors. Yet others are geared to the management of a specific chronic health disorder (such as diabetes, heart disease, or kidney disease), while some others are useful to seniors with a broad range of health issues.  

For technological solutions to function as intended, Internet connectivity is necessary – and some people in rural geographic areas in the US still do not have the capacity to connect to the Internet from their homes. Nearly 25% of all people residing in rural areas in the US lack still access to fixed broadband service (per the Federal Communications Commission). Anyone considering the purchase of a technological device for medication management (or recommending it to a senior-aged person) does need to make sure that Internet connectivity is available prior to the actual need to utilize the device. 

The Ōmcare Home Health Hub® can assist with medication management, plus has many other features that can aid senior-aged people to remain healthy. 

by Ōmcare

How to make telehealth more accessible for seniors

Driving to a healthcare appointment can be more difficult for a senior-aged person, as can acquiring a ride to a doctor’s office. Difficulty with mobility, decreased eyesight, and increased fatigue can all pose an obstacle to keeping appointments with medical providers. For this reason (and many others), telehealth has been a viable and welcomed option for many seniors and their family members. According to the Journal of Applied Gerontology in 2022, older adult utilization of video-based telehealth in place of “in-person” primary care physician visits has increased by 21% since the beginning of the Covid-19 pandemic. 

Additionally consequent to the Covid-19 pandemic has been an increased interest on the part of older adults in acquiring online communication skills. The Pew Research Center (PRC) in 2022 reported that 95% of all adults aged 30-49 (and 44% of all adults aged 65 and older) now own a Smartphone. Meanwhile, the PRC also reported that 44% of adults aged 65 and older own a tablet computer (as compared to 53% for those aged 50-64).  However, telehealth is inaccessible to many seniors for reasons other than lessened mental sharpness (although decreased cognitive ability can lessen telehealth accessibility for affected elderly adults).   

The following are five ways to make telehealth more accessible to adults who are senior-aged: 

1. Simplify Interface Interactions to Only Pressing One or Two Keys to Start the Telehealth Communication

Joint pain in the hands and fingers due to arthritis is common in older-aged adults, and around 47% of seniors aged 65+ have been diagnosed with arthritis. This can make manipulating keyboards and pressing buttons on computerized devices painful and difficult. Likewise, the common vision disorder of presbyopia – that makes reading small print more difficult – affects most older-aged people.  When there are many keys or buttons to press to turn on (or turn off) the telehealth communication, this can increase the likelihood that an incorrect key or button will be pressed. Due to the frustration experienced in starting the software program, utilizing a wearable device, or needing significant manual dexterity to engage in the telehealth communication, a senior-aged person may simply give up. 

2. Set the Audio to the Loudness Required by the Senior to Hear the Telehealth Communication 

Hearing loss affects one in every three people aged 65-74 in the US, according to the National Institute on Deafness and Other Communication Disorders (NIDOCD). Many adults aged 65 and older wear hearing aids, but these can increase the overall decibel level without enabling a better ability to hear words over background sounds. Therefore, hearing a telehealth communication (whether it is an interactive video call with a medical provider or just a reminder to take a particular daily medication) can be problematic for some seniors. In order to decrease the likelihood that a hearing impairment will interfere with utilizing telehealth, it is important that the Smartphone, tablet, or computer be able to be set as loud as needed by the senior-aged person.   

In addition, captioning should be enabled so that the senior-aged person with hearing loss can utilize this if necessary. Moreover, the ability to read the caption while hearing the words spoken may improve the understanding of the verbal message during the telehealth visit.  

3. Ensure that the Technological Device is Working Properly Prior to Any Telehealth Interaction

Whether the technological device is a desktop (or laptop) computer, tablet, or wearable, checking it intermittently to ensure that it is actually functioning is essential. Since many senior-aged people are not technologically savvy and insecure about their high-tech abilities, they may think that they are utilizing the telehealth-related software incorrectly when the problem lies in the computer hardware or merely a “low” battery that needs re-charging.  

While it is better for someone who has an adequate enough level of technology skill to check the computer for the elderly user to ensure it is working properly (and especially that it stays on after the power button is pressed), an alternative is to “walk” the senior periodically through the steps of this hardware check, to ensure that a telehealth interaction can actually occur. 

4. Do Not Change the Appearance of the Computer Screen after Installing Software Enabling Telehealth Utilization

People who are not highly familiar with using computers (such as many elderly people) can learn to use them, but the confidence level can be shaky due to unfamiliarity with high-tech devices. If learning has occurred on a screen with a specific appearance (such as the icon for the telehealth-related software and other icons in certain positions on the screen), moving them can cause confusion for the elderly computer user.  

According to a medical research article in Seminars in Hearing, cognitive changes occur during later-life aging that often impact the nimbleness of that elderly person to adapt to changed information to make a decision. Therefore, a changed computer screen appearance can create doubt in the mind of an elderly person with a minimal level of computer skill as to how to use that computerized device. Furthermore, this confusion can lead to not realizing that the icon to connect to a clinician for a telehealth interaction is actually the same as always – but just appearing in a different place on the screen! 

5. Ensure that Seniors have Access to a Reliable Internet Connection 

Thirty-nine percent of all adults aged 75+ have lived in their current home for more than 30 years (per the Urban Institute). Therefore, the Internet connectivity capability may not be sufficient for that necessary to engage in a telehealth interaction. Meanwhile, there are diverse other causes of “spotty” or nonexistent Internet connectivity. One major cause is residing in a rural geographic area, where broadband lines can be distant. Meanwhile, 43% of adults living on an annual income of less than $30,000 in the US do not have at-home broadband, and around 10.3% of all seniors are living below the poverty line. 

Whatever the reason for the lack of reliable Internet connectivity, telehealth requires that a person be able to depend on such connectivity. Otherwise, a telehealth visit may be scheduled by a physician or other healthcare provider but the patient not be able to participate in the virtual visit due to the Internet connection not functioning. On the other hand – if basic Internet connectivity is not a problem – enabling senior-aged people to understand how to acquire an Internet Service Provider (ISP) and a connectivity speed appropriate to their circumstances/needs can improve the likelihood that they will be interested in utilizing telehealth services. 

The Ōmcare Home Health Hub® is a technology product that includes a mobile app and the capacity to engage in telehealth video calls for check-ins and check-ups, so can aid seniors while aging at home.

by Ōmcare