Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report

Abstract

A 79-year-old female with type 2 diabetes and mild cognitive impairment (Clinical Dementia Rating score of 0.5) was supported with medication with regard to the daily requirements using a medication reminder device. Use of this device not only improved her medication adherence, hemoglobin A1c level, and selfconfidence but also reduced caregiver's burden. For elderly patients with such diseases, loading the device with medication, providing advance notice before mechanical reminders for a short period after the device's activation, monitoring unused medication, and adjusting the timing of reminders according to users' daily routine, seemed to facilitate daily use of the device.

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

“…Health outcomes were assessed for informal carers in 36% (n = 5) of the interventions. Carer burden was found to decrease in three studies 65‐67 . In Lindhardt and Nielsen, 68 informal carers reported a reduction in worry and relief from tasks, both of which improved their relationship with their next‐of‐kin.…”

“…16% (n = 14) of the studies aimed to support basic daily needs and functions such as nutrition, mobility, medication intake, self‐care, and hearing 56‐69 . The technology used consisted of motion sensors, 63 medication dispensers, 66,67 hearing aids, 56,57 and tablet or mobile apps, 58,65,68 robots, 59,61 a scooter, 60 a smart walker, 62 and electric light wires 64 …”

“…Three studies were case reports, 57,66,67 one RCT 69 and one qualitative 61 . Results reported were an increase in medication adherence 58,66,67 and improvements or maintenance in activity performance and participation among older participants 59,60,62,65,69 . For the studies focusing on hearing impairment, McInerney and Walden 57 reported positive results with fewer communication breakdowns among the older participants, while in the study by Jupiter, 56 the older participants disliked or simply forgot to use the technology.…”

“…Sekiguchi et al 55 assessed the burden of care and found a decrease in five of 17 cases. [28][29][30][31][32][33][34][35][36][37][38][39] (n = 2) 40,41 42 Activities for social engagement, comfort, or well-being 15 (n = 9) 43,44,45,46,47,48,49,50,51 (n = 5) 52,53,54 , Van der 55,56 57 Support for daily needs and activities 14 (n = 7) 58,59,60,61,62,63,64 (n = 2) 65,66 (n = 5) [67][68][69][70]71 Monitoring symptoms for self-care 11 (n = 5) 72,73,74,75,76 (n = 5) 77,78,79,80,81 82 Education to support selfefficacy and social inclusion 8 ( n = 6 ) 83,…”

Success of a sustained pharmaceutical care service with electronic adherence monitoring in patient with diabetes over 12 months

“…First, a 79-year-old Japanese woman with type 2 diabetes and mild cognitive impairment took all medication three times per day from a sound-making and light-flashing electronic device 25. After 6 months, adherence by pill count was one missed dose per week (95%) and HbA 1C decreased from 8.0% to 7.1%, demonstrating the efficacy of the electronic reminder device.…”