scholarly journals Older Adults and Management of Medical Devices in the Home: Five Requirements for Appropriate Use

2017 ◽  
Vol 20 (4) ◽  
pp. 278-286 ◽  
Author(s):  
Sara C. Keller ◽  
Ayse P. Gurses ◽  
Nicole Werner ◽  
Dawn Hohl ◽  
Ashley Hughes ◽  
...  
Keyword(s):  
Older Adults ◽  
Medical Devices ◽  
Appropriate Use

scholarly journals What Features and Functions Are Desired in Telemedical Services Targeted at Polish Older Adults Delivered by Wearable Medical Devices?—Pre-COVID-19 Flashback

Sensors ◽  
2020 ◽  
Vol 20 (18) ◽  
pp. 5181
Author(s):  
Eliasz Kańtoch ◽  
Anna Kańtoch
Keyword(s):  
Older Adults ◽  
Medical Devices ◽  
Demographic Data ◽  
Telemedicine Service ◽  
Desirable Feature ◽  
Chi Squared ◽  
Life Threatening ◽  
Wearable Medical ◽  
Study Participants ◽  
Adult Volunteers

The emerging wearable medical devices open up new opportunities for the provision of health services and promise to accelerate the development of novel telemedical services. The main objective of this study was to investigate the desirable features and applications of telemedical services for the Polish older adults delivered by wearable medical devices. The questionnaire study was conducted among 146 adult volunteers in two cohorts (C.1: <65 years vs. C.2: ≥65 years). The analysis was based on qualitative research and descriptive statistics. Comparisons were performed by Pearson’s chi-squared test. The questionnaire, which was divided into three parts (1-socio-demographic data, needs, and behaviors; 2-health status; 3-telemedicine service awareness and device concept study), consisted of 37 open, semi-open, or closed questions. Two cohorts were analyzed (C.1: n = 77; mean age = 32 vs. C.2: n = 69; mean age = 74). The performed survey showed that the majority of respondents were unaware of the telemedical services (56.8%). A total of 62.3% of C.1 and 34.8% of C.2 declared their understanding of telemedical services. The 10.3% of correct explanations regarding telemedical service were found among all study participants. The most desirable feature was the detection of life-threatening and health-threatening situations (65.2% vs. 66.2%). The findings suggest a lack of awareness of telemedical services and the opportunities offered by wearable telemedical devices.

Automation in the Home: The Development of an Appropriate System Representation and its Effects on Reliance

2005 ◽  
Vol 49 (21) ◽  
pp. 1859-1862
Author(s):  
Julian Sanchez ◽  
Gina Calcaterra ◽  
Quan Q. Tran
Keyword(s):  
Older Adults ◽  
Real Time ◽  
Automated System ◽  
Appropriate Use ◽  
Younger Adults ◽  
Preliminary Results ◽  
Verification Tool ◽  
Age Related ◽  
System Representation ◽  
The Relationship

To achieve an appropriate level of reliance on an automated system, the operator must have an accurate system representation such that he/she is aware of the capabilities and limitations of the system. The appropriate use of an automated system can lead to optimal performance by the human-machine dyad. This study investigates the relationship between an accurate system representation and behaviors associated with human-automation interaction (e.g., reliance). Furthermore, age-related effects are also included in the investigation. A cooking memory aid (Cook's Collage) is used as an automated aid that keeps track of the ingredients used in a specific recipe. Participants are asked to interact with the automated device for 5 sessions (each on different days). Tasks are structured to simulate those in a real kitchen. Preliminary results suggest that that there is a different pattern of interaction with the aid as a function of age. Older adults tend to rely on the aid for real-time feedback while younger adults use the aid as a verification tool that they have executed the recipe as desired.

PP128 Regional Guidance On Spinal Cord Stimulation For Chronic Pain

2017 ◽  
Vol 33 (S1) ◽  
pp. 132-132
Author(s):  
Anna Cavazzana ◽  
Anna Redomi ◽  
Elena Poerio ◽  
Francesca Bassotto ◽  
Rita Mottola ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Chronic Pain ◽  
Health Technology Assessment ◽  
Medical Devices ◽  
Technology Assessment ◽  
Spinal Cord Stimulation ◽  
Test Procedure ◽  
Health Technology ◽  
Appropriate Use ◽  
Regional Health

INTRODUCTION:Chronic Pain (CP) is the uncontrolled pain that affects patients for a long time. CP can be caused by many conditions, sometimes still poorly understood, and its levels can vary from moderate to intense. The management of resistant CP requires a stepwise approach and spinal cord stimulation (SCS) could be considered an extreme strategy. With the aim of ensuring the economic sustainability, the Veneto Region usually establishes rigorous access criteria to high-cost medical devices through its Regional Technical Committee on Medical Devices (CTRDM) and a Health Technology Assessment (HTA) procedure.METHODS:The Regional Health Technology Assessment Unit (CRUF) conducted through Pubmed a literature review of randomized controlled trials, systematic reviews, meta-analysis on SCS published from March 2006 to February 2016. International and national clinical guidelines were included in the analysis as well. The regional multidisciplinary Working Group on CP, which involved local clinicians, pharmacists, clinical engineer and health economist, discussed the collected evidence by consensus. Final recommendations on the appropriate use were submitted to the CTRDM for final approval.RESULTS:The regional guidance describes the type of pain that can be treated with spinal neurostimulators and the criteria which determine the success of the test procedure. A comparative analysis of spinal neurostimulators available on the market and related patients eligibility criteria have been also included. Moreover, the guidelines stated a list of compulsory requirements in order to become a regional center authorized in performing spinal neurostimulation procedure. Finally, the document describes some indicators for appropriateness monitoring. The CTRDM approved the final version in October 2016.CONCLUSIONS:The regional guidance on SCS aims at ensuring the appropriate use of neurostimulators in patients affected by resistant CP. The strict monitoring of agreed indicators is essential for appropriateness and consequently the sustainability of medical devices expenditure throughout the Regional Health Service.

Sedative-Hypnotic Use Among Older Adults Participating in Anxiety Research

2016 ◽  
Vol 85 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Elizabeth C. Conti ◽  
Melinda A. Stanley ◽  
Amber B. Amspoker ◽  
Mark E. Kunik
Keyword(s):  
Older Adults ◽  
Stress Disorder ◽  
Medication Use ◽  
Generalized Anxiety ◽  
Appropriate Use ◽  
Major Depressive ◽  
Younger Adults ◽  
The Past ◽  
Hypnotic Medication ◽  
Sedative Hypnotics

Older adults are prescribed sedative-hypnotic medications at higher rates than younger adults. These are not recommended for older adults due to risk of sedation, cognitive impairment, and falls. Severe generalized anxiety disorder (GAD) is a possibly appropriate use of these medications in older people, but little is available on use of sedative-hypnotic medications among older adults with GAD. This study examined the frequency and predictors of sedative-hypnotic medication use among older adults screening positive for anxiety. 25.88% ( n = 125) of participants reported taking sedative-hypnotics over the past 3 months; 16.36% ( n = 79) reported taking benzodiazepines, and 12.22% ( n = 59) reported taking hypnotic sleep medications. Depressive symptoms were more strongly associated with sedative-hypnotic use than insomnia or worry. Major depressive disorder and posttraumatic stress disorder, but not GAD, predicted sedative-hypnotic use. Other medications and treatments are more appropriate and efficacious for depression, anxiety, and insomnia in this population.

scholarly journals Hospital pharmacy profession in Nepal through the eye of a pharmacist

2017 ◽  
Vol 6 (2) ◽  
pp. 56-57 ◽  
Author(s):  
R Sharma Poudel ◽  
A Prajapati
Keyword(s):  
Human Resources ◽  
Pharmaceutical Care ◽  
Medical Devices ◽  
Hospital Pharmacy ◽  
Pharmacy Practice ◽  
Pharmacy Education ◽  
Chronic Obstructive ◽  
Pharmacovigilance Centre ◽  
Appropriate Use ◽  
Pharmacy Profession

 Pharmacy profession is one of the most renowned and recognized professions in the world. Hospital pharmacy is a branch of pharmacy and is well practiced in theWestern society, but in the context of Nepal, the situation is quite different. Hospital pharmacy of Nepal is usually overcrowded with patients due to limited health facilities, inadequate human resources, infrastructure and technology. Most of the hospitals further lack Drug and Therapeutic Committee (DTC), Drug information centre (DIC) and Pharmacovigilance centre, and in practice, the established DTC, DIC and Pharmacovigilance centre are functioning at sub-optimal level. The hospital pharmacy seems to be a profession of pride for many pharmacists with lots of expectation. However, the reality is that many of the pharmacist fail to meet their own expectation mainly due to lack of self competency, and appreciation by patients and other healthcare professionals. Moreover, a pharmacist may frequently encounter with weak regulation and implementation of policies, inadequate human resources, hectic dispensing focused schedule, more money-oriented organizational policy and poor images left behind by the seniors, all of which contribute to slow growth of the hospital pharmacy practice in Nepal. Also, gap has been observed between pharmacy education and current need in hospital pharmacy practice.The understanding of patients towards pharmacy profession is poor. They often give less priority to appropriate use of medicines and medical devices. They do not seem to worry much about the side effects, interactions, contraindications, precautions to be taken and action needed to be taken in cases of missed dose. Patients are usually in rush to leave the pharmacy and frequently raise their voice to the pharmacist to draw circles and write time of administration on the primary packages of the medication (usually a permanent marker). Patients with chronic disease such as hypertension, diabetes, chronic obstructive pulmonary disease often refuse to attend the medication counseling centre despite the fact that we have found patients using their medication and medical devices incorrectly for a long time. Patients have been found to use their inhaler devices through nose and without breaking dry powder inhalers capsule, taking pessaries even through mouth and frequently visit emergency room due to exacerbation of diseases.Collaborative efforts between health authorities and educational institutions, integration of innovative approaches in hospital pharmacy practice, enriched patient awareness on appropriate use of medicines and medical devices together with patient focused services could overcome these barriers and achieve the transition towards good hospital pharmacy practice and pharmaceutical care. Urgent academic exercise aimed at attaining revamping of curriculum, keeping in pace with current and emerging trends in the field of hospital pharmacy practice and pharmaceutical care is needed. Further, hospital pharmacy practice should be evidence based, initiation of continue pharmacy education and innovative research on pharmacy practice need to be encouraged. Such approach may upgrade hospital pharmacy profession in Nepal in near future.

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