Community Pharmacy Practice and Integrated Etechnology: Feasibility and Lessons Learned for Seniors Care for the 21st Century
Author(s): ,
Omenaa Boakye
Affiliations:
MSc PMP
,
Arden Birney
Affiliations:
MSc
,
Esther Suter
Affiliations:
PhD MSW
,
Rima Tarraf
Affiliations:
MSc
,
Pierre Boulanger
Affiliations:
PhD P.Eng
,
Gurleen Gill
Affiliations:
LPN
,
Kelly Mrklas
Affiliations:
MSc
Harvinder Johal
Affiliations:
.
Canadian Pharmacists Conference ePoster Library. Sadowski C. Jun 4, 2017; 174252
Dr. Cheryl Sadowski
Dr. Cheryl Sadowski
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Abstract
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Objectives
Remote monitoring of health for seniors is readily available. However, feasibility, patient, and staff acceptance are not well studied. The objective of this study was to pilot the feasibility of integrating a pharmacy medication record (oneMAR) in an assisted living facility with data from wireless monitoring devices for vital signs and body functions.

Methods
This pilot study involved 4 phases: Phase 1:identifying the vital signs and features to be monitored, and selecting devices, phase 2: site readiness assessment, subject recruitment and baseline interviews, phase 3: staff training at the facility, phase 4: data collection and integration. The technology included three devices to measure weight, blood pressure, hydration, and oxygen saturation. An alert system was built to send a message immediately to a staff member at the facility if data fell outside of a desirable range. The data was analyzed descriptively.

Results
A total of 53 seniors (23 control, 30 intervention) were recruited from one assisted living facility in Calgary, Alberta. The readiness assessment highlighted that for residents, comfort of devices was an important aspect. For staff, time to use technology and interpret the data and confidence in using the technology were important. These aspects were considered when chosing the devices. Measurement of patient data was partially successful with the selected devices. Challenges included staff and resident turnover and drop-out. The linking of medication records were delayed, which required a change in process to create alerts.

Conclusion
Technology to monitor seniors health may not easily integrate with existing pharmacy and medication records used in assisted living facilities due to technological challenges. Concerns regarding staff preparation and patient comfort must also be considered in implementing technology for seniors.

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