Medication Management for Cognitive-Linguistic Rehabilitation

SLP Insights - Medication Management for Cognitive Linguistic Rehabilitation

Every year, nearly one in five Medicare patients discharged from the hospital is readmitted within 30 days, a costly reality viewed by many policymakers as symptomatic of a failing U.S. health care system. (Jencks et al 2009)

Medication management is at the core of advanced discharge planning and transitional care (Greenwald et al, 2007).

More post-discharge adverse events are related to drugs than other causes (Foster et al, 2003) and lack of adherence to medications prescribed at discharge has been shown to be a driver of post-discharge adverse drug events (Schnipper et al, 2006).

A 2011 Commonwealth Fund review of similar evidence found that “…medication compliance is critical for discharged patients to remain stable at home, and hospitals have been working hard to improve their medication education and reconciliation approaches.” (Silow-Carroll et al, 2011)

Statistics show that the elderly spend approximately $10 billion each year on drugs and nearly 25% of elderly residents take eight or more drugs. “The broad spectrum of residents, coupled with their varying levels of medication use and now [varying regulatory requirements] can make managing medication… a very confusing and conflicting task,” said Carla Saxton, assistant director of policy and advocacy for American Society of Consultant Pharmacists, Alexandria, Virginia (Strong Medicine from Assisted Living, April, 2006).

Speech-language pathologists are in a unique position to improve the accuracy of patients’ independent medication management before discharging from a hospital. As specialists in cognitive-linguistic rehabilitation, they are able to provide individualized therapy plans to address this critical skill. They are able to specifically adapt each therapy plan to the individual needs that may differ with patients who have survived traumatic brain injuries, strokes, or other neurologically-related injuries.

Medication management training is one of the most powerful ways speech-language pathologists can assist patients with increasing independence, reducing reliance on caregivers, and reducing the risk of readmission to the hospital after rehabilitation.

View this therapy task in action:

This medication management download contains:

  • 2 medication management therapy tasks
  • Medication management scenario questions
  • Pictures of 21 different types of pill dispensers/boxes
  • 2x/day blank medication management spreadsheet
  • 3x/day blank medication management spreadsheet
  • 5 fake prescription labels to print and attach to pill bottles

What you will need to use this resource:

  • Prescription bottles (a variety is best; with both child-safety caps and non-child-safety caps)
  • Candy, beads, or buttons that look like pills (see photo below for inspiration)
  • Pill boxes/dispensers

SLP Insights - Medication Management for Cognitive Linguistic Rehabilitation

Quick links to supplies:

Prescription bottles:

Pill boxes:

Other Resources:

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Copyright information

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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