Synkwise: Supporting Pharmacies & Assisted Living Facilities for Better Care

In the complex landscape of healthcare, ensuring seamless communication and coordination between pharmacies and assisted living facilities is paramount. At Synkwise, we are dedicated to enhancing this collaboration, providing care facilities with clear visibility into all active medication orders whether scheduled, PRN (as needed), or on-hold. Our mission is to streamline medication management, ensuring that every resident receives the right medication at the right time.

Supporting Assisted Living Homes as an Integral Part of Long-Term Care

We recognize the critical role that assisted living homes play in the continuum of care. These homes provide a personalized, community-focused environment for elderly residents, offering support that balances independence with essential healthcare services. Assisted Living Homes are more than just facilities; they are homes where residents receive care tailored to their individual needs, ensuring a higher quality of life.

We believe that these homes are an integral part of long-term care, and it is our mission to support them by simplifying medication management, reducing administrative burdens, and empowering caregivers with the tools they need to provide high-quality care. By equipping Assisted Living Homes with a modern and efficient eMAR system, we help them meet compliance requirements, improve resident safety, and ensure that staff can focus on what matters most, caring for their residents.

Enhancing Medication Order Visibility In Assisted Living

One of the critical challenges in assisted living facilities is maintaining an accurate and up-to-date record of medication orders. Miscommunication or lack of clarity can lead to medication errors, adversely affecting resident health. Synkwise addresses this by offering a platform that displays all active orders in real-time, allowing healthcare providers to:

• Monitor Scheduled Medications: Ensure timely administration of routine medications.
• Track PRN Orders: Keep a close watch on as-needed medications, preventing overuse or misuse.
• Manage On-Hold Medications: Clearly identify and appropriately handle medications that are temporarily suspended.

By providing this comprehensive visibility, we empower care facilities to maintain meticulous medication records, reducing the risk of errors and enhancing resident safety.

Reconciling eMAR with Actual Administration

The electronic Medication Administration Record (eMAR) is a vital tool in modern healthcare settings, designed to document the administration of medications to residents. However, discrepancies can arise between what’s recorded in the eMAR and what’s actually administered. Such inconsistencies can lead to adverse drug events, posing significant risks to residents’ health.

Synkwise emphasizes the importance of regular reconciliation between the eMAR and actual medication administration. By aligning these records, assisted living facilities can:

• Identify and Correct Discrepancies: Promptly address any differences to prevent potential harm.
• Enhance Accountability: Ensure that all healthcare providers are adhering to prescribed protocols.
• Improve Compliance: Meet regulatory standards and uphold the highest quality of care.

A study highlighted that medication reconciliation is essential in preventing errors during transitions of care, underscoring the need for accurate medication records. (pmc.ncbi.nlm.nih.gov)

Reporting Medication-Related Symptoms

Monitoring and reporting adverse reactions to medications is a fundamental piece of resident care. Early detection of side effects can prevent complications and improve overall health outcomes. When administering medications in an assisted living facility, it’s crucial to monitor residents for critical symptoms that may indicate adverse reactions, medication errors, or underlying health issues. Some of the most concerning symptoms to watch for include:

Allergic Reactions

• Difficulty breathing or shortness of breath
• Swelling of the face, lips, tongue, or throat
• Hives, rash, or severe itching
• Sudden drop in blood pressure (dizziness, fainting)

Severe Medication Side Effects

• Respiratory distress – shallow or labored breathing, wheezing
• Severe drowsiness or unresponsiveness – could indicate overdose or a drug interaction
• Seizures or convulsions – particularly with medications affecting the central nervous system
• Excessive bleeding or bruising – common with anticoagulants (e.g., warfarin)

Changes in Mental Status

• Sudden confusion or disorientation
• Hallucinations or extreme agitation
• Unusual drowsiness or lethargy
• Increased anxiety or aggression

Cardiovascular Symptoms

• Irregular or rapid heartbeat (arrhythmia)
• Severe dizziness or fainting
• Chest pain or tightness
• High or dangerously low blood pressure

Gastrointestinal Reactions

• Severe nausea, vomiting, or diarrhea (risk of dehydration)
• Bloody stools or black, tarry stools (may indicate internal bleeding)
• Severe abdominal pain

Signs of Toxicity or Overdose

• Pinpoint pupils (opioids)
• Excessive sweating, tremors, or confusion (insulin or hypoglycemia)
• Extreme drowsiness, weakness, or loss of consciousness (sedatives, opioids)

Medication-Specific Red Flags

• Diuretics: Severe dehydration, muscle cramps, irregular heartbeat
• Blood Pressure Medications: Fainting, dangerously low blood pressure
• Diabetes Medications: Confusion, sweating, weakness (signs of hypoglycemia)
• Painkillers (Opioids): Slowed breathing, pinpoint pupils, severe sedation

Action Steps

• Immediately report any critical symptoms to a healthcare provider or emergency services.
• Document all adverse reactions in the resident’s progress notes.
• Monitor closely after medication changes or new prescriptions.
• Ensure proper storage and administration of medications to minimize errors.

Prioritizing Nutrition and Diet

Proper nutrition plays a pivotal role in the well-being of elderly residents. Medications can influence appetite, nutrient absorption, and overall dietary habits. Synkwise collaborates with assisted living facilities to:

• Integrate Dietary Considerations: Ensure that medication plans align with nutritional needs.
• Monitor Nutrient-Drug Interactions: Identify and manage potential interactions that could affect health.
• Promote Holistic Care: Address both medical and nutritional aspects to enhance the quality of life for residents.

Upholding the Rights of Medication Administration

The “Five Rights” of medication administration—right resident, right drug, right dose, right route, and right time—are fundamental principles in healthcare. Synkwise is committed to supporting these rights by:

• Providing Accurate Resident Information: Ensuring that caregivers have access to up-to-date resident profiles.
• Maintaining Comprehensive Drug Databases: Offering detailed information on medications to prevent errors.
• Implementing Verification Protocols: Assisting in the confirmation of correct dosages, routes, and timing.

By reinforcing these principles, we help assisted living facilities minimize medication errors and uphold the highest standards of resident care.

Understanding Polypharmacy in the Elderly

Understanding the impact of polypharmacy is crucial for improving resident care. Here are several reputable sources that discuss the importance of managing medication use among elderly residents in assisted living:

• “The Dangers of Polypharmacy and the Case for Deprescribing in Older Adults” (nia.nih.gov)
• “Polypharmacy in Adults 60 and Older” (hopkinsmedicine.org)
• “Polypharmacy: Evaluating Risks and Deprescribing” (aafp.org)

By staying informed and proactive, we can work together to reduce the risks associated with polypharmacy, ensuring that elderly residents receive safe and effective care.

Raising the Standard of Care

Our overarching goal at Synkwise is to raise the standard of care for the elderly. We recognize the unique challenges faced by this population, including the risks associated with polypharmacy—the use of multiple medications. Studies have shown that polypharmacy can lead to adverse outcomes such as falls, cognitive impairment, and increased hospitalization rates. (nia.nih.gov)

To combat these challenges, Synkwise provides tools and insights that enable assisted living facilities to:

• Review Medication Regimens: Regularly assess the necessity of each medication, reducing unnecessary prescriptions.
• Promote Deprescribing Practices: Encourage the safe discontinuation of medications that may no longer be beneficial.
• Educate Healthcare Providers: Offer training and resources on the implications of polypharmacy and strategies to manage it.

Conclusion

Synkwise is more than a bridge between pharmacies and care facilities; we are a partner dedicated to enhancing the quality of life for elderly residents. Through our service offering, we strive to provide clear visibility into medication orders, ensure accurate reconciliation of records, promote the reporting of adverse symptoms, prioritize proper nutrition, uphold the rights of medication administration, and address the challenges of polypharmacy. Assisted Living Homes are a vital part of this effort, and we stand with them to ensure that elderly individuals receive compassionate, high-quality care in a home-like environment where their well-being is the top priority.

References

1. National Institute on Aging. https://www.nia.nih.gov/news/dangers-polypharmacy-and-case-deprescribing-older-adults
2. Johns Hopkins Medicine.
   https://www.hopkinsmedicine.org/health/wellness-and-prevention/polypharmacy-in-adults-60-and-older
3. American Academy of Family Physicians. https://www.aafp.org/pubs/afp/issues/2019/0701/p32.html