Speech Talk

Medication Management


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Eva and Emily dig into the intersection of cognitive impairment and medication management in older adults. Based on the study by Gorodesky et al., they explore how common cognitive errors—like perception failures and rule-based mistakes—impact a patient’s ability to read pill bottles, open containers, and organize medications.

With hilarious patient stories and a toolbox of clinical tips (including the infamous pill-sorting task), this episode delivers realistic strategies for assessing med adherence, involving caregivers, and preventing rehospitalization.

This one’s a must-listen for SLPs in skilled nursing, rehab, or any transitional care setting.

You’ll learn:

  • How cognitive impairments impact medication management performance
  • The difference between knowledge-based, rule-based, and skill-based errors
  • Why everyone (yes, everyone) makes pill-sorting mistakes
  • Strategies for assessing pill bottle reading and pillbox use
  • The role of cognitive screeners like Mini-Cog and MoCA
  • Tips for caregiver training, transitions of care, and pharmacy-supported systems
  • Article Referenced:

    • Medication self-management skills and cognitive impairment in older adults hospitalized for heart failure” by Gorodeski et al.
    • Freebie:

      • Medication Management Assessment & In Service
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        Speech TalkBy Eva Johnson & Emily Brady