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I have a Hero pill dispenser to help me and anyone I have assist me with caring for my Granny who has dementia. Costs about $40 per month. You set it up and the machine beeps when it's time. You push the button and the pills dispense. Makes things easier.
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I agree with the other posters that this can be a warning sign that more help might be needed than just managing meds. My mom takes a lot of pills — her Parkinson’s meds alone account for twelve pills a day — but she knew what they were all for, and she was always good about sorting them and taking them on time. Then a few months ago I realized she was starting to have trouble, that instead of sorting them for the week she’d do just a day or dose at a time, and she might sleep through a pill time or forget that she skipped a dose. She had enough pills on the floor and tabletops to start her own pharmacy. I chalked that up to her arthritis, which made it difficult for her to handle the pills and caused her to drop a lot of them, so I started sorting them all for her once a week. That’s when I started to see that she was sometimes missing doses, and I knew that with her random sleep schedule, she wasn’t taking meds at regular times. I wasn’t able to be there every day to make sure she took them, and I was in the same spot as you, trying to figure out how to manage this, when she fell and broke her hip one night, which brought a whole cascade of health issues that ultimately resulted in her going to a long-term care facility. I see now that this is always where things were headed, and the med management was just one of several warning signs. The broken hip just accelerated the process. This might be the time, as others have said, to look into assisted living, memory care, and/or long-term care, if you haven’t done so already. It’s very likely that a health crisis will occur sooner or later, unfortunately, and the more you can do now to prepare logistically, legally, financially, etc., the more you can reduce your stress when that time comes. I wish you so much strength and peace. There’s nothing easy about any of this. But I do believe there are blessings and wisdom to be found too. Please keep us posted.
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Aides usually can’t dispense but can supervise her taking them. You or a lpn would need to prepare the meds, which could be done once a week. But yes, this is where it gets dangerous without supervision. Medication management can be added as an a la carte service in Independent Living if she can manage all the other activities of daily living.
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This is the point when my elder needed in-home help.

In my DH aunts case, her meds were all in the morning so a morning aide came in to help her with them. She already had home health to set the pills up in the pill box. The aide made sure she had her thyroid first w/o food and 30 min later the remainder of the meds along with a hot breakfast prepared by the aide. The first aide was for two hours and later extended to three hours. This worked for her for several years.
I always requested any additional meds were kept on the morning only schedule. If she needed an antibiotic that was needed twice a day, I had to make arrangements for the aide to come back or to have someone else give her the evening dose.
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I use four 7 day pill boxes: waking, breakfast, dinner and bedtime. I fill them every Saturday.

I keep the meds straight by using an OpenOffice spreadsheet,
Each med is on a separate horizontal row.
The vertical columns are labeled as: What (name/dose/common name), Why, How (dosing), When ( 1 column for each pill box), and a column for Notes. I put an X in which ever pill box column is appropriate for each med.

Every Saturday I use this file to refill the pill boxes.
The Why column comes in very handy at times.
I also keep Dr phone numbers and medical history dates at the bottom of the file. I have it in a landscape format and it prints on one page. This makes it so easy, even temporary caregivers can figure it out when I go on vacation.
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I would first determine what she really needed to take. Cholesterol I would stop. After a certain age, who cares and Statins cause cognitive probems. My Mom was on a heart medicine to slow it down. Not needed after taking her thyroid med but still taking it.

I agree, if she can afford it, a nice AL.
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Warning: When I realized my mother took all day to organize her (relatively simple) pills, I took over. What I didn’t immediately realize was, not only couldn’t she organize them, but she couldn’t process taking them. I had to be there morning, noon and evening to coax her along. In spite of that, I still found pills scattered about her house. In envelopes, behind standing picture frames, in tea cups, and in pockets. It was quite shocking. She is in care now.
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Your mom need to be in care now; sadly people often enter into care because medications become too difficult to remember, manage and take.
This may b ALF if she can manage, socialize, help herself, attend communal meals and etc; they will deliver her medications and evaluate her level of needed care.
This is for their team, not a bunch of strangers, to evaluate; they and YOU know her best.
I sure hope she can still do ALF as this will mean a much better and more private room with many of her own things around her, and a lower level of cost overall.

I wish you the best.
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