JP2017070682A - Medicine and oral administration management aid - Google Patents

Medicine and oral administration management aid Download PDF

Info

Publication number
JP2017070682A
JP2017070682A JP2015208390A JP2015208390A JP2017070682A JP 2017070682 A JP2017070682 A JP 2017070682A JP 2015208390 A JP2015208390 A JP 2015208390A JP 2015208390 A JP2015208390 A JP 2015208390A JP 2017070682 A JP2017070682 A JP 2017070682A
Authority
JP
Japan
Prior art keywords
oral administration
medicine
medicines
oral
internal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2015208390A
Other languages
Japanese (ja)
Inventor
みどり 渡邊
Midori Watanabe
みどり 渡邊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to JP2015208390A priority Critical patent/JP2017070682A/en
Publication of JP2017070682A publication Critical patent/JP2017070682A/en
Pending legal-status Critical Current

Links

Images

Abstract

PROBLEM TO BE SOLVED: To provide a medicine and oral administration management aid for preventing forgetting oral administration and residual medicine, by solving the problems that since many of conventional oral administration forgetting-preventing tools manage oral medicines for one week, it is necessary to repeat setting for oral administration management for a long period, and a repeatedly support is required; residual oral medicines are stored in other places and lost; and carrying in medical examination or hospitalization is not linked for a medical doctor or a pharmacist to confirm an oral administration condition.SOLUTION: A medicine and oral administration management aid is used by providing a plurality of files with pockets in which oral medicines are set in an assembly type holder, and three-dimensionally erecting. The files with pockets are backward turned up and fed after finishing oral administration, and oral administration is performed continuously from the pocket which becomes the next front surface. The medicine and oral administration management aid becomes a state like a book while storing the oral medicines by folding the assembly type holder, and becomes easy to carry.SELECTED DRAWING: Figure 1

Description

本発明は、医師から処方された内服薬の飲み忘れや重複して内服してしまうことや内服薬の紛失や残薬の発生を防止するため、介護者や支援者の管理を容易にするための薬剤及び内服管理補助具に関するものである。  The present invention is a drug for facilitating the management of caregivers and supporters in order to prevent forgetting to take internal medicines prescribed by a doctor, taking internal medicines in duplicate, or losing internal medicines or generating residual drugs. And internal use management aids.

従来より、長期に渡って数種類の薬を内服する必要がある場合に、内服薬の飲み間違いや飲み忘れは多くみられ、指示量以上の内服をしてしまう、期待する治療効果が得られない、残薬が溜まり破棄することになる等の問題があった。
そればかりではなく、医師は患者が複数の病院や診療科目を受診することにより、全ての処方内容を確認することが困難となり、処方を行う薬剤師も何か所もの薬局を利用している患者の処方内容を確認する事は困難であった。お薬手帳も持参忘れにより、正しい情報が把握できない事がある。そのために同じ内容の内服薬が複数の診療科から処方されることがあり、患者が気付かないうちに指示量以上の内服をしてしまったり、残薬が溜まる結果となることもあった。現在潜在的な残薬の年間薬剤費の粗推計は500億円であると厚生労働省も発表しており、大きな問題となっている。
それを防止するために、在宅医療・介護の現場では、薬剤師の在宅訪問薬剤管理指導が推進されている他、訪問看護師による内服管理や介護ヘルパーによる内服支援も行われている。しかし、家庭での内服薬の管理状況や認識不足の問題により、内服状況の確認、評価、内服できる環境作り、残薬の整理に非常に時間がかかっている状況がある。また、介護保険を使ってのサービスであるため、療養者の身体状況とほかに利用する介護サービスの内容によっては、単位の不足により十分な支援が行えないこともある。
現在は在宅療養者の内服薬の管理に壁掛けカレンダー形式やボックス形式の補助具を使用することが多かった。また、特許文献1の薬の服用予定ボード等が知られていた。
Conventionally, when it is necessary to take several kinds of drugs for a long period of time, mistakes and forgetting to take internal medicines are often seen, and the expected therapeutic effect will not be obtained, which will be taken more than the indicated amount, There was a problem that the remaining medicine would accumulate and be discarded.
Not only that, it is difficult for doctors to check all prescriptions when patients visit multiple hospitals and clinical subjects, and pharmacists who prescribe are those who use several pharmacies. It was difficult to confirm the contents of the prescription. If you forget to bring your medicine notebook, you may not be able to grasp the correct information. For this reason, internal medicines with the same content may be prescribed from multiple departments, and patients may take more than the indicated amount without notice, and may result in accumulation of residual medicine. The Ministry of Health, Labor and Welfare has announced that the rough estimate of the annual drug cost of potential residual drugs is 50 billion yen, which is a big problem.
In order to prevent this, in-home medical care / nursing care is being promoted by home pharmacists and on-site medication management guidance. However, there are situations where it is very time-consuming to check and evaluate the status of internal use, create an environment where internal use is possible, and organize remaining medicines due to problems with the management of internal use drugs and lack of awareness. In addition, since it is a service using nursing care insurance, sufficient support may not be possible due to a shortage of units depending on the physical condition of the caregiver and the content of other nursing care services to be used.
Currently, wall calendar-type and box-type aids are often used to manage internal medicines for home caregivers. Moreover, the medicine scheduled use board of patent document 1, etc. were known.

特開2011−245254号公報JP 2011-245254 A

特許文献1は、1週間分の内服薬をセットするものであり、内服薬を入れる小容器は外したまま紛失する可能性があるほか、本体が落下や転倒した場合に内服薬が飛び出してしまう可能性があった。
長期内服が必要な方への薬の処方は、通常28日分以上が1度の受診で処方されることが多い。身体状況により薬の種類が複数となることもある。内服指示はその薬の薬効や作用時間等を考慮し、毎食後の1日3回であったり、朝食後と夕食後の1日2回の事もある。毎食後の薬とは薬効の違う薬を就寝前に内服する場合には1日4回となる事もある。処方薬の日数、内服薬の種類、内服回数が増えるほど、その管理は複雑なものになる。
しかし、多く市販されている従来の壁掛けカレンダー形式やボックス形式の補助具も1週間分の内服薬を管理するものが多く、長期間の内服管理のためにはセットを繰り返す必要があり、そのために度重なる支援が必要であった。また、セットできない視界に入りやすい壁掛けカレンダー方式は、内服薬を身近に置くことが困難であり、手の挙上が難しい利用者は内服薬を自力で取る事ができず介助を要する。ボックス方式には内服薬の入れにくさ、取り出しにくさがあった。更にショートステイ、外泊の際には、内服薬をセットした中から必要日数分抜きとる必要もあった。受診や入院の際に持参して医師や薬剤師が内服状況の確認をすることにも繋がらなかった。
本発明は以上の問題点を解決するためになされたものである。
Patent Document 1 sets the internal medicine for one week, and there is a possibility that the small container for putting the internal medicine may be lost while being removed, and the internal medicine may jump out when the main body falls or falls. there were.
Drug prescriptions for those who need long-term use are usually prescribed in one visit for 28 days or more. Depending on the physical condition, there may be multiple types of drugs. The internal use instruction may be taken three times a day after each meal, or twice a day after breakfast and dinner, taking into consideration the drug efficacy and duration of action. When taking a medicine with a different medicinal effect from that after each meal before going to bed, it may be 4 times a day. As the number of prescription drugs, the types of internal medicines, and the number of internal medicines increase, the management becomes more complicated.
However, many of the conventional wall calendar type and box type auxiliary devices that are commercially available also manage the internal medicine for one week, and it is necessary to repeat the set for long-term internal use management. Overlapping support was necessary. In addition, the wall calendar system, which is easy to enter into the field of view that cannot be set, is difficult to place the internal medicine close by hand, and users who have difficulty raising their hands cannot take the internal medicine by themselves and require assistance. The box method was difficult to put or take internal medicines. Furthermore, during short stays and overnight stays, it was necessary to remove the necessary number of days from the set of internal medicines. It was not possible for doctors and pharmacists to check their internal use by bringing them at the time of consultation and hospitalization.
The present invention has been made to solve the above problems.

組み立て式ホルダーに開閉式リングを設け、内服薬を入れるポケット付きファイルを複数枚設け、立体的に立てて使用する。ポケット式ファイルはリングの開閉により、枚数を増減することが可能な作りである。ファイルに設けるポケットの数は利用者の1日の内服回数によって複数のパターンを用意しておけば、医師の指示が変更になった際に付け替える事もできる。また、ポケット付きファイルと共に、内服薬の説明書やお薬手帳等を収納するポケットも設ける。1枚のポケット付きファイルには1〜数日分の内服薬をセットし、内服を終えた後、空のポケット付きファイルを卓上カレンダーのようにめくり上げて後方に繰り、次に前面となったポケットから続けて内服していく作りとなる。
また、組み立て式ホルダーを折りたたむことにより、内服薬を収納したままコンパクトに本の様な状態となり、容易に携帯することが出来る作りとなる。
以上の構造によりなる薬剤および内服管理補助具。
The assembly-type holder is provided with an open / close ring, and a plurality of pocket files for storing internal medicines are provided. Pocket type files can be made up or down by opening and closing the ring. The number of pockets provided in the file can be changed when the doctor's instructions are changed if a plurality of patterns are prepared according to the number of daily oral doses of the user. In addition to a file with a pocket, a pocket will be provided to store internal medicine instructions and medication notebooks. Set one to several days of internal medicine in a file with one pocket, and after finishing the internal use, turn up the file with an empty pocket like a desktop calendar and roll it backwards, then the pocket on the front It will be made to continue taking from.
In addition, by folding the assembly-type holder, it becomes a book-like state in a compact manner with the internal medicine stored, and can be easily carried.
Drugs and internal use management aids with the above structure.

複数枚のポケット付きファイルを使用することで受診時に処方された数週間分の内服薬をまとめて収納することができ、内服薬等の紛失を防ぐ事ができる。
ポケット付きファイルと共に、内服薬の説明書やお薬手帳、保険証等を収納するポケットを設けることで、内服薬の情報や過去の処方内容の確認に役立つ。
一度のセットで一定期間内服支援を継続することができるだけでなく、内服薬とそれについての情報が1カ所に整理されて収納される事で、支援者が飲み忘れや内服間違いを評価しやすくなり、指導する時間的余裕が生まれるので非常に労力が軽減できる。
組立て式ホルダーを立体的に立てて使用した場合、利用者や家族の視界に入り易く、内服薬の飲み忘れに気付きやすい。また、持ち運びができるため手の届く所に設置することで、内服するために移動して取りに行く手間が無くなり、面倒さを感じたり取りに行く途中で動作が中断して内服忘れに繋がる機会が少なくなる。
又、ホルダー本体を折りたたむことでバック等に入れて携帯できるため、外出時や外泊時の内服薬の忘れの予防に役立つほか、急な体調不良による緊急受診や入院の際にも利用者の情報が医療者に伝わりやすくなる。受診時やデイサービス、ショートステイ等に持参すれば、医療者や介護者が処方内容や内服状況を評価、対応する事が可能である。
ポケットから内服薬を取り出す事が困難な方の場合は、処方時に一包化してもらう、または内服薬を小袋に入れることで取り出しやすさも確保できる。
By using multiple files with pockets, it is possible to store the internal medicines for several weeks prescribed at the time of consultation and prevent loss of internal medicines.
By providing a pocket for storing internal medicine instructions, medication notebooks, insurance cards, etc. along with a file with a pocket, it is useful for checking information on internal medicines and past prescriptions.
In addition to being able to continue internal support for a certain period of time in a single set, the internal medicine and information about it are organized and stored in one place, making it easier for supporters to evaluate forgetting to drink and mistaking internal medicine. The time to teach is born, so the labor can be greatly reduced.
When the assembly-type holder is used in a three-dimensional manner, it is easy for the user and family to enter the field of view and forgetting to take internal medicines. In addition, since it can be carried, it can be carried within easy reach, eliminating the hassle of moving and taking it for internal use. Less.
In addition, since the holder body can be folded and carried in the bag etc., it is useful for preventing forgetting of internal medicine when going out or staying outside, and also when receiving emergency medical examinations or hospitalization due to sudden physical condition. It becomes easy to be communicated to medical professionals. If you bring it to a doctor, day service, short stay, etc., medical staff and caregivers can evaluate and respond to prescription contents and internal use.
If it is difficult to take the internal medicine from the pocket, it can be easily taken out by prescribing it or putting it in a small bag.

本発明の展開図。FIG. 本発明を組立てた斜視図。The perspective view which assembled this invention. 本発明を折りたたんだ斜視図。The perspective view which folded this invention. 本発明組立てた状態の側面図。The side view of the state which assembled this invention.

以下、本発明の実施の形態について説明する。
(イ)組み立て式ホルダー本体(1)は、表紙用面A・背表紙用面B・裏表紙用面C・底用面D・ポケット付きファイル支持面E・本体の立位支持面F・固定面Gで構成され、本体を開閉するために、其々の面が開閉できる構造となっている。
(ロ)背表紙用面Bには、開閉式リング(2)等の開閉具を設け、ポケット付きファイル(5)を取り付ける。この開閉式リング(2)は、事務用品のリングファイルに用いられているものを示す。ポケット付きファイル(5)は必要に応じて数を増やして取り付ける。
(ハ)裏表紙用面Cには、図2に示したように、本体の立位を保持・固定するための、面ファスナーのループ面(3)を設ける。
(ニ)ポケット付きファイル支持面Eの上下には本体の立位支持面Fを設け、それぞれの先端には固定面Gを設ける。
(ホ)固定面Gには、本体の立位を保持・固定するための、面ファスナーのフック面(4)を設ける。
本発明は以上のような構造である。
Embodiments of the present invention will be described below.
(A) Assembling-type holder body (1) consists of cover surface A, back cover surface B, back cover surface C, bottom surface D, file support surface E with pockets, and standing support surface F of the main body. It is constituted by a surface G, and has a structure in which each surface can be opened and closed in order to open and close the main body.
(B) On the back cover surface B, an opening / closing tool such as an opening / closing ring (2) is provided, and a file with pocket (5) is attached. This open / close ring (2) shows what is used for a ring file of office supplies. The pocketed file (5) is attached by increasing the number as necessary.
(C) As shown in FIG. 2, the back cover surface C is provided with a loop surface (3) of a hook-and-loop fastener for holding and fixing the standing position of the main body.
(D) A standing support surface F of the main body is provided above and below the file support surface E with pockets, and a fixed surface G is provided at each tip.
(E) The fixing surface G is provided with a hook surface (4) of a hook-and-loop fastener for holding and fixing the standing position of the main body.
The present invention has the above structure.

本発明を使用するときは、組み立て式ホルダー(1)の背表紙用面Bに設けた開閉式リング(2)にポケット付きファイル(5)を必要枚数取り付ける。そのポケット(6)に処方された内服薬(7)を医師の指示通り、例えば朝食後・夕食後の1日2回や毎食後と就寝前等のように指示通りに分けて、ポケット付きファイル(5)にセットする。
セットの方法は医師の指示により均一ではないため、朝食後・夕食後の1日2回の内服では8個のポケット(6)が付いたポケット付きファイル(5)を上下1列を使用し1枚のポケット付きファイル(5)を4日で使用すれば、28日分の内服薬(7)が7枚のポケット付きファイル(5)に収容される。また、毎食後と眠前の内服の場合には、上段・下段各4個のポケットをそれぞれ1日で使用、1枚のポケット付きファイル(5)を2日で使用するため、28日分の内服薬(7)が14枚のポケット付きファイル(5)に収容される。ポケット(6)には「朝」「昼」「夕」「寝る前」といった表示や、認知機能が低下した方のためにそれぞれ違う色をつけて区別する等の工夫を施せば良い。
又、内服薬に関する情報の載ったお薬手帳や説明書等を収納するファイルも設ける。
本発明をテーブル等に置く時に、組立て式ホルダー(1)を立体的な形状に組み立てる際には、図4に示すように開閉式リング(2)を頂点とし、底用面Dが底面となるようにし、底用面Dの長手方向の両端を屈曲させて、裏表紙用面Cとポケット付きファイル支持面Eを立ち上げて、図2に示したように組立て立体的な形状にする。
ポケット付きファイル支持面Eの両側面から、本体の立位支持面Fで本体を支持し、固定面Gに設けた面ファスナーのループ面(3)と面ファスナーのフック面(4)を張り付けて固定する。
When using the present invention, the required number of files (5) with pockets are attached to the openable ring (2) provided on the back cover surface B of the assembly-type holder (1). The internal medicine (7) prescribed in the pocket (6) is divided according to the doctor's instructions, for example, twice a day after breakfast and dinner, or after each meal and before going to bed, etc. Set to 5).
Since the setting method is not uniform according to the doctor's instructions, use the file with pockets (5) with 8 pockets (6) in the upper and lower rows for twice a day after breakfast and dinner. If the file (5) with pockets is used in 4 days, the internal medicine (7) for 28 days is accommodated in the file (5) with 7 pockets. In addition, in the case of internal use after each meal and before sleep, each of the four pockets in the upper and lower tiers is used for one day, and the file (5) with one pocket is used for two days. The internal medicine (7) is accommodated in 14 pocket files (5). The pocket (6) may be devised such as “morning”, “noon”, “evening”, “before going to bed”, or a different color for the person with a reduced cognitive function.
In addition, a file for storing medicine notebooks and manuals with information on internal medicines will be provided.
When assembling the assembling-type holder (1) into a three-dimensional shape when placing the present invention on a table or the like, as shown in FIG. 4, the openable ring (2) is the apex, and the bottom surface D is the bottom surface. In this way, both ends in the longitudinal direction of the bottom surface D are bent, and the back cover surface C and the file support surface E with pockets are raised and assembled into a three-dimensional shape as shown in FIG.
From both sides of the pocketed file support surface E, the main body is supported by the standing support surface F of the main body, and the loop surface (3) of the hook-and-loop fastener (4) provided on the fixed surface G and the hook surface (4) of the hook-and-loop fastener are attached. Fix it.

内服薬等の入った複数枚のポケット付きファイル(5)を、組み立て式ホルダー(1)本体の内側に生じた空間に収納すると同時に、一番前面となるファイルをポケット付きファイル支持面Eの外側に出し、視界に入りやすくする。そのファイルの内服薬(7)を指示通りに内服した後は、裏表紙用面Cの後方へ移動させる。次に前面となったファイルを再度ポケット付きファイル支持面Eの外側に出し、内服を繰り返す。  A plurality of pocket files (5) containing internal medicines are stored in the space created inside the assembly holder (1), and at the same time the front file is placed outside the file support surface E with pockets. And make it easier to see. After taking the internal medicine (7) of the file as instructed, it is moved to the back of the back cover surface C. Next, the file which became the front is again put out of the file support surface E with the pocket, and the internal use is repeated.

携帯時や収納のため組み立て式ホルダー(1)を図3に示したように、本のように折りたたむ時には、固定面Gに設けた面ファスナーのループ面(3)と面ファスナーのフック面(4)を外して固定を解除し、本体を内側に折りたたむ。その際には内服薬(7)の入ったポケット付きファイル(5)は表紙用面A・背表紙用面B・底用面D・ポケット付きファイル支持面Eのなす空間に収納する。  As shown in FIG. 3, when the assembled holder (1) is folded like a book for carrying or storing, the loop surface (3) of the hook-and-loop fastener provided on the fixed surface G and the hook surface (4 ) To release, and fold the body inward. At that time, the pocket-attached file (5) containing the internal medicine (7) is stored in the space formed by the cover surface A, the back cover surface B, the bottom surface D, and the pocket file support surface E.

1 組み立て式ホルダー、2 開閉式リング、3 面ファスナーのループ面、
4 面ファスナーのフック面、5 ポケット付きファイル、6 ポケット、7 内服薬
A 表紙用面、B 背表紙用面、C 裏表紙用面、D 底用面、E ポケット付きファイル支持面、F 本体の立位支持面、G 固定面
1 Assembly holder, 2 Open / close ring, 3 Loop loop surface fastener,
4 hook-and-loop fastener surface, 5 pocket file, 6 pockets, 7 internal medicine A front cover surface, B back cover surface, C back cover surface, D bottom surface, E pocket file support surface, F Support surface, G fixed surface

Claims (1)

表紙用面と裏表紙用面の間に開閉具を設け、開閉具にはポケット付きファイルを取付け自在に成し、開閉具を頂点として、表紙用面と裏表紙用面が底面から立ち上がるように設け、ホルダー本体の組立てや折畳みを自在とした薬剤および内服管理補助具。  An opening / closing tool is provided between the front and back cover surfaces, and a file with a pocket can be freely attached to the opening / closing tool so that the front and back cover surfaces rise from the bottom with the opening / closing tool at the top. Drugs and internal use management aids that are provided and allow the holder body to be assembled and folded freely.
JP2015208390A 2015-10-05 2015-10-05 Medicine and oral administration management aid Pending JP2017070682A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2015208390A JP2017070682A (en) 2015-10-05 2015-10-05 Medicine and oral administration management aid

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2015208390A JP2017070682A (en) 2015-10-05 2015-10-05 Medicine and oral administration management aid

Publications (1)

Publication Number Publication Date
JP2017070682A true JP2017070682A (en) 2017-04-13

Family

ID=58538487

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2015208390A Pending JP2017070682A (en) 2015-10-05 2015-10-05 Medicine and oral administration management aid

Country Status (1)

Country Link
JP (1) JP2017070682A (en)

Similar Documents

Publication Publication Date Title
Hartigan Patient education: the cornerstone of successful oral chemotherapy treatment.
US6464506B1 (en) Information and medication compliance organizer
US7926850B1 (en) Method for managing multiple medications
Mendy Moody et al. Are patients on oral chemotherapy in your practice setting safe?
US20050044762A1 (en) Illustrative drug card
Zebroski A brief history of pharmacy: humanity's search for wellness
US20100206765A1 (en) Medical compliance chart, organizer and dispenser
US20130220850A1 (en) Medicine portfolio and organizer
US10307339B2 (en) Multi-compartment medicine storage and dispensing container
Orlu-Gul et al. Public engagement workshop: how to improve medicines for older people?
US7240793B2 (en) Method and apparatus aiding in the management of multiple medications
Dijkstra et al. Medication self-management: Considerations and decisions by older people living at home
US7261206B2 (en) Medication dosage regimen communication device
US20110052310A1 (en) Medical information and directives device
JP2017070682A (en) Medicine and oral administration management aid
Edirisinghe et al. Multi-compartment compliance aids (MCAs): application to the geriatric community
JP3117811U (en) Medication calendar
US9216137B2 (en) Medical organizer
Knotek et al. Peritoneal dialysis travel" tool box"
KR200360475Y1 (en) Medicine keeping tool
JP3155878U (en) Wall-mounted medicine bag transport cart
JP3128710U (en) Medicine box with date
KR200255738Y1 (en) Aid box for taking prescribed medicine
Ignatavicius Asking the right questions about medication safety
US9406245B2 (en) Patient medicine identity display