JP6115252B2 - Device with medication management function - Google Patents

Description

The present invention, the ability to support the medication management by the home of the patient's own and their families or caregivers, etc., related to equipment which has been integrated into the general telephone and data equipment.

  In recent years, with the increase in the elderly population, the number of elderly people with some chronic illnesses that require medication management is increasing, and the number of people exceeds the number that can be cared for by hospitals and nursing homes. It is expected to increase further. In that case, a busy traveling caregiver who visits a patient at home, a family member of a patient who is busy with work or housework, or a long-term caregiver needs to manage the patient's medication. The

  As a technology related to medication management, a technology related to a medication management system comprising a medication management device that manages patient medication and a terminal device that is connected to the medication management device via a communication line and used by the patient is known ( For example, Patent Document 1).

  This technique allows the patient to receive a first completion time (for example, 30 minutes) without receiving medication completion information from the nurse call cordless handset even after the scheduled time at which the patient should complete medication. Nursing to notify the patient of the medication that the patient has not completed the medication when the second predetermined time (for example, 60 minutes) has passed and the nurse call slave device has been informed of the medication. This is a notification to the nurse and the like, and allows the nurse to grasp that the patient has forgotten to take medication.

  However, the technique described in Patent Document 1 is a dedicated system based on the premise of operation in a medical facility, in which a nurse grasps a patient's medication status via a nurse call cord near the patient. Therefore, it is not considered to install at home. Specifically, there is a lack of consideration for the inventory management of medicines required for operation at the patient's home and for the patients themselves or their families who are not familiar with medicine knowledge to manage the medication. In addition, in homes where there are patients who have multiple chronic illnesses and are receiving various medicines from multiple medical institutions at the same time, or in homes where there are multiple patients, the type of medicine to be taken is incorrect than forgetting to take the medicine. There is also worry.

JP 2009-163534 A

  Therefore, an object of the present invention is to provide a medication management function to general communication devices such as telephones and data devices installed in the home, and support medication management by the patient at home or the patient's family or a caregiver. Another object of the present invention is to provide a communication device having a medication management function suitable for preventing medication forgetting, running out of medication, and accidental ingestion of medication to be taken.

In order to solve the above-mentioned problem, the present invention is an apparatus for managing information related to the medication of a drug taker who takes one or more drugs, wherein the drug identification information for identifying each type of the drug and the drug Medication related data storage means for inputting and storing medication-related data including medication timing information related to the timing of each medication from an operation unit or a predetermined information source included in the device, and whether each of the medications has been taken Medication history storage means for storing medication history information regarding whether or not information related to the remaining amount of each medicine, medication timing presenting means for presenting the medication timing, and notification conditions relating to each remaining amount of the medicine And a notification condition registration means for registering a notification condition related to the change of the patient , wherein the medication timing presentation means is stored in the medication related data storage means. Refers to continuous data, determines whether or not the timing of taking any of the medicines to be taken has arrived, and if it is judged that the timing of taking any of the medicines has arrived, the timing to take the medicine has arrived In addition to presenting the information, it was monitored whether or not a predetermined specific operation that the drug was taken was performed by the operation unit provided in the device, and if the specific operation was performed , the drug was taken. Whether to update the remaining amount of medicine to a value obtained by subtracting one dose, and to report the information related to the updated remaining amount of the medicine with reference to the notification condition related to the remaining amount of each medicine If it is determined that the information is to be reported, the communication function of the device reports the information on the remaining amount of the drug to the report destination specified by the report condition, and the timing to take the drug has arrived. The predetermined time after presenting the information If the specific operation is not made even if it has passed, refer to the notification conditions related to the change of the medication history storage means and the doser, determine whether to report the information related to the change of the doser, If it is determined that a report is to be made, the communication function is used to report information related to the change of the subject to the report destination specified by the report condition .

  According to the present invention, in addition to the arrival of the medication timing, the medication amount, the appearance of the medication, and the like are displayed, so that it is possible to prevent forgetting medication and accidental ingestion. In addition, it provides a medication management function that supports medication management for general telephones and data devices installed in the home, so it is economical and does not require a dedicated installation space. A communication device having a function can be provided. In addition, the device of the present invention does not need to cooperate with a specific medical institution (may cooperate), and the medicine to be administered and managed may be any medicine purchased at any pharmacy, and medicine to be managed at the same time There is no limit to the number of types and number of people taking medicine, and it is flexible.

  In addition, since the telephone function and mail communication function that are used on a daily basis are used as communication functions, the existing phone book and mail address book are used for registering or changing the notification destination such as information that the medicine is about to run out. There is an advantage that it is easy to register and change the report destination.

Overall view including internal block configuration of the apparatus of the present invention Example of registration contents of the medication-related data registration unit 17 Operation flowchart of the device of the present invention

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. FIG. 1 is an overall view including an internal block configuration of a communication device 1 having a medication function according to the present invention (hereinafter abbreviated as the present device 1). First, the overall configuration and operation will be described.

  The device 1 is a device in which a medication management function (to be described later) is given to a telephone device such as a telephone, a cellular phone, a facsimile, or a data device such as a personal computer or an electronic mail device having a communication function. Since the medication management function is realized by software, the size of the device 1 is equivalent to that of conventional telephone devices and data devices, and is suitable for installation in the home.

  The medicine 2 is N kinds of medicines purchased from a medical institution where a patient (sometimes referred to as a drug taker or a subject to be administered medication) or a pharmacy in the vicinity of the patient's home. The medication administrator (patient himself / her family or caregiver) operates the operation unit 11 and the video input unit 15 of the device 1 to take medications such as the type of medication, medication time, medication ID, and appearance photo of the medication. Information (hereinafter, may be abbreviated as medication information).

  Part or all of these pieces of information can be downloaded from a predetermined site of the health management server 5 operated by a medical institution, for example.

  Further, in order to prevent falsification of these information and ensure the safety of medication management, an ID or password may be entered when entering medication information (not shown).

  When the time zone to be taken (sometimes referred to as timing) arrives according to the inputted medication information, the device 1 is called with a predetermined ringing sound, and at the same time, the name, appearance photograph, name of the drug taker, etc. Is displayed. This prevents the drug taker from forgetting to take a drug or taking it by mistake. If a predetermined operation is performed after taking the medicine, the remaining amount of the medicine registered in the medication-related data registration unit 17 is updated to a value obtained by subtracting one dose, and the remaining amount of the medicine is set. to manage.

  The patient's medication status of the device 1 is also managed by the health management server 5 via the network 3 so that a remote medical institution / nurse / family can always grasp the medication status of the patient. . The network 3 is a telephone network, an IP (Internet Protocol) network, a mobile phone network, or the like.

  Further, the health management server 5 is a server for improving the health status, medication status, etc. of the patient, and may be a specific Web site operated by a medical institution or a nursing institution, or a patient home page.

  Furthermore, the present apparatus 1 can register the medication time for each medication management subject, the medication amount, the possibility of a change, the condition of notifying that the medicine is almost exhausted, the report destination, and the like. As a result, when a predetermined specific operation (for example, # 1 press) indicating that the medicine has been taken is not input for a predetermined number of times even after a certain time has elapsed from the time to be taken, or the remaining amount of medicine is predetermined. When the value falls below the value, it is possible to notify the prescribed reporting destination 4 of the change in the subject of medication management and the remaining drug status. Note that the report destination 4 is, for example, a medical institution in which a subject to be administered medication is attended, a home doctor that is frequently used, a mobile phone of a caregiver or a family, and the like.

  Next, the internal block configuration of the apparatus 1 will be described in detail. The device 1 includes a communication terminal function unit 10, an operation unit 11, a display / ring unit 12, a communication control unit 13, a video input unit 15, a medication related data input unit 14, a medication management unit 16, a medication related data registration unit 17, It is composed of a clock / timer 18.

  The communication terminal function unit 10 is a means for providing a function as a general communication device such as a telephone, a facsimile device, an electronic mail device, and a data communication device. A detailed description of the communication terminal function unit 10 is omitted. The operation unit 11 is means for operating the apparatus 1 such as a numeric keypad, function keys, a keyboard, a touch panel, and a mouse. The display / sounding unit 12 is means for displaying / sounding image information and sound information to a person who operates the apparatus 1, and includes a display device such as an LCD or LED, and a sounding device such as a speaker or a buzzer. The communication control unit 13 is means for communicating with the report destination 4 and the health management server 5 via the network 3.

  The medication-related data input unit 14 is the medication information of the medicine 2 that is input by operating the operation unit 11 (the kind of medicine, the amount of medicine, the amount of medicine taken per time, the medication time zone, the medication ID, the notification condition, etc.) ), Image data obtained by photographing the medicine 2 or its bag taken by the video input unit 15 or a part of a manual, or a predetermined information source (for example, health care) via the communication control unit 13 and the network 3 This is means for inputting medication information and image data downloaded from the server 5) and outputting them to the medication-related data registration unit 17. Note that the video input unit 15 is, for example, a video camera or a still camera included in a camera phone device.

  The medication management unit 16 is a means for executing information processing related to the medication of the medication management subject, and monitors the medication timing for each medication management subject based on the data registered in the medication-related data registration unit 17, When the prescribed time to take the medicine comes, the medicine is prompted with a predetermined ringing sound, and at the same time, the name of the medicine, the appearance photograph, the name of the person taking the medicine, etc. are displayed, and the medication monitoring timer of the clock / timer 18 is started. If a predetermined specific operation is performed from the operation unit 11 after taking the medicine, the remaining amount of the medicine registered in the medication-related data registration unit 17 is updated to a value obtained by subtracting a single dose. To do. As a result, the remaining amount of medicine is managed, and at the same time, the medication status is transmitted from the communication control unit 13 to the health management server 5 via the network 3 in cooperation with the communication terminal function unit 10.

  FIG. 2 is an example of the contents registered in the medication-related data registration unit 17. The column 201 stores medication identification information (medicine name, etc.) for identifying medications in the column 201. In addition, the remaining amount of medicine is stored.

  In a column 203, a medication time zone and a medication amount per time are registered. The medication management unit 16 compares the current time according to the clock of the clock / timer 18 with this column 203 to detect the arrival of the medication timing.

  In column 204, notification conditions are registered. This notification condition is a condition for determining the possibility of a change in the subject of medication management (for example, three consecutive times without medication) or an alarm indicating that the drug is about to run out. This is a condition (for example, 3 days remaining).

  FIG. 3 is an operation flowchart of the apparatus 1. Hereinafter, the operation flow of the apparatus 1 will be described with reference to FIGS. This flow starts from a state in which the power of the apparatus 1 is turned on (S300).

  When the medication information of a new or registered medication management subject is input from the medication-related data input unit (S310), the content of the entered medication information is registered in the medication-related data registration unit 17, or the corresponding item is entered. Change / update (S311) and proceed to S320. When a registered medicine is replenished, the data updated in S311 is the amount of medicine. As for the remaining amount of medicine, every time the amount of medicine replenished is input from the operation unit 11, the sum of the remaining amount before replenishment and the amount of replenishment (automatic calculation) is stored in the column 202.

  In S320, the medication management unit 16 cooperates with the communication terminal function unit 10 and the communication control unit 13 to determine whether or not there is a request for transmission of medication management information from the health management server 5, or the current time is set in advance. If it is YES, information such as a medication history is transmitted to the health management server (S321), and the process proceeds to S330. If NO in S320, the process skips S321 and proceeds to S330.

  In S330, the medication management unit 16 refers to the setting content of the medication time zone registered in the medication related data registration unit 17 (column 203 in FIG. 2), and determines whether the current time is any medication time zone. If the determination is YES, the medication monitoring timer (in the clock / timer 18) is started (S331), and the display / sounding unit 12 is controlled to take information including that the time to be taken has arrived. Is displayed, and a ringing prompting for medication (for example, ringing for 1 minute every 5 minutes) is performed (S332), and input of a specific operation indicating that the medication has been taken is awaited (S340). If NO in S330, the process returns to S310. Note that the medicine information displayed in S332 includes the appearance of the medicine and its bag input from the video input unit 15. In addition, the ringing pattern for prompting medication is arbitrary, but when the device 1 has a telephone function, it is desirable that the ringing pattern be different from the normal ringing ringing. Furthermore, when there are a plurality of subjects to be taken, different ringing patterns may be registered in the medication-related data registration unit 17 for each subject (not shown).

  In S340, when a person who operates the device 1 performs a specific operation to the effect that the operation unit 11 has taken medicine (S340, YES), the medication management unit 16 stops displaying / ringing medication information and registers medication-related data. The medication history registered in the unit 17 is updated, and the remaining amount of the medication is updated to a value obtained by subtracting one medication (S341), and the process proceeds to S350.

  In the case of NO in S340, if there is no timer value extension operation (for example, ## is pressed) (S344, NO) and the timer has not expired (for example, 60 minutes) (S343, NO), the process returns to S340 and the timer When the process has expired (S343, YES), the process proceeds to S341.

  If there is a timer value extending operation (S344, YES), the timer value is extended (S345), and the process returns to S340. This timer value extending operation is an operation performed when the medication is designated as after meal (for example, 30 minutes) and the meal is delayed. The timer value extending process may be performed by resetting (restarting) the timer started in S331, for example.

  In S350, the medication management unit 16 refers to the notification condition related to the remaining amount of medicine (lower column 204 in FIG. 2) registered in the medication-related data registration unit 16, and the remaining amount of the medicine taken this time is determined. It is determined whether or not the amount exceeds the notification condition. If the remaining amount of medicine is less than the amount of the notification condition, the notification condition is met (S350, YES), the report destination registered in the medication-related data registration unit 17 is referenced (column 205 in FIG. 2), and the designated An alarm to the effect that the medicine is almost exhausted is sent to the report destination (S351).

  By the way, when the timer expires while waiting for a specific operation indicating that the medicine has been taken (S343, YES), in S341, the medication management unit 16 updates the medication history on the assumption that no medication has been taken this time. In that case, in S350, the medication management unit 16 indicates that the medication history (not shown) registered in the related data registration unit 16 indicates that the notification condition related to the abnormality (the upper row of the column 204 in FIG. If there is a match (S350, YES), an alarm indicating that there is a possibility of change in the subject of medication management (for example, collapsed while the family is away) is specified. The report destination is notified (S351), and the process returns to S310. If the notification condition is not met in S350 (S350, NO), S351 is skipped and the process returns to S310.

  In addition, when it is known in advance that it is not possible to input regular medication information data due to travel, going out, etc., the medication management subject himself or his / her family operates the operation unit 11 and changes / abnormalities in S351 during that time May be set to stop the notification (not shown). In addition, this temporary report stop process is automatically performed in conjunction with a schedule function (for example, a function provided in the communication terminal function unit 10), or a function of the communication terminal function unit 10 is used. It is also possible to perform stop processing remotely from the destination (not shown).

  The embodiment of the present invention has been described above. According to the present embodiment, it is possible to perform fine-grained medication management such as medication information registered for each medication manager, notification conditions, report destination, etc., and to the appropriate report destination, the remaining amount of medication and subject to medication management It is possible to promptly report the possibility of an accident.

  In addition, this device integrates a medication management function that routinely manages and supports the medication status of those who are subject to medication management with general telephones and data devices, eliminating the need for installation space as a new communication device. In addition, since it is used on a daily basis, it is possible to quickly find a failure as a device, and it is excellent in maintainability. Therefore, it is suitable for installation in a residence where a family subject to medication management such as an elderly person or an elderly person living alone should live.

  In addition, since this apparatus can set a different reporting destination for each of a plurality of medication managers, it is also suitable as a shared communication device in a nursing facility or a welfare facility where a plurality of medication managers live.

  By the way, this apparatus may be a mobile phone or a smart phone carried by the medication manager. In that case, when the medication manager goes out or travels, the medication manager himself carries this device, so that medication management can be performed on the go.

  Furthermore, since the daily medication status is also managed by the health management server 5 via the network 3, the remote medical institution / nurse / family, etc. can grasp the medication status of the subject of medication management at any time. Data recovery is possible even if the device breaks down or data is lost

DESCRIPTION OF SYMBOLS 1 ... Communication apparatus which has a medication management function by this invention 2 ... Medicine 3 ... Network 4 ... Report destination 5 ... Health management server 10 ... Communication terminal function part DESCRIPTION OF SYMBOLS 11 ... Operation part 12 ... Display / ring part 13 ... Communication control part 14 ... Health care data input part 15 ... Video input part 16 ... Medication management part 17 ... Medicine-related Data registration unit 18 ... Clock / timer

Claims (1)

An apparatus for managing information relating to medication of a drug taker who takes one or more drugs,
Medication related information including medicine identification information for identifying each kind of medicine and medicine timing information related to the timing of each medicine to be taken is input and stored from an operation unit or a predetermined information source included in the apparatus. Medication-related data storage means, medication history information relating to whether or not each of the medicines has been taken, medication history storage means for storing information relating to the remaining amount of each of the medicines, and medication for presenting the medication timing Timing presenting means, and reporting condition registration means for registering reporting conditions related to the remaining amount of each of the medicines and reporting conditions related to the change of the patient ,
The medication timing presentation means refers to the medication-related data stored in the medication-related data storage means, determines whether or not the medication timing of any medicine to be taken has arrived, and When it is determined that the timing of taking medicine has arrived, information indicating that the time to take medicine has been presented , and whether a predetermined specific operation indicating that the medicine has been taken has been performed by the operation unit of the device itself Monitoring whether or not
When the specific operation is performed , the remaining amount of the medicine taken is updated to a value obtained by subtracting one dose, and the update is performed with reference to the notification condition relating to the remaining amount of each medicine. If it is determined whether or not to report information related to the remaining amount of the drug, and if it is determined to report, the information related to the remaining amount of the drug is sent to the notification destination specified by the notification condition by the communication function of the own device. Report,
If the specific operation is not performed even after a predetermined time has passed since the information indicating that the timing to be taken has been presented, refer to the medication history storage means and the notification condition relating to the change in the doser If it is determined whether or not to report information related to the change of the patient, and if it is determined to report, the information related to the change of the drug taker is notified to the notification destination specified by the notification condition by the communication function. A device having a medication management function.

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