Support, guidance & advice for todays primary carers
When medication routines become complex or “non-standard,” it’s easy for mistakes or missed doses to happen. While caring for a family member, Paul Rothstein created a pill board system to make it easier to manage their medications. It worked so well that he wanted to share his solution with other carers. Here, Paul explains how to create your own DIY pill board system to help avoid mistakes in your older adult’s medication routine.
TRADITIONAL PILL ORGANISERS DON’T WORK WELL IN COMPLEX MEDICATION SITUATIONS
The average pill organiser typically has compartments for the day of the week and the time of day – morning, afternoon, and night.
More complex pill organiser systems can also account for specific times of day or more frequent medication doses.
However, these pill organisers often don’t work as well when a medication routine is more complicated or includes non-pill formats.
Scenarios that don’t work well with a typical pill organiser include:
- The medication isn’t a pill. Some medications are powders that have to be mixed with liquids just before taking, medical syrups, ointments, patches, or other formats.
- Medication must be taken first thing in the morning, and then the person can’t eat for the next hour.
- Medication can’t be taken together with certain foods or beverages.
- Medication must be taken with food, on an empty stomach, or with a full glass of water.
A FLEXIBLE DIY PILL BOARD SYSTEM CAN MAKE LIFE SAFER AND EASIER
When my relative’s medication routine was becoming more and more complex, I created a DIY pill board to reduce medication errors and to include space for notes and reminders of upcoming appointments.
This pill board made life much easier for our family and my relative’s carers.
It also received a lot of attention from nurses and occupational therapists. They thought it was a helpful and innovative solution.
A DIY pill board like this is flexible for almost any medication routine, helps reduce mistakes, is easy for carers to refill, and is easy to make by using inexpensive everyday items.
First, the basic idea is to create a pill box “block” for each time of day that medication is taken.
Next, put all the pillbox “blocks” that are needed for one full day of medication onto as many pieces of paper as needed.
Make sure your pill board is correct
Then, mount the paper(s) containing the pillbox “blocks” onto a white-erase board or sturdy piece of poster board.
Important: Before putting it into use, make sure your DIY pill board is correct by reviewing it with your older adult’s doctor or pharmacist.
- One pill box (like this) for each time of day that a person takes medications. For example, someone who takes medications at 10 am and 7 pm would need two separate pill boxes on their board.
- Double-sided foam mounting tape
- White erase board or a cork/poster board
- Plain paper
- Pen or marker
How to build your DIY pill board
The pill board is a concept that can be easily customised to suit different situations.
For example, it works equally well whether it’s written by hand or typed on a computer. The goal is only to make the writing clear and easy to read.
In this example, the writing on the pill board was created on a computer and printed out.
In this example, the board itself is a white-erase board with a cork border. You might have a whiteboard or a corkboard handy. Or, you might find it simpler to use a piece of poster or foam board instead.
1. Name and date
Take a piece of paper and write the person’s name and the date this board was created at the top.
This board represents the person’s current medication routine. If their routine changes in the future, the board will need to be updated.
2. Create pill box “blocks”
Next, add the time of day when medications are first taken and a pill box “block” for that time of day. This is also the place to include any special instructions.
In the close-up image above, we see that 8 AM is the first time of the day that two medications will be taken. There are no special instructions for these two medications.
Write the full name of the medication and the number of pills required. You may also want to include the dosage as a reference.
Then, use double-sided foam mounting tape to stick the pill box underneath the writing.
Repeat these pill box “blocks” on the board as many times as needed for all the medication that’s taken during one full day.
For example, if your older adult takes pills at 8 AM, 12 noon, 4 pm, and 8 pm, they will need four of these pillbox “blocks” to create their pill board.
3. Add medications that aren’t in pill format
In addition to pills, doctors commonly prescribe medications that come in different formats, like ointments, liquids, creams, patches, or powders.
These medications need to be added to the pill board as well.
In this example, the image above shows a photo of a tube of prescription ointment that is part of the 8 AM pill box “block.”
The photo clearly shows what the ointment tube looks like. Special instructions are included so carers know that the person shouldn’t eat for an hour after the ointment has been applied.
If you’d like to make sure that a non-pill medication won’t be missed or forgotten, you could even write or type the directions in a different colour.
In some cases, you may even be able to tape a small plastic bag “pocket” to the board
and put the non-pill medication inside. For example, a small tube of ointment could fit inside a snack-size zip-top plastic baggie.
4. Make adjustments for medications that aren’t taken every day
Sometimes, doctors will prescribe medications that shouldn’t be taken every day.
To accommodate this on the pill board and avoid any confusion or mistakes, fill a dedicated pill box with that medication and tape shut the days that are not used.
In the image above, only the Monday, Wednesday, and Friday compartments are accessible. Those are the only days when this medication should be taken.
CREATE A SECOND PILL BOARD
Now that you’ve created your older adult’s pill board, you can see that it holds one week’s worth of medications.
Next, create a second pill board that’s exactly the same as the first one, except that there’s a difference in colour, so you can tell the two boards apart.
Why are two pill boards needed?
- One full week of medications is always loaded up and ready to be used.
- When one board is finished, you can immediately switch to the second board.
- You’ll always have at least one week’s notice before any medication runs out and needs to be refilled.
Why are different coloured boards needed?
In the photo of the second pill board below, you’ll see that the paper is green instead of the yellow paper used in the first pill board.
One board should be used all week until all the medication is finished. Using a different colour for a second board reduces the chances that anyone would get the two boards mixed up during the course of a week and use part of one board and part of another.
If you don’t have different coloured paper, you could accomplish the same goal by adding a coloured border, colouring the corners, etc. – anything that distinguishes one board from the other.
CUSTOMISE THE PILL BOARD FOR THE SITUATION
Because everyone’s medications and dosage schedules will vary, take the basic idea of the pill board and customise it so that it works for your older adult’s specific situation.
For example, if your older adult takes a specific medication only once every two weeks, you can prepare pill boards that reflect that schedule.
Or, some people might like laminating the paper to make it sturdier or waterproof.
The goal is to customise the pill board so that it suits your older adult’s medication needs.
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