Man with a Dream: The Optimization of Elderly Medication
When Pauli Puirava graduated to his childhood dream job as a pharmacist in 2006, he decided to make a study trip to England in the upcoming fall. In England, medication reviews conducted by pharmacists had been done since the late 1970s to early 1980s.
During the trip, Pauli discovered that, for instance, in the city of Yeovill in Somerset, medical reviews are conducted once a year when the patient is receiving up to three medications; twice with four medications. If the medication of a patient consists of five medications, a special group of professionals is called in to review the medication. Inspired by the local processes, Pauli realized that there would be a need for significant changes in the Finnish healthcare system, too.
If the medication of a patient consists of five medications, a special group of professionals is called in to review the medication.
While working as a pharmacist, Pauli gained awareness of the polypharmacy issues through hands-on experience with customers - drug incompatibility is a prevailing phenomenon, which in the worst case scenario, could jeopardize an individual's work capacity.
Alongside the pharmacy work, Pauli conducted medical reviews and medical training in care homes. In many cases, the number of medications per patient was lowered, the condition of patients improved, and the costs of medication diminished. These results sparked an idea of an improved system from medication review.
In 2018, Pauli’s idea got wind in its sails when he met Wintom Zecarias, a handyman behind a number of start-ups, by chance. Together, they gathered a team with strong professionals, and Causalus Ltd. was born. A company with a mission for improving the wellbeing of elderly patients by optimizing their medication via medication review software.
The idea behind Causalus services is to provide continuous, long term medication monitoring, which enables controlled changes in medication. The medication review software is backed up with a particularly comprehensive and continuously updated medical database, which will be complemented in the future with, for instance, dietary supplements. The software supports both nursing and the medical competence of nurses.
The idea behind Causalus services is to provide continuous, long term medication monitoring, which enables controlled changes in medication.
When it comes to continuous monitoring of a patient's condition, the Causalus software makes it easy for nurses involved in the patient’s care to monitor and mark observations directly on the platform. By doing so, all changes in the patient’s condition can be seen on one screen - along with a timeline of medication and possible changes made in the medication over time.
This way monitoring the patient’s condition is clear and reliable, making it easy to review the condition together with multi-professional teams. Additionally, both pharmaceutical and physician’s telemedicine services can be included in the software when needed.
Digitalization has brought a great deal of new methods and procedures in elderly care. In medication, this has an indisputable benefit when it comes to managing large quantities of information. However, the fully optimized medication has the most significant impact on elderly patients themselves - in a form of improved health. Thus, Pauli Puirava's long-lasted dream has come true in many care homes.