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Published Online:

  • Dillon C.F., Gu Q., Hoffman H.J., Ko C.-W. (2010, April). Vision, hearing, balance, and sensory impairment in Americans aged 70 years and over: United States, 1999–2006 (Data Brief No. 31). Retrieved from the Centers for Disease Control and Prevention website:

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  • Martin D., Kripalani S., DuRapau V.J. (2012). Improving medication management among at-risk older adults. Journal of Gerontological Nursing, 38(6), 24–34.10.3928/00989134-20120509-01

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JGNJournal of Gerontological NursingJ Gerontol Nurs0098-91341938-243XSLACK IncorporatedThorofare, NJ
Letters to the Editor
Response:Martin Delinda, , DNP, RN

New Orleans, Louisiana

, and Kripalani Sunil, , MD, MSc

Nashville, Tennessee

Dr. Martin has disclosed no potential conflicts of interest, financial or otherwise.

Dr. Kripalani is a consultant to and holds equity in PictureRx, LLC.

01122012 38121111
Copyright 2012, SLACK Incorporated2012SLACK Incorporated

We thank the reader for the questions regarding the quality improvement project and would like to clarify the following topics:

The PictureRx card featured in the article is a sample for illustration purposes only and not to be viewed as an actual patient dosing regimen.

To make the PictureRx cards in the pilot project, each participant’s medication regimen was first reconciled by a clinic pharmacist, referring to the facility’s pharmacy database and the patient’s electronic health record. The PictureRx card was then generated using a web-based interface and verified prior to patient education.

Hearing and vision were not specifically screened as part of the eligibility assessment, although the lead author, who interacted with each participant, did not note any gross deficits.

The teach-back method of communication was not modified during the project. Patients were asked to describe and explain medication intent, purpose, dosing, and any additional instructions regarding medication administration. At that time, any misunderstanding was identified and clarified.

We apologize to the reader for difficulty in accessing and enrolling in PictureRx. The technological issues have been identified and the service can be accessed at either or

At the time of this writing, the cost of an account to create PictureRx cards for one patient is $19.95 per year. Group accounts, suitable for health care providers or facilities that wish to make PictureRx cards for multiple patients, are available at a discount.

Delinda Martin, DNP, RNNew Orleans, LouisianaSunil Kripalani, MD, MScNashville, Tennessee

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