Due to her chronic conditions, she has frequent medical appointments with different specialists for each of which transportation needs to be arranged.

Kim is intelligent, has good organizational skills and recognizes the importance of a high level of adherence to the regimen of tests, treatments and medication. Despite these personal characteristics, her health status has put her on the verge of trouble with little room for error.

Kim considers her reminders to be a godsend. “This is just what I needed,” she says. She reports feeling less stress and more confidence in meeting her self-care responsibilities. She is still ill and faces many challenges, but has improved her compliance and is feeling better.

Jerry also has very strong family support from his sister and brother-in-law. They provide care on evenings and weekends, but they are both employed and that leaves a weekday gap.

During the thirty days prior to enrollment in the wireless reminders program, Jerry had seven trips to the emergency department and one hospitalization. His ability to remain in his home was in serious jeopardy.Despite initial difficulties in establishing a proper regimen and overcoming cognitive barriers to the use of the device, Jerry eventually was able to master its use and to properly respond to its cues.

Jerry avoided returns to the hospital and the emergency room since adding the reminders program, the last piece in the puzzle that included case management, telemonitoring, home visits, actively involved primary care physician and strong family support. Jerry’s ability to live independently has been extended.