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Hand and Finger Tips

I have SPMS. Diagnosed Nov 2001. Totally power wheelchair. Paralyzed from hips down. I am looking for tips/help for my hands/fingers. I drop alot of things. Exercise a few times a week with routines OT set up. Pills are my worst problem(19/day). The pill dispenser is especially designed for use by arthritis sufferers. Does anyone have any suggestions?