Barriers To Compliance Research

Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes

This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.

Studies show nurses play a very important rule of teaching the patients; especially improve patient’s knowledge about the medications (Bradley et al., 2012). Nurses are responsible to educate the patient about the purpose of every medication and their side effects. It is also necessary to tell them some alterations to the medication list (Bradley et al., 2012). The purpose of teaching the patient is to help them understand how the medications benefit them. In this way, they will become more compliant. In addition, it is important for the patients to know how the medications work. For example, they need to hold the some blood pressure pill if they have low blood pressure. There is another example shows nurses successfully improve patient’s condition through medication education. The study by Van Camp et al. (2012) investigated how nurse-led education and counseling enhance medications adherence in chronic dialysis patients. The medication is called phosphate binder that prevents the patient from absorbing phosphate in the food. The study showed “the mean adherence group increased from 83% to 94%, phosphate values decreased from 4.9 to 4.3 mg/dl and the knowledge of the medications increased by twenty percent” (Van

The confounding factor is that people do not always respond to information and make choices based on common rationale. For example research demonstrates that 1 in 5 prescriptions go unfilled after a treatment plan has been provided by a physician. Among patients being treated for chronic conditions such as diabetes, medication adherence is actually lowest. NEHI research estimates cost of medication non-adherence at 290 billion dollars annually in the U.S. The National Diabetes Prevention Program cites nearly 29 million people in the U.S. have diabetes which cost the U.S. healthcare system 176 billion dollars in 2012, despite diabetes being largely preventable with diet, exercise and not smoking. These and other examples such as missed physician appointments, misuse of emergency care services, and lack of commitment to healthier lifestyles demonstrates complexity in managing the human aspect of healthcare. If population health management programs are to be successful they must be able to effectively support various risk cohorts of patients in making decisions to maximize benefits from healthcare services. As healthcare organizations increase focus on keeping patients healthy, many organizations are questioning the most effective use of technology and support services to enable better decisions regarding health

Non-compliance to prescribed antidiabetic drug treatment has health consequences on both an individual population as well on the general

Our patient is Eva Ybarra. She is a 40 year old married, Spanish speaking woman. Her husband and she are overweight.

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

Non persistence is the second type in which patients decide to stop taking a medication after starting it without being instructed to stop taking their medications. This kind of non-adherence include skipping prescriptions as well as taking medications whenever they feel the need. A third type of non-adherence is known as non-conforming which means that medication are not taken as prescribed which can be from skipping doses to taking medications at incorrect times or using incorrect doses. Advanced practice nurses frequently come across some patients who just use their medication when they show complication of hypertension or diabetes. It is important when a high level of care is to be achieved the behavioral factor of a patient is addressed. Treatment can only be fully effective if medications are used in the proper dosage and

This study is imperative for the growth of knowledge on diabetes. Recent studies have identified the rise of diabetes cases and how the disease is running out of control. This study explains the basic terms of diabetes and how it can be prevented and managed naturally. The study points at creating awareness of the prevalence of the disease. The research explains that in every 20 people in the world’s population, 1 has diabetes. Most of the death cases resulted in diabetes are because of unaffordability of the treatment. However, this study is aimed at

There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses

Yet, nevertheless though the respondents appear exultant with the free services in Britain. Practitioners, Healthcare policy makers and managers should be cognisant of the perceptions of Indian and Pakistani patient’s cultural beliefs and may need to describe their roles and explain how all the diabetics care fits together, to avoid being seen as offering treatment which may seem derisory. The professional also needs to make sure that they elucidate the importance of lifestyle changes into the respondents’ family as well as to respondents, to prevent any

The provision of written medication information given to the patient helps significantly in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient’s understanding of their medications, and when a patient feels more competent with the use of their medications, reduced