Compliance In Nursing Care

If an individual expresses that they want to discontinue their medication and becomes non-compliant with their medication then it is my role to identify the risk they are currently posing and update their risk assessment; inform their CMHT and let the citizen know of the consequences to them not taking their medication and reiterate that it is their choice, as long as they have all the information to make a decision (wise or unwise). It is important to emphasise that not all individuals understand information the same way, therefore I have found that the use of internet, booklets, music, audio recordings, talking group therapy and pictures can be applied to explain a situation to a resident if they are unsure of particular consequences to their health.

Some of the factors that patients do not adhere to when their healthcare provider tells them too is due to patients being too busy. Often times life is very busy as we all know this but forgetting to take of yourself can have detrimental effects to your health. Some people think they can get better on their own without the help of a doctor so they feel like they will be fine or able to handle any health complication on their own. Another reason is that often people do not understand or they forget what the doctor is telling them about their prescribed treatment regimens and other patients decide to simply not follow it. As stated in the article by Sklar, Min Sen Oh & & Chuen Li, 2008 “Poor communication with healthcare providers was also likely to cause a negative effect on patient’s compliance (Bartlett et al 1984; Apter et al 1998)”. Miscommunication between a doctor and patient is at the root of most adherence problems. Often times patients leave their doctors office not knowing or having the slightest clue to what they should be doing. Instead of asking for help or clarity they just leave. Communication needs to be clear and effective for both the patient and the doctor. Non-adherence is wide spread when it comes to patients not adhering to what professionals tell them. Many patients will have significant risks because they forget,

Patient's decision-making is influenced by several factors. Patients may change their decisions, from accepting or refusing treatment depending on the available treatment options. The capacity of the individual to make informed medical decisions can differ as the patient's status changes cognitively, emotionally, and/or physically and as the proposed treatment interventions change. Treatment refusal is a common situation faced by clinicians. Patients do not usually refuse the medical advice if the advice is of good intention. When patients refuse an advice, it indicates some underlying reasons related to the patients or family, factors associated with the physician as well as social and organizational issues.

Medication adherence is described as the extent to which the patients take medication as prescribed by the health care provider. To ensure the patients receive proper care, health care systems must implement procedures to successfully meet their needs and overall improve their quality of life. However, there are several reasons that affect proper medical care, which ultimately results in an increase in health care expenses and poorer health outcomes for patients. Studies have shown that approximately 50% of patients do not take their chronic medications as prescribed and that nonadherence can cost the health care system nearly $100 to $289 billion per year (1). Medication adherence is difficult to achieve due to ineffective communication between

Adherence is defined as the extent to which a person's behaviour in taking medication which requires the person's agreement to the recommendations for treatment from health care provider(4) to achieve healthy lifestyle. (7) In the situation that not following the health care provider’s orders correctly, it is known as the medication non-adherence. Medication non-adherence will lead to multidimensional health care problem. (1) Non-adherence of medication will be occured among patients during different stages of their therapy.

In an article published by Consumer Reports in 2011, 660 physicians were questioned regarding “What Doctors Wish Their Patients Knew.” (Chesanow, 2014). The topic that gained first place in the list was concerning patient noncompliance to medication and treatment. (Chesanow, 2014). It is reported that about 50% of the medications are not taken as prescribed by clinicians (Brown & Bussell, 2011). As a matter of fact, the number of noncompliant patients have significantly risen to levels considered as an epidemic (Chesanow, 2014).

As previously shared at the location where I am completing clinical practice nurses coordinate timely and appropriate medical care—but nothing more. Nevertheless, case managers should follow nursing standards and practice according to them. The nurse case manager enjoys autonomy and independence. They receive training and preparation to face their daily challenges and succeed. Recently, the company has developed and is promoting the use of a phone application to facilitate the billing process. The billing process is the method used by this company to show the case manager’s productivity. The productivity is reflected on how many activities each case manager performs for each individual referral or client. The activities vary; it could be from

According to Stockley (2014), consistently following an insulin therapy schedule will better control blood glucose levels and will decrease and help prevent

Negative reinforcement by instilling fear to comply is unethical and if a patient refuses treatment after information giving this must be accepted (Haynes et al. 2002:2881). Documentation is a vital tool to protect health professionals in this situation (Loveridge 2005:19). The promotion of concordance must be within a framework of health promotion as medication compliance is a learned response in health management and self-efficacy (Embrey 2006:510).

The population is plagued by many chronic diseases, most of which is maintain by medications. Medication noncompliance whether by choice or inconsistent use, leads to exacerbations and lengthy hospital stays. These hospital stays get costly and detract from revenue generation and increases loss of productivity. One way to decrease hospital admissions is through the use of mHealth tools to help patients become more responsible and consistent with medication use.

The phenomenon of medication non-adherence, such as Belinda’s case, is not uncommon in patients with mental health disorders. As discussed above, barriers such as stigma, efficacy, side effects of the medications, socioeconomic status, and lacked insight can be the contributing factors to this phenomenon.

Did you know that patients with chronic disorders are more likely to become noncompliant with their therapy and or medication regimen after about six months? The term non-compliance is very often interchangeably used with the term non-adherence. Mantri (2014) defines non-compliance as patients that do not follow their health care provider’s recommendations and or instructions. Several different factors play into why a patient becomes non-compliant. Mantri (2014) states that the four factors that play a major role on whether or not a patient is non-compliant are; illness, medication, physician, and the factors that strictly relate to the patient personally. When patients are non-compliant it puts a big burden on health care economically

Other reports have shown that approximately 40% of patients report not following prescribed treatment regimens [15] or rate their adherence as less than excellent [16].

To the best of our knowledge this is one of the first studies to explore the association between medication adherence and the potentially inappropriate medication use and also the related socio-demographic variables in elderly population with chronic illness in an outpatient setup. Adherence is measured by three levelled MMAS-8, PIM is evaluated by AGS Beers criteria 2015 and the data were analysed by ordinal logistic regression model. Two hundred-six patients (48.5%) do not adhere to the regimens as prescribed (MMAS-8 < 6) while 179 (42.1%) had medium adherence (MMAS-8 6 to criteria cannot be used as a gold standard, as they do not identify all cases and aspects of potentially inappropriate prescribing and the criteria are designed

Integrity should be held high in the nursing leadership. A nurse DNP with executive career field s normally take leadership positions. As a leader, I will be directing, advising and instructing staff members what they should do. Both young and old nurses will be looking up to me. Nursing is a career that demands respect, patient, compassionate and trust. It is very necessary to maintain trust in all my actions. If I tell my subordinate to act in a certain manner, my actions should reflect the same message back else I will lose respect and they will not take me serious. When I break the code of trust and respect staff will do or say whatever they want. If that goes on, the unit cannot move forward and patients will suffer. Patients will not