Medication Compliance Case Study

As it is mentioned earlier, medication administration includes various steps and an interdisciplinary team. Undoubtedly, nurses play a vital role in the medication administration process. Since patient safety is the priority to all health care professionals, it is important for the nurses to effectively communicate and collaborate with an interdisciplinary team if he or she is unsure about any medication prescription to prevent any adverse events. In addition, patient education is another component of safe administration. A patient must be educated on medications they are taking, the reason for taking them, the dosage, a route, potential side effects, and interactions. Nurses should perform “six rights” of the medication each time. Before administering

Client reported feeling down within the last month and using heroin to cope. Client also reported feeling better and motivated towards the end of the month. Client completed a Beck Depression Inventory in which he scored a 6 indicating normal ups and downs. Client VA records confirm a diagnosis for PTSD and the medication list includes, Sertraline and Setraline HCL, as well as methadone to which the client appears compliant. Client reported he is medication compliant. Client denied any S/I or H/I.

I have chosen the research topic of medication non-compliance, specifically regarding high blood pressure medication. I see patients very often at my job who do not take their medication because they say they feel fine or they forgot. I do teach my patients that they need to take their medication every day and suggest to take it at the same time as something they already do daily such as eating breakfast but my words seem to fall on deaf ears. Some patients don’t like the way the medication makes them feel so they just stop taking it instead of going back to their doctor. I believe that more visual aids in teaching such as videos that show what is happening inside your body when your pressure is high in addition to meeting stroke patients

Counselor met with Pt. for his monthly therapy session. In this session, Pt. discussed his recovery progress, new tx plan and his assignment on Relapse Prevention. Client was upset about not moving on 4/12/12. He asked writer if he was moving forward this week, and writer shared with the Pt. that he needs to keep improving and leave the take home privileges up to staff. Pt shared with writer his Comprehensive relapse prevention plan. Pt. processed roadblocks and barriers that interrupt his recovery plan. He said having cravings t the moment is one of the problems. Pt. reported that he is currently receiving 60 mg of methadone and he thinking about going up. Pt. denied having any mental health issues and no suicidal ideations. Counselor helped Pt. to

Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his progress in treatment, any medication issue, any triggers and acceptance of his TX plan. Pt. signed his Record Service sheet. Pt. indicated that he does not attend the clinic Tuesday, Saturday and Sunday and he likes having more time in his schedule because he likes to take care of his business and different errands. Pt. verbalized how hard it is to stay away from his business because worried about his employees and clients. Pt. stated, “The business is like my kid,” Pt. spoke about how he is thinking about opening a second shop around this area. Pt. commented that he isn’t experiencing serious side effects and prescribed medication is working well. Pt. informed this

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

D- This writer met with the patient upon front desk specialist request as he was a minute late to his Orientation II. The patient provided an explanation that there was traffic and tried his best to get to the clinic. During the course of the session, this writer completed the Orientation II addressing what is methadone? How does it work? It's origin, clinic's policy regarding to dosing and medication validation and much more. The patient during the session asked appropriate questions about methadone. The patient provide some backgrounds of his drug history and his aspiration for his recovery process. The patient hopes to be counselor some day to help others with their addition. Lastly, the patient is employed and sales car parts.

D-The patient reports that he is not stable on his dose and is aware that his current dose was just increase since yesterday and he has to wait three consecutive days for another increase. The patient reports he used illicit drugs last night, heroin-2 bags, by IV. This writer addressed with the patient about his UDS result, + heroin and cocaine. This writer proceeded to discuss the patient's triggers and addressing alternatives to his ongoing use.

In the dissertation Adherence to Stimulants in Adult Attention Deficit Hyperactivity Disorder, O’Callaghan (2009) examines the experiences, points of view and insights of adults with Attention Deficit Hyperactivity Disorder (ADHD) as it relates to medication adherence. The theoretical foundation for the study is centered on the Health Belief Model, in which an individual’s perceived acuteness of ADHD symptoms, perceived efficacy and cost of medication treatment influence medication adherence (O’Callaghan, 2009). To gain a better understanding the complexities of medication adherence among adults with ADHD, the researcher used the mixed methods approach of explanatory sequential design (O’Callaghan, 2009). For this particular study, the quantitative

Objectives/ Progress: As the Pt. has participate in the AMS Program, he has discontinue his opiates use and his UDS results indicate no evidence of ongoing abuse. Pt. demonstrated treatment maturity and appropriate control of emotions but he has never earned take home privileges because he likes to smoke marijuana and he is self-medicating with the drug as a way to battle depression and anxiety. Pt. does not want to discontinue his marijuana use. Pt. has refused to find and obtain mental health services during previous tx quarters. Patient has experienced treatment regression due to failing to attend November monthly counseling session and receiving an AMS Notice of Counseling Non-Compliance letter. Patient reported daily as instructed by AMS staff and AMS Doctor to receive prescribed daily maintenance medication. Primary Counselor will encourage Pt. to reflect on the negative aspects of his bad habit and the positives associated with giving marijuana up (or reducing). Counselor will be aware that Pt. may doubt that the long-term benefits associated with

Terry noted he is take his medcation daily. Terry noted the Nurse Wanda Miller give him , his medcation.Wanda note they give him his medacation daily.Progress is made becasue Terry is doing better with medication compliance

Objectives/Progress: Pt. has maintained Phase 7 take-home privileges. As the pt. has participated in a total recovery program, he has been able to maintain abstinence from mood-altering drug use as evidenced by submitting 19 clean UDS results since entering and reporting sustained abstinence. Pt. is compliant with all aspects of treatment, provides negative UDS, and attends required monthly counseling. Pt.'s program attendance is in a good standing but pt. needs to attend different AMS groups. He was advised to schedule different groups and the benefits of doing so. Pt. has achieved a lengthy period of sobriety and has good insight into personal recovery behaviors. Counselor will review this long-term goal with pt. during his therapy sessions.

MR has unlimited access to group and individual counseling at New Beginnings. It was recommended MR visit a psychiatrist to be assessed for medication. MR does not believe he needs to be on medication, however resources were still given. MR would benefit from medication immensely. He would be able to think clearer and communicate better. It was also recommended MR attend Narcotics Anonymous (NA) meetings daily. After a group session at New Beginnings, all of the clients attended an NA meeting. MR stayed in at the NA meeting for two minutes and then went home. MR does not want to attend NA meetings because he believes he is getting enough help at New Beginnings. It would benefit MR to hear others stories about how drug use affected

Medication adherence, or taking prescribed medications correctly and timely, is generally defined as the extent to which patients take medication as prescribed by their doctors. Low medical adherence can interfere with the ability to treat diseases, leading to greater complications from the illness and a lower quality of life for patients.

I identified what I needed to learn by engaging myself in the activities going on in the pharmacy. I moved closer to the member of the staff and ask questions about their day to day activities.