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. The reasons of medication non-adherence to happen are related to patient, therapy or treatment itself and health care provider.
. Some behaviour of patients in medication non-adherence such as forget or missed to take
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In intentional medication non-adherence, patients are refused to follow the treatment or therapy, while unintentional medication non-adherence, patients are carelessly or forget to adhere the treatment or therapy. (5) Intentional can said to be active process. In intentional medication non-adherence, patients weigh the pros and cons themselves. For example they will scare of the side effects of the treatment and refuse to follow the recommendations of therapy. They also think that treatment need large amount of money, so they may decrease their doses to save money. (3) Moreover, some of them also start not follow up and not fill their prescriptions. They discontinue their treatment prematurely because they may not believe the treatment can bring back their healthy lifestyle. (1) This is because of lack of communication between patients and the health care providers. For the elderly patients, they are always hesitance to start a therapy or treatment. …show more content…
This can through the biochemical analysis but it is expensive. (6)
2. Indirect method
Patient’s self-report and patient questionnaires. (6) This method is popular because it is simple and inexpensive. Health care providers should have an interview to their patients which should ask them the open-ended questions. For example, the questions like “How many time have you skipped your treatment or medicine?” (8) However, its brings the disadvantages to the results or reports get from patients can easily change by them. For example, patients can report that they have done their medicine but actually they are not.
Count and record the pills and container. This method inaccurate when patient is not honest to the health care providers. The data and record can easily altered by the patient. (6)
Record the rates of prescription refills will provide the number of times patient come to follow up. (6) This has disadvantage when patient not take the medication as they
When deciding whether or not to give a medication to a patient, many things must be taken into account. These conditions are known as indications. The indications for a medication include the most common uses of the drug in treating a specific condition (10). Another thing to be considered are contraindications, which are conditions where the drug should not be given. Contraindications are situations in which the drug should not be administered because of the potential harm that could be caused to the patient (10). The dosage is also important. The dose simply indicates how much of the drug should be given to the patient (10). The actions of the drug must always also be taken into account. The actions are the therapeutic effects the drug will have (10). Side effects of the medications must also be considered. Side effects are actions that are not desired and occur in addition to the desired therapeutic effects. Some side effects are unpredictable (10).
During the med check by the other pharmacy student, the patient informed us that he hasn’t been compliant with a couple of his medications which got me concerned. It made me think why he has stopped taking these medications and how this would impact him while on his health condition. Thinking back to my prior learning on medication noncompliance, patients who don’t take their medications
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.
Other situations that could arise could be around a young adult not wanting to take their medication but not understanding the importance of the medication and the consequences of not taking it, if it is for something like epilepsy or depression.
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,
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
Pharmacodynamic: Not taking medication as prescribe can affect the medication's concentrations levels in the blood.
Patient Adherence: There is no known cure for chronic disease, the progressive nature of chronic disease the patient and family must adjust to continual treatment changes, and the chronic disease continues throughout the patient’s lifetime developmental and lifestyle changes often influence or pose additional challenges to the person with a chronic
Lack of adherence causes major problems for the patient, especially if he/she takes medications for chronic illness and heart problems. For any patient, it is highly advised to take any prescribed medication because a doctor’s knowledge on the subject surpasses the patient’s. In our experiment, we are testing how the patient’s level of education affects their medication adherence. Education level is dependent on many factors: economic status, accessibility, and availability. How a patient’s education level affects how well he/she adheres to their medication is overarching and can be associated with an entire population.
The act of not informing the patient about this can cause several errors in taking the medication. An example
I feel that when discussing a person’s compliance or adherence to a healthcare plan it can seem very black and white. In order to gain a better perspective on what I mean I am going to define each key term. Compliance is identified as someone who is obedient and accepting of their healthcare treatment plan, whereas adherence is referred to as showing commitment and support of a plan of care (Richards, 2014, p. 219). My patient has struggled with compliance to her health regime. I do not think this is because she chooses to be noncompliant. Instead, I attribute it to the Biomedical theory, which identified several factors including, “demographics, severity of the disease, and complexity of the treatment” (Richards, 2014, p.219) to her compliance
For my research project I hoping to look at the effects of technology on the adherence of patients to their medication regime and what effects using more technology would bring to try to and get patients to be more adherent to their medications. Medication adherence has been a big topic for many years and many different experiments and methods have been tried in order to try and increase this adherence in patients. When it comes to medication adherence many people do not do very well due to forgetting to take their medication, not wanting to take their medication or even not being able to pay for their medication they need. Past experiments have looked at the effect of things like the practitioner giving the patient a slight touch while emphasizing they stick to the prescribed regime and this experiment showed that with that touch adherence of the patients and
While it is necessary to be prepared for your patient interview by reviewing the chart and proceed with goals in mind, you also need to make sure are asking open-ended questions. These questions encourage the patient to express any possible concerns as well as free the patient from the restriction of a yes or no answer that provides minimal information. (Bickley, 1998). After you have received the patient’s story and need clarification, need to obtain targeted information, or if you need to direct the conversation yes or no questions can be most effective. It is always important to remember that we are in the business of helping people and every person has a story and deserves our respect to be
Nursing literature strengthens the medical view that non-compliance is a large problem that often comes with damaging consequences, often related to cost, re-hospitalization and relapses that might have otherwise been prevented (Russel, Daly, Hughes, & Hoog, 2003). Research indicates that a patient who is not satisfied will rarely comply with directions and often does not show up for return visits and this gives meaning as to why this is such an important topic. A show of statistics indicate that non-adherence to medications causes 125,000 deaths yearly and can be accounted for 10% to 25% of reported nursing home and hospital admissions in the United States alone (Atreja, Bellam, & Levy, 2002).