Medication Non-Compliance

Hypertension (HTN) is a chronic illness that serves as a main risk factor for cardiovascular disease (Hanus, Simoes, Amboni, Ceretta, & Tuon, 2015). Although medication can manage HTN appropriately, lifestyle modifications make a substantial difference as well. However, many patients go through behavior stages in which he or she contemplate on making the necessary changes to improve their health. One solution to the problem is the development of an educational Hypertension Intervention and Follow-Up program (HIFP). Studies have shown that active educational interventions that incorporate small groups are more effective than passive delivery of educational materials (Pimenta, Caldiera, & Mamede,

The use of stimulant medications such as Ritalin or Adderall in children with the attention deficit hyperactivity disorder (ADHD) continues to rise, albeit at a slower pace than in previous decades, a new study finds. The study authors tracked data on prescription in the US 1996 to 2008. They found that the use of drugs for ADHD was higher among children of 6-12 years and increased slightly from 4.2 percent in 1996 to 5.1 percent twelve years later. However, increase more pronounced occurred in older children, ages 13 and 18. In this group, the ADHD drugs increased more than double, from 2.3 percent in 1996 to 4.9 percent in 2008. The researchers said this reflects a greater understanding

The reporting party (RP) stated she was recently terminated due to leaving residents alone in the facility and discussing missing narcotic medications. The RP stated on at least two occasion residents' medication became missing. According to the RP a female resident (name unknown) who passed away shortly before Thanksgiving was missing her "Norco." Additional a resident named Richard was missing his evening dose of "Lorazepam." Subsequently the RP discussed the missing medications with the Nurse and Executive Director; however, the missing medications were not reported to CCL. The RP stated that the medication staff are not properly trained in assisting residents with their medications. According to the RP many prescription medications have

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

After a year in nursing school, drug administration and nursing responsibilities are firmly drilled into our heads. The 6 rights: right Medication right route, right time, right client right dosage, right documentation, and the right to refuse any medication. Before giving the medication the nurse must fully ensure that the patient knows what the medication is for and what to expect. The nurse must check the patient’s armband before administering medication, ask the patient to verify his name and date of birth, only administer meds the nurse has prepared herself, and if there is something the nurse is unsure about she should look it up or ask for help.

The purpose of this project is to decrease potential medication errors in the facility. This will be done by following some strategies:

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

This study described discharge prescription medication errors written for emergency department patients. This study used content analysis in a cross-sectional design to systematically categorize prescription errors found in a report of 1000 discharge prescriptions submitted in the electronic medical record in February 2015. Two pharmacy team members reviewed the discharge prescription list for errors. Open-ended data were coded by an additional rater for agreement on coding categories. Coding was based upon majority rule. Descriptive statistics were used to address the study objective. Categories evaluated were patient age, provider type, drug class, and type and time of error. The discharge prescription error rate out of 1000 prescriptions

America is running into the problem of inappropriate prescribing. Particularity, research has shown that Americans are taking medication that may be inappropriate for their mental problem. It is easy for any physician to send out a drug or write a script to treat a mental health disorder. The problem is that it may not be the safest and the most effective for the patient. Patients are now easily to receive psychotropic medication without the correct evaluation by a mental health professional. “Many Americans visit their primary-care physicians and may walk away with a prescription for an antidepressant or any other drug without being aware of other evidence-based treatment that might work better for them”

This reflection will reflect on an incident that happened during my clinical placement. According to Gulland, A. (2013, Jul) the most frequent reported error in health care settings are medication errors.

Medication adherence is one of the most important challenge in healthcare research due to its complexity and impact on overall health outcomes. The work suggests that non-adherence is frequent for all drug classes and the causes are attributed to characteristics of the medication itself, high cost of prescription drugs, lack of patient education and psychological variables. Most of the solution defined to address the level of non-adherence stresses the importance of developing HIT infrastructures. The collection and sharing of healthcare related data has been facilitated by the advances in ensuring EHRs while the patients are treated in hospital.

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.

My experience with issue of medication error occurred during my pre-graduate clinical in a long term facility, I and the preceptor were administering medications during lunch time. One of the residents came from leave of absence, prior to her LOA, the daughter who was the POA was given the resident’s medications, including insulin. When she returned to the facility, her medication was administered as per scheduled time without having knowledge when the last insulin was given, fifteen minutes thereafter, the personal care provider noticed that this particular resident was not eating and appears to be sweating, the PCP reported to us, on assessment she was found to be shaking, sweating and loss of consciousness and her glucose level was

Thank you for educational and insightful post. You did an excellent job explaining all necessary steps how to deal with medication errors. According to Anderson and Townsend (2015), medication errors are the most common healthcare errors. Each error can cost somewhere between $2,000 to $ 8,750 of in-patient expenses and leads to more than 7,000 deaths annually. Interruptions and distractions, if it is to a prescriber or whoever is administering the medication, are among most common reasons why medication error occurs.

There are many different solutions to patient non-compliance. Education is one of the biggest factors that play into whether or not a patient will adhere to discharge instructions. When patients do not understand why they are taking their medication and or how they are supposed to continue their care at home; it poses a big contribution to patient non-compliance. According to Pasina’s (2014) medication adherence study, patients are more likely to follow there medication regimen if they are better educated on why they are taking their medication, when they should take their medication and how to correctly take their medication. Dury (2013) states that offering patients tools that will help them improve their health and better understand their medication will increase adherence.