Patient Disengagement

In the first hour of today’s lecture, Dr. Schommer introduced today’ topic by an interesting exercise. Actually my English is not that fluent, so I know how difficult it is for a foreigner to understand Americans thoroughly. Regarding patient experience, health care providers should make medication and therapy decisions with the patients equally, and, what is more important is to consistent of the decisions and follow up.

The first eleven chapters of Adventures establish Huck's character prior to his journey on the river with Jim. Dealing with external difficulty is easy for Huck, as he consistently adapts to his environments; however, his actions contradict his desires, revealing that Huck is conflicted.

Another topic that is underlined throughout the book was Andie’s non-adherence to her insulin shot and other medications. Throughout the book, Andie has demonstrated many incidences of non-adherence. Andie does not use her needles properly and has intentionally miss insulin shots to lose weight. The reason behind her behavior can be explained by the “Health Belief Model” in the Adherence and Behavior section of PHRM 826 Patient Centered Care. For patients to take action, they need to have high perceived threat from not taking the action. Threat is influenced by severity of non-adherence and susceptibility of those severities. For Andie, she definitely has high perceived severity from knowledge of possible complications of diabetes from

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,

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.

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

Two different types of theories of ageing; Disengagement Theory and Activity Theory. Robert J. Havighurst being the main substance of ageing. Disengagement theory- Theorists of Cumming and Henry;. This theory has the outlook that as you get older, you tend to distance ourselves from others and start to have your own life and disengagement on the world.

In conclusion, addressing the problem of non-adherence would help alleviate the burden of added costs to healthcare. When patients take their medications as prescribed, they are considered to be adherent. Adherence has two components that are complementary to each other: persistence and implementation

Patients center approach mutuality: encourage patients to participate actively using shared decision- making approach that can enhance the successful of the program through listening skills and open questions, such as what do you think the best method that better suits your situation to quit? So, common understanding between patient and provider can be developed to help the patient to develop control over the behavior. Also, active listening would help the provider in assessing role of context social economic, and environmental factors that might hinder the patients from quitting

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

Often times patients are waiting until conditions have escalated rather than contact their provider for proper management of their condition. Educating patients is vital to initiating a change in this area. With increased education and awareness on the patients and providers part, this will begin to significantly reduce cost. When patients are informed and are able to be active participants in their healthcare patients have a better overall health experience and are more satisfied with their health care. The overall goal is to increase patient satisfaction and reduce escalating healthcare cost. The triple aim aligns with this proposed population. By educating and having patient take an active role in their health care it will hopefully improve the patient’s experience. Ultimately patients need to be satisfied and feel they are receiving quality care which is the goal of the triple aim (“The IHI Triple Aim”,

The general public also needs to be educated with the help of out-reach programs which will specifically target minority groups who are affected by the factors stated above. There is also a need to improve communication between the health care providers and the patients in order to better educate the patients about their health conditions, the risks associated with their illnesses, and the resources available which would provide them essential help needed for their overall health. Some patients decline to take certain medications due to cultural biases and perceptions, so providers need to be aware of the cultural differences and respectfully try to diminish the misconceptions related to western medication. And if patients still persist to decline medication, then alternative treatment plans should be provided. Patients that are genetically disadvantaged or have chronic diseases need to be provided with better self management options by providers due to the fact that, many patients like to self manage their diseases. So educating them better about their diseases will lead to improved self management and overall

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

Clifford Shaw and Henry McKay’s “Social Disorganization Theory” is an ecological theory based on the concept that people and their environments (neighborhoods) are related and affected by each other. Robert E. Parks, who saw the city as a patterned ecological system, thought that poverty-stricken inner cities were areas invaded by new occupants with different nationalities and ethnicity and that the social structure or “nature” of the neighborhood was thus affected. The basis for Michael Gottfredson and Travis Hirschi’s “Low Self-Control Theory” is that crime is the result of a person’s need for immediate pleasure and comfort, and this impulse causes him or her to commit an illegal act. Individuals focusing on the present may lack the ability

The big question is whether humanity is getting too big and, in the process, endangering the wellbeing of people, and our planet. Overpopulation is a real thing it’s happening right now in some parts of the world. Delay marriage, ending child marriages, and women empowerment might not seem like a lot, but it actually is. All these things can help the overpopulation problem we are facing today in certain parts of the world and in the future. If we all contribute to this we could help the world’s overpopulation issue.