Poor Compliance Essay

Traditionally, pharmacists had no power of questioning any order made by the physician. It was also stated that a pharmacist had no power of advising the patient on the usage of medication. Currently, pharmacists have been given more power and therefore have the mandate of questioning any prescription from the physician. It has been observed that pharmacist can today share information with the doctor and ensure that patients get the right medication. Laws have allowed pharmacists to be consulted on some medications by patients, allowing patients to trust pharmacist on some simple questions that they do not need to visit their doctor. Pharmacists play a significant role in advising the patient today on the type of medication they are taking they are also held to the same standard when it comes to rules and

In the Institute of Medicine (IOM) report in 2006, Preventing Medication Error, more than 1/3 of the 1.5 million adverse drug events that were recorded in the United States each year occurred in an outpatient setting. Likewise, in 2008 IOM released a report that laid emphases on the need for setting universal standards within prescribing and dispensing practices. Multiple studies reported that an increased prevalence of patient adherence to taking prescribed medications can be compromised by their inability to comprehend or understand the directions for taking the medication (Wolf et al., 2016). The inability to understand and interpret prescription drug labels were recognized as the leading cause of a large proportion of outpatient medication error and adverse events, as patients may possibly accidentally misuse a prescribed

In order to evaluate and compare medication compliance the patient’s discharge medication reconciliation were compared to patient’s medication list at time of first office visit. Of the patients in population 1 (N=82), 71 were seen back for follow up and 11 never returned. Of the 71 that returned for follow up 97.18% (N=69) were compliant with discharged core measure medications. Population 2 (N=104), 97 were seen back for follow up with 7 never returned. Of the 97 seen back for office follow up 100% (N=97) were compliant with discharged core measure medications. Statistical analysis of the two population did not find a statistically significant difference (p= 0.0991).

Upcoding the level of service provided, because of it's widespread practice. Upcoding is a major focus of the OIG and is incorporated into the regulations initiated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Upcoding is defined as, “billing for more expensive service than the one actually performed. Most physicians do not use the lower level Current Procedural terminology (CPT) codes because incentives fees are less.. Upcoding is considered fraud when there is patten of selecting higher levels codes for lower level services.

In the United States today, the elderly make up approximately 13% of the population but use 30% of all prescriptions written. This article focuses on the importance of understanding patients’ prescriptions and their adverse drug events (ADE), as well as the best ways to care for patients with many prescriptions. The article also discusses the best ways to avoid ADEs.

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

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).

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 Action Plan for Medication Safety was a study that accessed patient’s knowledge on their medications. Patients taking more then 5 medications were chosen to participate. The study began by giving each patient a fake medication plan to test if they understood the plan or not. After being accessed and properly educated, the patients were then given their own plan and a filled pillbox to handle and properly take their medications. The study concluded that the patients were more adherent to their medications because they understood the medication plan and the importance of taking their medication at the appropriate time

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.

Typically, multidrug regimens are necessary among patients with T2DM to manage hyperglycaemia and the associated risk factors of hypertension and dyslipidemia. In these patients, non-adherence is a major concern. It has been demonstrated that non-adherence is higher among patients with diabetes than those with other common conditions. Prospective studies show that 15–39% of patients are non-adherent to oral anti diabetic drugs. Although patients self-report a 94% adherence rate to sulphonylureas, the actual adherence rate found when electronic monitoring is used is around 75%. Another factor that may influence adherence is the complexity of the dosing regimen. A prospective assessment of self-reported medication adherence conducted in 11,896 individuals with T2DM revealed reduced compliance with twice daily and three times daily dosing compared with once daily dosing. Socioeconomic issues, ethnicity, patient education and beliefs, and poor social support are also predictors of non-adherence. Declining cognitive function, polypharmacy, and poor vision among elderly patients increase the risk

“Polypharmacy is a term that refers to a high number of prescribed medications; usually five and above, or the use of more medications than clinically justified” (Chiang-Hanisko, 2014). According to The Center for Disease Control and Prevention between 2007 and 2010 nearly 25% of the elderly population were prescribed 5 or more medications. Due to the longer life expectancy, the aging population is more vulnerable to polypharmacy because they often have several comorbidities. The issue lies when several providers prescribe multiple medications and are not knowledgeable about the patient’s drug history. Polypharmacy is dangerous and usually results in numerous adverse drug reactions, noncompliance, and an increase in injuries resulting in hospitalization or mortality. Health providers need to become aware of the multiple medications that their client are receiving in order to reduce the use of unnecessary medications, and provide quality care.

Patient compliance is a complex ethical dilemma that has plagued health care for years. The issue of patient noncompliance needs to be addressed in the context of the changing reimbursement landscape. According to Chesanow (2014) compliance and issues surrounding compliance have been extensively studied. I find it interesting to note that despite the abundance of studies, non-compliance has grown significantly over the years.

lives with her daughter, her daughter is able to supervise and remind her to take her medications at the correct times and at scheduled intervals. As a nurse, I suggested that they obtain a medication container that could be set up for the week and it would be easier for the patient and family to know that the medication was taken appropriately. Studies have shown that by using a medication organizer, it was easier to keep track of medications and reduce the chances of missing a dose (Modig, Kristensson, Troein, Brorsson, & Midlov, 2012). I explained to them it was like double checking each other as a safe-guard. The family agreed to purchase a medication container. I also informed Ms J.B. and her family of some of the side effects of her medications, such as dry mouth, possible dizziness, and chances of falls due to narcotics, to name a few. Although both the senior and her family knew of the risk of falls due to narcotic effects, they did not realize that dry mouth can occur with some of her medications, which she states she sometimes

The provision of written medication information given to the patient helps significantly in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient’s understanding of their medications, and when a patient feels more competent with the use of their medications, reduced