The Importance Of Non-Adherence Among Patients With Cardiovascular Disease

A literature review of nurse – guided patient –centered heart failure education programs reveal that several studies have recommended strategies to promote improved outcomes for heart failure patients by placing emphasis on education focused on promoting patient self-care management in regards to diet, exercise, weight monitoring, and medication adherence (Baptiste, Mark, Groff-Paris, & Taylor, 2014, p. 53). Heart failure self-care refers to all of the practices in which patients engage to maintain their own health and the decisions that they make about managing signs and symptoms. Hospital initiatives working to improve heart failure readmission rates should implement a patient education program that focuses on self-care. To make it easier to manage the heart failure population at any given time, all patients presenting with heart failure should be admitted to a specific inpatient ward, and daily nursing huddles should be utilized in order to identify heart failure patients. All heart failure patients should be educated by the nursing staff throughout their stay by specialty nurse educators who are themselves educated on heart failure treatments and protocols. The research concluded that implementing standardized patient education programs that focus on self-care management

Education for the providers and patients both need to be more accessible. Providers education for screening, and implementation of a policy to set better guidelines for screening, needs to be created so that patients at risk can be educated soon rather than later on lifestyle changes. The education for patients needs to be more extensive in the office and also in the community where individuals are more likely to ask questions and be in an environment where they are more comfortable.

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

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

Ensure accurate maintenance and communication of medications: Making sure that there is appropriate and accurate documentation about the medicines that the patients were taking, and comparing them with the new medications. Also giving the patients the information needed to safely take their medications when they go home. The purpose of this goal is to ensure a better outcome for the patients’ health, and reduce errors when providing medications (The Joint Commission, 2012).

In my every day practice, though I work with a different patient population, the results of this study show the applicability of health education for family and patients in improving health outcomes. Even with health topics other than diabetes, health education is pivotal to improve knowledge, self-management, and patient compliance. With adequate knowledge in disease processes, patients can make better choices, maintain their health, and adequately prevent complications. Though the demographic aspects will be different, the outcome achieved in this study would remain relatively similar.

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,

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

Patient prevention and education should start in the primary care setting where information could be shared with the patient and their love ones. Patient education can be initiated by the primary care provider and the ancillary staff. Initiating this fundamental exchange of information can establish a knowledge base for health promotion behaviors and increase self-management skills that can improve the patient quality of life (Cha et al., 2012).

Lastly, support Amanda and Jim to engage in behavior change strategies to optimise their health and wellbeing by encouraging them to be involved on secondary prevention or cardiac rehabilitation programs; providing fact sheet on information and action plan of warning signs of heart attack; giving appropriate psychological management and counselling strategies; and tailoring advice and maintaining motivation and communication to maximise adherence to treatment plan (National Heart Foundation of Australia,

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

Many people today are taking medications in their daily lives. They have set times and days when certain medications are supposed to be taken. Most people have no problem taking the medication they are prescribed. However, there are still a few out there who have trouble with medication compliance. There are so many reasons for people to have this trouble.

Collecting a sufficient pool of data, specific to the patient population and intervention I hope to examine, has been exceedingly challenging. Although there is abundant data regarding medication compliance and interventions to improve adherence to medication regimens, I have found that many of these studies are related to specific disease processes such as HIV, diabetes and cancer. However, despite initially being discouraged by the lack of data existing my proposed research, I have taken this barrier in stride as it demonstrates the need for further

Another intervention is patient education such as teaching what is considered hypertension, how to check the

First goal: Patient will verbalize understanding of the importance of follow her heart medication regime as doctor prescribed it and describe the possible consequence of a non-compliance with her treatment by the end of her today’s appointment.