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. Generally, the population with psychotic disorders have a poorer medication adherence compared to those with physical disorders (Kane, Kishimoto & Correll 2013). The second Australian national survey of psychosis reported that 91.6% of the population with mental health issues were using psychotropic medication; the non-adherence rate was 11.8%; and the most common given reason for medication non-adherence was forgotten (Waterreus et al.
Many people cannot afford mental health care or their insurance does not cover visits to doctors who treat mental illness. Leaving mental illnesses untreated can worsen the effects of them and can create more problems for the person. Data from the National Institute of Mental Health suggests that around 3.3% of the population of the United states have schizophrenia or bipolar disorder. 40% or people with schizophrenia and 51% of the people suffering from
Schmutte et al. (2009) concluded that patients diagnosed as having a psychotic disorder have significantly more inpatient admissions than those with “other” disorders. According to Hunter, Yoon, Blonigen, Asch, & Zulman (2015), individuals with severe mental illness and substance abuse disorders were younger and had fewer chronic medical conditions. The same individuals also had a greater proportion of their healthcare costs generated by mental healthcare (41%).
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
Medications are a necessity in dealing with this illness. Anti-psychotics are predominant in the copious amounts of prescriptions that are written for the diagnosed. My experience in the school setting, summer proves to be a season for change as parents use this time to stop or change dosages of medications without doctor advice or approval. Although “regular classes” are not in session, summer school classes can be faced as a challenge when necessary medications have not been taken. I have learned at my practicum site, adult patients in the clinic have taken to self-medicating, adding in marijuana and other street drugs, either in addition or instead of the doctor prescribed medications. Removing one or more drugs from the cocktail that the doctor prescribed can create a windfall of problems for the patients. In stopping and restarting anti-psychotic medication, the patient runs the risk of relapse of symptoms, sometimes worse than they were
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 the dissertation Adherence to Stimulants in Adult Attention Deficit Hyperactivity Disorder, O’Callaghan (2009) examines the experiences, points of view and insights of adults with Attention Deficit Hyperactivity Disorder (ADHD) as it relates to medication adherence. The theoretical foundation for the study is centered on the Health Belief Model, in which an individual’s perceived acuteness of ADHD symptoms, perceived efficacy and cost of medication treatment influence medication adherence (O’Callaghan, 2009). To gain a better understanding the complexities of medication adherence among adults with ADHD, the researcher used the mixed methods approach of explanatory sequential design (O’Callaghan, 2009). For this particular study, the quantitative
Low medication adherence has significant consequences on the health of patients. Approximately 125 000 deaths per year in the U.S. are directly related to poor adherence to medication (Bosworth et al., 2011). A retrospective
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
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
I learnt that using anti-psychotics is just a component of a holistic approach to a patient with psychotic illness and that care should also include psychological treatments
Cooper (2011) reported the prevalence rate for substance use in psychosis as 36% compared to 19.5% accounting for drug use and 11.7% on alcohol consumption in their first episodes of psychosis in the first year. Study by Barrowclough et al (2001) indicated that there is a higher rate of alcohol and illicit drugs problem compared with the general population for individuals with psychosis. Weaver et al (2001) and Graham et al (2003) maintain that an estimated 25% caters for the prevalence of co-occurring substance misuse amongst individuals with psychosis.
Adherence to pharmacological treatment is essential for the alleviation of psychotic symptoms in schizophrenia. To ensure mediational adherence, the social workers started inpatient therapeutic services with CBT counseling. The goal was to assist Peter with identifying and modifying cognitive and motivational barriers to adherence. In this case, insurance, cost, and access was a determining factor that hindered Peter’s adherence. The primary social work was able to utilize their roles as advocates to successful reenrolled Peter into his medical insurance plan. They were able to connect him to a payee and a case management agency. They ensured devilry of Peter’s medication by calling his local pharmacy and arranged Peter’s follow-up appointment
Adherence of antiepileptic medication is the main requirement to achieve the efficacy of the therapy of epilepsy treatment is done. A good quality of life found in someone who can run a function and its role in everyday life as well. This research aims to know the level of antiepileptic medication adherence, quality of life in epileptic patients, as well as the relationship between antiepileptic medication adherence with the quality of life in epileptic patients in outpatient RSUD Prof. Dr. Margono Soekarjo Purwokerto.
Medication adherence comes from whether or not the patient takes their medication as prescribed, and on whether or not they continue to take that medication. Medication noncompliance has been a growing concern in the healthcare industry due to the association with relapse, higher cost of care, lower level of functioning, risk for suicide, and re-hospitalization with longer hospital stays (Bressington, Gray, & Mui, 2013). There are many different factors that can be associated with medication noncompliance in addition to negative attitudes toward taking medication, poor insight, substance misuse, previous noncompliance and inadequate discharge planning.
People with mental conditions like depression or schizophrenia suffer from mood swings and may not snap out of the feeling very soon. This may lead them to forget to take their medications that will help reduce the symptoms. However, some people have other ideas why they don’t want to take their medications.