Therapeutic Compliance: A Case Study

* Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality).

Ethics is a strongly culturally linked area of philosophy interrelated with what is considered acceptable human conduct. There are two branches of ethics; medical ethics and bioethics. The moral conduct and principles which govern practices of medical and health professionals falls under medical ethics, whereas in biomedicine and the health sciences theorised developments in the study of social and moral issues is considered bioethics(1). There are two philosophical principles within the conduction of health care research these are deontology and utilitarianism. Deontology is an approach to ethics that focuses on the rightness or wrongness of actions themselves, as opposed to the rightness or wrongness of the consequences of those actions (2). Utilitarianism states that the most benefit

There are four principles of ethics: Respect for autonomy, Beneficence, Non maleficence and Justice. This four principles offers comprehensive thought of the ethical issues in clinical settings (Beauchamp and Childress 2001 cited in UK Clinical ethics Network 2011).

Although the stereotype towards the mentally ill is very current in society, it is not to say that all of the public agree with it. For example, there are many stereotypes of different ethnic groups but not everybody would agree with them. In contrast, prejudiced people will endorse these negative stereotypes, an example of this being that ‘those who are mentally ill are violent’, as a consequence this then

A philosophy of an organization helps differentiate themselves from their competitors and set a foundation for future success. It also helps shape an organization by presenting the goals they want to accomplish with specific activities. To improve this, many organizations understand the important of sharing values and goals and realize employee recognition. This helps staff from moving forward toward success of the organizations. Chapter 4 introduces “Codes of Ethics in Health Services.” Code of ethics is a guideline for healthcare professionals to accomplish and serve as a member of a society. Similar to other professions, managers have their own code of ethics in maintaining their duties and responsibilities. They also use the codes for ethical decision-making in dealing with ethical issues. Chapter 5 deals with “Organizational Responses to Ethical Issues.” It provides assistance for managers and organizations in their decision making. It is manager’s duty to figure out the problem and resolve it (Darr, 2011,

Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations.

(TCO H) Ethics is defined by Pozgar as "a branch of philosophy that deals with values relating to human contact with respect to the rightness and wrongness of actions and the goodness and badness of motives and ends." Describe two ethical dilemmas you may encounter in a healthcare setting related to patient care. In the description, define at least one law or regulation that may apply to each ethical dilemma. (Points : 35)

Ethical and legal concepts, including specific federal regulations, required of healthcare organizations to ensure the delivery of high quality healthcare that protects patient safety

The role of the Ethics committee in maintaining and sustaining the four ethical and legal principles of health care vis-à-vis the ACA and its applications to the hospital.

Compliance, or the lack thereof, is a factor that is crucial in occupational therapy treatments as well as in many other healthcare fields. Noncompliance with certain protocols, instructions, or home programs that may be prescribed to a client or patient can be detrimental to the progress in treatment and overall wellness, as well as engagement in meaningful occupations. Successful compliance to the challenge presented for this assignment was created by a combination of the personal desire to perform the activity, the motivation to be successful, and the potential benefits from performing the activity successfully over the course of eleven days.

Ethics are rules of conduct and moral principles of an individual which have various origins such as family, culture, and social environment. Given the diversity of people in the healthcare profession and the importance of providing care that is ethically sound

Any member within the healthcare environment may be conflicted with some ethical decisions that have to be made. Ethics committees have been developed, and are required due to the number of ethical issues that present daily within hospitals and other health institutions. These committees are comprised of persons who assist patients, their families, and healthcare personnel in identifying, understanding, and quickly resolving ethical issues. Policies, procedures, and ethic codes are formulated around moral principles of beneficence, autonomy, non-maleficence, and justice.

This article, written by healthcare professionals in the greater Philadelphia area, describes the methodology and findings of the early phase of a long-term study to determine the best ways to improve medicine taking compliance. A total of 132 subjects were selected through random sampling procedures from regular hypertension programs at The Hospital of the University of Pennsylvania in Philadelphia, PA. Patients were interviewed and filled out a questionnaire regarding how often they took their blood pressure medication. The results showed a positive relationship between blood pressure control and compliance, especially when compliance was differentiated between those who missed the occasional pill and those who missed three or more. The article notes that it is important to realize that, because the study relied on patients to accurately detail their behavior, some of the information must be taken with a grain of salt. Three variables were also found to contribute to explaining self-reported medication taking compliance. These were control over health matters, perceived barriers, and duration of treatment.

Medical adherence can be classified as an issue among the entire health care field. Often, the case is that people simply forget to take their medicine. To address this issue many pharmacies offer monthly bubble packs (often times called Dispill packing). These bubble packs feature the date and time each medicine should be taken daily. Patients are also skipping doses to medication because the side effects of their prescribed medication is worse than the issue of which their taking their medication for. Patients need to establish an open dialect among health care professionals. Often, doctors can prescribe a medication to substitute their previous one in order to accommodate to the previous negative side effects. Also, a growing concerns is people that can’t physically see or feel an anatomical or physiological problem often times believe that their medicine intake will not affect them. This is often the case among hypertension and cholesterol. Patients can’t feel if their cholesterol or blood pressure is high or low so they often just don’t take their medicine properly.

Being aware of this issue is essential for all pharmacists in guiding their patients. Medication Adherence really does come down to the education that the pharmacist provides as well as the interaction of how well the patient receives the message. Judging by the results of published articles, it is convincing that focusing on communication and providing follow-up interventions does improve medication adherence. However, improving these methods is ideal and hard to perpetuate in reality because each patient and situation are different and there can be multiple factors that can contribute to adherence such as social class, race, gender, etc. This can be made a reality by putting in the effort and patience in order to cooperate with the patient that is in need of