11.8.1.3.3. Assessment of Drug Use and patient condition (approximate duration of 5-10 minutes)
The PI/Investigator reviews the patient condition and UDS results using the following framework:
PI / Investigator
“How are you today and how do you feel since our last session? What went well? What was challenging?
Did you experience any difficulties completing your diaries? Are you taking your medication as we discussed?” If the patient reports problems with taking the medication; the PI/Investigator will further question: “What were the circumstances? Were any problems related to the time of taking the medication? Let us work together considering another option to take your medication. If we find the right strategies, learning to take your medication can be an easier goal to help you achieve
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Review the benefits of abstinence and discuss how this can best be achieved.
v. Transfer the patient take home doses one level down 11.8.1.3.4.3 Outcome III. The patient is non-abstinent and non-adherent with
Suboxone®
Some patients may achieve abstinence without medication adherence. This can occur at any time in treatment and in response the PI/Investigator carry the following:
i. Congratulate the patient for being abstinence. ii. Ask about how the patient feels with abstinence and if he is achieving all abstinence related benefits. iii. Ask if the patient is experiencing other problems. If the patient reports other challenges, link it to poor adherence and encourage compliance. iv. Probe on the reasons for non-compliance and addresses any problems, such as side effects..
v. Inform the patient that medication compliance enhances the chances for sustained improvement. vi. Review medication adherence plan. vii. Transfer the patient take home dose schedule one level down. 11.8.1.3.4.4. Outcome IV. Patient is non-abstinent and non-adherent to
Suboxone®
Non abstinence is expected to lead to non-adherence, if this occurs the
...p the session. I started by recalling how high she had rated her level of tension at the beginning of the session and had her re-rate it at this point. She claimed that her tension had diminished to a 3 and that she felt much better. I ended the session by summarizing the various events and complimenting her on her courage and willingness to explore these difficult issued and her ability to accept them as part of her. She thanked me for helping her through it and then we chatted for a while before I went home.
Encourage the patient to make choices and participate in planning of care and scheduled activities
The traditional, abstinence-focused addiction treatment believes that recovery is only possible if the addictive substance is completely removed from the life of the individual it affects. This model is rooted in the concept of addiction as a progressive, chronic and fatal disease that emphasizes inevitable
As teenagers many of us don’t understand the importance of abstinence especially now that we have media influence and peer pressure but the truth is that being bullied and being grief stricken is not cool. Disadvantages of not practicing abstinence are transmission of diseases, such as chlamydia, gonorrhea, genital herpes and HIV/A...
Drug Safety, 36(11), 1045-67. Retrieved from http://search.proquest.com.cuw.ezproxy.switchinc.org/docview/1471055459?accountid=10249 Melnyk, B., & Fineout-Overholt, E. (2015). Asking Compelling, Clinical questions In Evidence-Based Practice in Nursing and Healthcare (3rd ed., p. 27, 283,284).Wolters Kluwer Health.
Sondike, Stephen B. "Abstinence Talk Begs Question." Gazette-Mail 2013 Apr 21: C.3. Web. 26 Nov. 2013.
Patient noncompliance is best understood as the failure to comply with a certain treatment plan that is given by a doctor. People often fail to realize that the outcome of a health issue is not solely up to the doctor or physician. However it doesn’t necessarily have to be the patient at fault either. With that fact in mind, Patient noncompliance cannot be put on a specific person because in reality no one is aware of the next person’s circumstances. Therefore evidence must be explored to determine why there is non-compliance in the first place. Essentially, it could be a number of things. Those things may include insufficient funds, a misunderstanding and/or the lack of knowledge on the issue.
The World Health Organization (WHO) defines adherence as “the extent to which a person’s behaviour – taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider. 1” Improving a patient’s medical adherence requires effort from healthcare staff from multi-disciplinary. This report will focus on improving medication adherence in a pharmacy setting.
During the abstinence exercises for my Addiction Recovery and Social Work Practice course, I learned how to mentally abstain from my desires. During the weeks of abstaining, I decided to abstain from sodas, sex, cigarettes, and social media in order to understand the equivalence of individuals who have an addiction for drugs or alcohol. While abstaining from my desires, I found healthier ways, and activities to keep me focus on the assignment; for example, during my social media exercise, I decided to stay away from all social networks and spend time with family, and going on dates to work on my communication skills. Overall, the learning experience for the abstinence exercise has taught me that I have more mental power than I expected and
Describes the degree to which a patient correctly follows medical advice. Most commonly, it refers to medication or drug compliance, but it can also apply to other situations such as medical device use, self-care, self-directed exercises, or therapy sessions. Ideally, patients should be taking all of their medications as prescribed. Adherence is often considered to be “good”, or patients are described as “adherent”, if they regularly take their medications thus signifies that the patient and physician collaborate to improve the patient’s health by integrating the physician’s medical opinion and the patient’s lifestyle, values and preferences for care. Often, the terms adherence and compliance are used interchangeably.
Sexual Addiction Treatment and Assessment 1 Assessment Many addiction treatment professionals limit the concept of addictive disorders to substance- induced disorders. This view advocates that an addictive disorder is caused by the effect on the brain of a drug ingested by mouth, injected with a needle, or inhaled mood-altering chem- icals. Addictive behaviors do not just consist of substances but also excessive, compulsive, out-of-control behavior such as compulsive gambling, compulsive overeating, or compulsive sexual behavior, cannot possibly be an addiction because no chemical is being consumed.
The first tip is to go from being passive to active. Once again patients take a passive role in their healthcare, letting the doctor make all their decisions on what medications to take but don’t know what they are taking them. Patients should be active and have questions prepared to ask the doctors. Another tip is to come to grips with medicine’s limitations [2]. As much as we idolize doctors as heroes, we must realize that doctors can’t cure everything.
Abstinence can last as long or as you want. Some reasons you might choose not to have sex at a particular time such as when you’re more focused on academics or when you're dealing with the end of a recent relationship in a particular circumstances. The reason why it is so hard to practice abstinence is because, nowadays teens are wanting to have sex for their pleasure. Abstinence is the most safest way to avoid HIV/AIDS, and other STDs, and unintended pregnancy. If young people choose to remain abstinent or practice “secondary abstinence,” will help them develop a strategy to do so. Secondary abstinence refers to choosing abstinence after previously engaging in voluntary or coerced
There are many factors that can lead to such problems. The factors such as patients are lack of trust in medication given by doctors or they are lack of trust in young doctors due to their ages. In addition, patients who are lack of knowledge about their treatment can lead to non-adherence.
Secondly, they advise their patients in assuring the appropriate use of medications. It is important to tell the patient about the name of the drug, what is it for, when to take the drug, how many times per day, whether it should be taken before meals, after meals or with meals, the method of taking the drug and its side effects and possible drug-drug interactions. (Swanson, 2005)