Medication adherence is defined by the World Health Organization as “the degree to which the person's behaviour corresponds with the agreed recommendations from a health care provider.” Terms such as “compliance”, “persistence”, and “concordance” is similar to “adherence” which is related to the patients suboptimal taking the medicine. Adherence is defined as the extent to which patients are able to follow the recommendations for prescribed treatments. Adherence refers to how well patients implement the prescribed regimen. They impose different views on the relationship between the patient and the health care professional, collection of medicines from the pharmacy, and their appropriate intake although often used interchangeably. Compliance …show more content…
The causes may be related to the patient, treatment, and/or health care provider. Medication non-adherence can be defined as either the intentional or unwitting failure to take medications as prescribed. By not following the prescriber's orders correctly, the patient will experience decreased effectiveness of treatment which can lead to the worsening of their condition. [8] As a consequence, substantial numbers of patients do not benefit optimally from pharmacotherapy, resulting in increased morbidity and mortality as well as increased societal costs. Several interventions may contribute to improved adherence. However, most interventions have only a modest effect. Thus, despite the many efforts made, there has been little progress made as yet in tackling the problem of nonadherence. …show more content…
They may not start their treatment at all or decide not to fill their prescriptions in the pharmacy. Patients may use more or less than the prescribed treatment or use their medication at the wrong time. They may also discontinue treatment prematurely. Patients’ reasons for deviating from the treatment plan are diverse and may be intentional or unintentional. The causes of nonadherence may be related to the patient, treatment, and/or health care provider. For example, patients may not believe the treatment is necessary, complex treatment plans may increase the risk of nonadherence, and there may be insufficient communication between patient and
In this essay, I will be using the understanding of two psycho-social theories, the theory of planned behavior and the health belief model, and the professional ethics to explain how it can lead to the development of concordant medicines-taking behavior in Amira Masood. Concordant is which doctor, pharmacist and patient agree therapeutic decisions that including their respective opinions, to a deeper understanding which extends from prescribing communication to patient support in medicine taking. (1) I will be also discussing the issues of consent and confidentiality arising in the case. The health belief model is comprising by four basic beliefs.
in place, lost the role of representing the best interests of the patient, clinical judgment inappropriate, error treatment, lack of intervention on the clinical evolution of the patient, lack of preventive care, mistake in the execution in the prescription and treatment errors
In defining a patient’s non-compliant behavior the four criteria have been suggested: 1) Is the patient’s medical problem potentially serious or does it pose significant risk to life; 2) Has at least one treatment plan, been correctly followed. 3) Has the patient had easy access to the treatment or treatments; and 4) Does the patient deviate, significantly from most patients, with regard to medical advice, treatment, or follow-up care (Kliensinger, Fall 2003, p. 18).
Healthcare providers must make their treatment decisions based on many determining factors, one of which is insurance reimbursement. Providers always consider whether or not the organization will be paid by the patients and/or insurance companies when providing care. Another important factor which affects the healthcare provider’s ability to provide the appropriate care is whether or not the patient has been truthful, if they have had access to health, and are willing to take the necessary steps to maintain their health.
This service is experienced, documented, evaluated and paid for as Pharmaceutical Care. Pharmaceutical Care consists of a philosophy of practice, patient care process as well as a patient management system. Pharmaceutical Care has common integrated vocabulary consistent with other patient care practices such as medicine, dentistry and nursing. Philosophy of pharmaceutical care consists of a description of the social need for the practice, a concise and clear statement of individual practitioner responsibilities to meet this social need, the expectation to be patient-centered and the requirement to function within the caring paradigm. This philosophy of practice is expected and practiced by all health care professionals. The patient care processes must be consistent with the patient care processes of all other health care providers. These processes include the assessment of the client’s pharmaceutical needs, a health care plan that is constructed to meet the specific needs of the client and a process in which evaluates the health care plan to gauge the efficacy of decisions made and actions taken. Pharmaceutical care management system includes all resources needed to manage the client’s needs, which include the space provided, such as a clinic or hospital, an appointment system for patients, appropriate and ethical documentation, reporting of patient care, evaluation of decisions made and actions taken and payment of service
Patients are feel difficulty of medication compliance in long term treatment because patient have to be a regular on their medication. However, old people also require an extra attention on medication compliance because sometime noncompliance create a critical situation for them. Sometime patient takes a few dosage of medication and they stop taking medication as soon as they feel well which create a complication on long run. The implications of non-adherence are evident in the outcomes for many diseases, including HIV, cardiovascular disease, type 2 diabetes and high cholesterol (Scholefield,
...on-adherence, which means that the patients’ number of doses are not taken or aretaken incorrectly jeopardizing the patient's therapeutic outcome.
Compliance gaining is a term used in the social sciences, specifically in sociology and communication studies, to identify the act of intentionally trying to alter behavior. The term refers to how people try to get other people to do things, or comply. In short, the term compliance gaining strategies are used to define the tactics we use to persuade others to think or act in a desired way.
Failure to communicate information that affects care (e.g., inadequate or inaccurate documentation, as well as not contacting a physician with pertinent patient information when applicable).
Tang, F.I., Sheu, S.J., Yu, S., Wei, I.L., & Chen, C.H. (2007). Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing, 16(3), 447-457.Retrived form EBSCOhost.
Discussion between the physician and the patient regarding treatment options and the risks and benefits of treatment.
Mc Lellan A (2009) The nurse patient relationship will prove key to effective medication adherence. Nursing Times 105(3).29
This lack of information can cause a person to feel they are ignored, and accept the diagnosis that was given to them (M). Diagnosing a patient places a person
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.
Some patients may have problems following directions, for instance; it may be difficult for a patient to wake up in the middle of the night and take a pill, or if they are taking several pills at the same time, they may get confused about which pill to take at a specific time. The unpleasant outcomes or side-effects of the treatment. Any side effects of the medication, unpleasant taste of the medication, and the pain of physical therapy can cause patients to not follow through. Some patients also may be afraid of needles which may make them adherence to non-compliance. Lack of trust in the adage.