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1. What is medication Compliance?
Medications are important part of patient’s life, in that without compliance or adherence to once prescribed medication, the patient’s disease will linger on and cause more complications in their body. Medication compliance is one of the most important topics discussed with the patients. Medication compliance has been described as the ability of the patient to follow correctly prescribed medication. Compliance of medication does not only point out prescription drugs but any therapeutic and medical equipment such as spacers, braces, crutches walkers among others recommended by the physician or nurse practitioner. Medication adherence also addresses the correct prescribed dose of the medication. Ideally, patients
Reasons For non-compliance
• Denial of the problem. Sometimes patients are diagnosed with a disease or condition and they easily ignore it. This is true for diseases that are asymptomatic, which means symptoms of the condition or disease are not noticeable in the patient. For instance, some patients with high blood pressure may not show symptoms that get in the way of everyday life. Some patients may not even know they have the condition until they go to the doctor for a follow up appointment. This makes it easy for patients to ignore the prescribed treatment regimens.
• The cost of the treatment. Sometimes the medications are not covered by insurance, so this makes it difficult to patients to adhere to buying the drugs because they don’t have the money to afford it.
• The difficulty of the regimen. 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
One can use this communication route to address common adherence obstacles at the onset before adherence becomes a problem for your patient. These barriers can be addressed by:
• Emphasizing the Value of the Regimen and the positive effect of adherence. Nurses have the right to emphasize the value of the medication regimen and explain the effect of compliance and noncompliance to their patients. Though patients have the right to refuse their medications, its adherence or compliance benefits the patients more. Nurses are to educate patients who are weighing the medication's costs and benefits, adverse reactions, and perceived efficacy on the need to take their medications that help reduce side effect. In this regard the patients feel safe.
• Listening to your Patient's Concerns about his or her Ability to Follow the Regimen. Nurses can recognize concerns of patients, such as cost of their medications or confusion about the similarities in color of their medications, the names of the medications which are not easy to remember, and the timing of dosage. The nurse will then help the patient seek support in that area of concerns raised by encouraging the patients to call their
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
If you hang around in healthcare long enough, eventually your paths will cross with a non-compliant patient, which for the record is not the same as non-adherence patient. A non-compliant patient is defined as; “patient behaviors” that frequently interferes with the effectiveness of treatment for a variety of medical conditions and can have serious medical consequences. While non-adherence is, simply doing medial tasks incorrectly and overtime may jeopardize a patient's outcome.
Medication Errors one of the biggest issues happening in an acute care setting today . Although, Medications are given based on the five rights principles: the right patient, right medication, right route, right dose, and right time. Even with the five rights principles medication errors are still happening. However, some of the errors that are occurring are due to poor order transcriptions and documentation, drug interactions, proper drug name and not paying enough attention and environment factors.
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
nurse becomes the patient advocate letting the physician know the effect of the medication the
The fifth strategy is to discuss issues related to medications. During this time, coming off nurse should address any issues or concern she had noted regarding the peripheral or central line placement. For the oncoming nurse, it is very important to note the location
Taking medication - medications in pill, injectable, liquid and other forms – nursing education / monitoring
A very small number of patients, not as many patients as the nurses thought, were in favor of forced medication. The study came to the conclusion that patients and nurses do not share the same perceptions about what patients experience during the application of force medication (Haglund et al., 2003).
Mc Lellan A (2009) The nurse patient relationship will prove key to effective medication adherence. Nursing Times 105(3).29
It made me better recognize that even the mechanisms we tell patients to help them adhere pose important challenges that can get in the way of adherence. Obviously, you want to look to make regimens as simple as possible, with as few medications as possible, and work with the patient and pharmacy to ensure access to medications. However, I can see how a patient, doing what I did, could feel ashamed of their inability to carry out what their doctor said. This could make them dishonest when questioned about their adherence. Therefore, it means that I need to do more to make my patient comfortable about being honest with me and to ensure that they know it is okay if they fail to not perfectly follow the plan.
The nurse should understand the patient’s health situation and provide care that will best suit the patient’s situation. This could include allowing the patient to express his or her feelings about anything and the nurse just lending an ear and being there for the patient.
4.. "Teach patient and family about disease states and medication regimen such as effects, adverse effect, side effects. Most importantly explain problems solving skills to ensure active participation in self-health management despite any possible side effects"(Ralph & Taylor, 2014, pg 151).Discussion
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.
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)