According to the definition provided by World Health Organization (WHO), medical adherence is “the degree to which the person’s behavior corresponds with the agreed recommendations from a health care provider”. Medication ‘Adherence’ substitutes the old term compliance .Adherence and Compliance has two different meaning, hence they are different from each other in terms of patient’s action towards their therapeutic plan. Compliance can be defined as the expanse at which a patients attitude, character and behavior is according to the health care provider’s medical advice. On the other hand, adherence is the collaboration between the patient and prescriber /health care provider. Therefore, in order to attain a successful medication adherence, …show more content…
It is a situation where the physician will give a list of medication (prescription), which is not filled nor consumed by the patient. Next, is non persistence adherence where the patient suddenly decides stop consuming the medication without even discussing with their health care provider. This commonly happens unintentionally and rarely intentionally. It happens unintentionally due to patient’s limitation in terms of money/cost, distance need to travel to attain/refill the prescribed medicine, plus due to their coercion like remembering the number of tablets needed to be taken a day, poor skill in administering insulin and many more. On the other hand, intentional non adherence occurs due to miscommunication about the therapeutic plan between the patient and also health care provider. Last type of non adherence happens when the patients do not take their prescribed medication according to the prescriber’s advice. This happens when patient skip their doses, consume medication at incorrect time of the day, plus consume more medication than it was prescribed to the patients. This happens due to negligence and also false belief by improving their health …show more content…
For an example, by proving video, step by step guide on how to administer drug and many more. Other than that, the physician / doctor or even pharmacists should try not to make them feel guilty for not following the regimen adherently but rather just motivate them by giving positive feedback or comment. Besides that, maybe the healthcare professional can work together with the patient to create a therapeutic goal and make sure to follow the progress of that patient. Lastly, by involving the patient’s family members (spouse, children, siblings, and caretaker) can reduce and also avoid medication non
...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.
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
According to Dr. John Steiner, a researcher at Kaiser Permanente, very few patients are fully capable of complying with all their doctors’ requests and or recommendations. To illustrate his point, he constructed a chart for a theoretical 67-year-old patient with diabetes, hypertension and high blood pressure. He then tabulated what it would take to be “adherent” with all medical recommendations: Five prescriptions to be filled monthly, getting to and from the pharmacy, (assuming he even has insurance), diet (cutting down salt and fats), exercise (three or four times per week), make it to doctors’ appointments, blood tests, check blood sugar, and on top of that, remembering to take the pills every morning and then again every evening eve...
B) Teach patient about his medications: their purpose, side effects, any interactions with other medications, and any other relevant information.
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
Medication compliance means; weather patient takes their medication as prescribed. Habit of medication noncompliance grow specially when patients are at home during a self-care. Behavior of taking medication is complex and it requires multiple functional strategies to improve a medication compliance. This paper is about problems and solutions for medication compliance. The solutions for medication compliance are education before medication, using reminder tools, use of compliance promoting packaging and taking help of family and friends.
...on-adherence, which means that the patients’ number of doses are not taken or aretaken incorrectly jeopardizing the patient's therapeutic outcome.
Martin, L., Williams, S., Haskard, K., & DiMatteo, R. (2005). Therapeutics and Clinical Risk Management. The Challenge of Patient Adherence, 189-199. Retrieved November 12, 2014, from http://www.dovepress.com/getfile.php?fileID=384
Omission of medications is a common issue in the field of nursing. When patients miss their scheduled dosage of medication, it can cause harm. Nurses take an oath to do no harm to their patients. When a nurse purposely omits a medication, they are not properly acting within their nurse’s scope of practice. A nurse cannot make the decision to hold a medication based on ones believes, because they were interrupted, or because of time constraints. “The administration of medications is a major part of the role of the clinical nurse and is an activity prone to error” (Johnson, Tran, & Young, 2011 p. 553).
Physicians ultimately decide what dose and drug will benefit the patient and restore them back to health. Held by the standards set by The College of Physicians and Surgeons, Physicians must abide by the Health Professions Act. Physicians are responsible to prescribe the right medication and right dosage. It is thought that physicians and other prescribers are ultimately to blame for medication errors. Although malpractices do occur among physicians, nurses are responsible to have a thorough understanding of the medications one administers to their patients. A nurse does not just simply do what they are told and administer drugs without having a thorough understanding and background knowledge. Nurses are to know the purpose of each drug they administer, the therapeutic effects, side effects which can be harmless or injurious, and adverse effects which is a severe negative response to the drug (2009). In reference to the previously mentioned scenario, the physician’s handwriting was careless and illegible. Although the Physician demonstrated lack of clarity, the nurse noticed the hastily written sentence signed by the physician and continued to administer the drug as she had routinely done the past couple days. Nurse’s should have a strong pharmaceutical knowledge background and be aware of the potential harm a medication could cause. In the process of medication administration, registered nurses are responsible to “determine that each medication order is clear, accurate, current and complete. Medications should be withheld when a medication order is incomplete, illegible, ambiguous or inappropriate; with concerns being clarified with the prescriber (CNO, 2015)”. The critical care nurse demonstrated ineffective communication, which was shown by failing to ask the physician for clarification. Another instance of miscommunication is during medication
To do this, instead of only one medical doctor writing a prescription, the government should make the policy where the patient has to be seen and diagnosed by two, non-biased medical doctors. The government should also, make a requirement in medical school for longer more intensive training on the effects of medications and the signs of drug abuse. If the patient is in fact diagnosed by two doctors, then the patient every appointment after to get a refill of medication, should have to get there blood taken to ensure they are actually taking them, rather then selling
Mc Lellan A (2009) The nurse patient relationship will prove key to effective medication adherence. Nursing Times 105(3).29
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
Pharmacists play a key role in patient care and well-being. Not only do quality pharmacists dispense prescriptions to their patient’s, but they also consul them on how to get superior results. By maintain a thoughtful relationship and open communication with patients, pharmacists are able to best access their patient’s needs. As a pharmacist, it would be my goal to have that strong relationship with my patients. My dad personally struggled with taking his prescriptions, as most individuals diagnosed with severe clinical depression do. Clearly it is not his pharmacist’s fault my dad didn’t take his medication before it was too late. His pharmacist simply did his job. However, as a pharmacist, I would go above and beyond, the extra mile, to access