Factors contributing to treatment adherence are not well understood but the physician-patient interaction is one factor that is known to affect patient adherence. To examine this possibility, Arbuthnott and Sharpe (2009) conducted a meta-analysis to determine the degree of the relationships between physician-patient collusion and patient adherence. The need for physician-patient collaboration within the medical consultation was demonstrated in the results, proving that a patient could be disposed to nonadherence due to the lack of communication. Lack of communication between patients and physicians is a common downfall to adherence. When medical help is needed and medicine is required, it is necessary to abide by the medical professional in order to get proper treatment. Physicians are always looking for adherence from patients to make their job easier and less stressful for both parties (Arbuthnott & Sharpe, 2009).
Both unintentional nonadherence and intentional nonadherence are occurring in the health care system. Unintentional nonadherence occurs when the patient may want to adhere but is unable to because they lack the resources to. For example, they may not be able to afford the medication, may
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One of the most prominent issues in health care is prescription drug abuse and neglect. Prescription drugs are crucial to the medical management of most health care issues. However, approximately half of this medication is not taken as directed, showing a clear representation of failure to translate imaginably adequate treatment into optimal outcomes for patients (Horne, 2007). The level of nonadherence when prescriptions are given has likely serious consequences for the patients in terms of lost opportunities for health maintenance with increased mortality and complications. In terms of the health care system, there are increased hospital admissions and wasted
Prescription and pharmaceutical drug abuse is beginning to expand as a social issue within the United States because of the variety of drugs, their growing availability, and the social acceptance and peer pressure to uses them. Many in the workforce are suffering and failing at getting better due to the desperation driving their addiction.
The United States of America accounts for only 5% of the world’s population, yet as a nation, we devour over 50% of the world’s pharmaceutical medication and around 80% of the world’s prescription narcotics (American Addict). The increasing demand for prescription medication in America has evoked a national health crisis in which the government and big business benefit at the expense of the American public.
More than often, American’s argue that if we have the technology to gain access to these “miracle meds”, then we should take advantage of it. To receive an opposing view, the National Institute of Drug Abuse asked teens around America why they think prescription drugs are overused, and the results were shocking; 62%: “Easy to get from parent's medicine cabinets”, 51%: “They are not illegal drugs”, 49%: “Can claim to have prescription if caught”, 43%: “They are cheap”, 35%: “Safer to use than illegal drugs”, 33%: “Less shame attached to using”, 32%: “Fewer side effects than street drugs”, 25%: “Can be used as study aids”, and 21%: “Parents don't care as much if caught”. I believe the major problem here isn’t the medication, but instead the fact that our nation is extremely uninformed on the “do’s and dont’s” of prescription medication. When “the United States is 5 percent of the world’s population and consumes 75 percent of the the world's prescription drugs” (CDC), there is a problem present, no matter the reason. Clearly, many critics believe the breathtaking amount of pills we consume in America is simply for the better good, but tend to forget the effects that are soon to follow.
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,
“Physicians and other health care professionals all agree on the importance of effective communication among the members of a health care team. However, there are many challenges associated with effective interprofessional (between physicians and other health care providers) communication, and these difficulties sometimes lead to unfavourable patient outcomes” (Canadian Medical Protection Association, 2011 p. 11).
"Medication abuse strategy calls for more monitoring of prescriptions." CTVNews. N.p., n.d. Web. 3 Mar. 2014. .
Ask if the patient is experiencing other problems. If the patient reports other challenges, link it to poor adherence and encourage compliance.
Effective communication between patient and clinician is an important aspect to patient care. Proper communication has a direct positive impact on patient care and adversely poor communication has a direct negative impact on patient care. I will define the seven principles of patient-clinician communication and how I apply these communications with my patients. I will also describe the three methods currently being used to improve interdisciplinary communication and the one method that my area of practice currently uses. Then, I will explain the ethical principles that can be applied to issues in patient-clinician communication. And Lastly, the importance of ethics in communication and how patient safety is influenced by good or bad team communication.
According to the American College of Preventative Medicine (2011), non-adherence to medications is estimated to cause 125,000 deaths annually and overall, about 20% to 50% of patients are non-adherent to medical therapy. Through my personal experience working in the healthcare field, I have observed an increasing number of patients seemingly detached from the seriousness of their medical diagnoses, as the majority of my patients have taken very little personal responsibility in their own healing and overall health. While these patients have a variety of medical issues, they do share similar characteristics: disengagement from their medical diagnoses and taking the necessary steps towards healing, health and vitality. In my work or in my clinical experiences, I get frustrated when patients are
Patients who refused to visit the practice, patients who declined to admit that their high blood pressure was secondary to their refusal to take their losartan. Luckily, my provider had been seeing these people for many years, and knew the techniques that would yield in the greatest cooperation. As I watched and listened, I obtained a deep understanding of the value of a relationship between the patient and the provider. Where one might have struggled to gain patient compliance, my provider knew when to implement a stern tone, and when to dial it back and become more comforting.
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such. Not to mention the fact that the doctors who prescribe these opioids often tend to misuse them as well. Abusing these prescribed drugs can “destroy dreams and abort great destinies," and end the possibility of the abuser to have a positive impact in the community.
Doctors can prescribe drugs that can be as addicting as street drugs. When a patient is at the hospital, doctors will prescribe many drugs to help the patient get better, like ...
It is also easy to see the American people’s infatuation with drugs by simply looking at our current number of prescriptions filled at pharmacies annually. An active data table hosted by The Henry J. Kaiser Family Foundation states that about four billion prescriptions are filled annually (Kaiser). This is enough prescriptions for every person in the country, children and adults, to have twelve each. Once a person is on a drug, it is often hailed as an immediate fix to the problem, but many don’t think or just don’t care about the long-term side effects it could hold.
Introduction Medication non-adherence is any deviation from the prescribed medication regimen which is sufficient to influence adversely the regimen’s intended effect. Quality healthcare outcomes always depend upon patients' adherence to recommended treatment regimens by healthcare providers. However, medication non adherence has become a significant issue as patients choose to stop taking or alter their prescribed medication without knowledge of healthcare providers. This is especially high risk for those with chronic condition and complex drug regimens. Medical non-adherence among patient can be a pervasive threat to health and wellbeing, which leads to poor treatment outcome, and subsequent hospitalization.
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.