Medication non-adherence is one of factors that lead to therapy failure. There are 30% to 60% of the patients who are non-adherence to their medication and this may create a series of problems. Medication adherence mean by the extent where patients are able to follow or implement to the prescribed medication. On the other hand, the meaning of medication non-adherence is patients failed to follow the medication prescribed by health care professionals. [1]
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.
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Intentional non-adherence of medication means by patients actively or purposely decides not to follow or use the recommended treatment. The reasons can be due to their level of cognition and their beliefs. Patients will weight or compare the pros and cons of the treatment from the information they received from friends. By comparing the side effects and other adverse effects occur such as drug dependency, they will choose to discontinue their therapy and lead to medication non-adherence. For unintentional non-adherence, it is not related to the level of cognition and beliefs of patient. Mostly, the reasons lead to unintentional non-adherence is the complexity of medication, forgetfulness of patient due to old age or busy with other issues and patient may not understand exactly how to use or take medicines. …show more content…
These allowed physicians to count whether the correct amount of medicines had been consume by patients. However, the disadvantage of this method is that patient may discard the medicines without consuming it. In addition, physicians can detect medication adherent through achievement of treatment goals. It can be done by observing the medical condition of patients whether they have been recovering from disease or not. Through the recovery of patients, we can said that patients are adherent to medication prescribed by
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.
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.
Observe, record, and report to physician patient's condition, treatment provided, and reactions to drugs and treatment
Ask if the patient is experiencing other problems. If the patient reports other challenges, link it to poor adherence and encourage compliance.
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
According to the World Health Organization (WHO), the aging population will continue to grow due to the falling fertility rates and the increases in life expectancy. However, this population has distinctive, demographic factors that may influence their adherence to medication necessities. Dynamics that affect medication regimen in the elderly can be related to “memory and cognition (forgetting to take medication), dexterity (unable to open medication or break pills in half), low literacy, concern about side effects
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
Other factors that influence treatment adherence are the following: the symptoms of illness, such as hypomanic denial, psychosis, comorbid disorders, personality disorders, and substance abuse disorders. Side effects of medications and unfavorable personal attitudes toward treatment may also have a great negative impact on treatment adherence. The effectiveness of psychotherapeutic interventions to enhance adherence will allow the ability to address the factors that are changeable and most relevant to treatment adherence in a given individual. These factors will undoubtedly differ depending on the individual 's psychiatric symptoms, medication response patterns, age, gender, and cultural
O’Shea, E (1999) Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8, 5,496-503.
Medication errors pose the greatest risks and consequences in many health care settings, there are many different factors that play a role in medication error. Distractions and frequent interruptions increase the risk of medication error when caring for patients. Multitasking is a major contributing factor to these human factors, it is has been documented that distractions and interruptions along with multitasking leads to medication administration errors (MAEs) (Nelms and Jones, 2011). Medication errors post a major threat to the lives of patients, by increasing the chances of harm, a live changing injury, and even cost the patients their life .
This relationship can be successfully built in the presence of appropriate communication. The positive correlation has been found between the patients’ adherence and the good communication in various recent studies. It means that the effective communication can make the patients understand the details of their illness, get a knowledge about the steps to be taken in order to cure it and get motivation to keep up their morale (Bakken et al., 2000).
Medication errors are amongst the most common mistakes that have an impact on patient care. Medications are an absolute benefit if health care providers prescribe, dispense, and administer them to the patient by applying the appropriate technique. The administration of medication is a fundamental aspect of the nursing role and it is associated with significant risk, however, despite the health care team’s knowledge and devotion to quality care, errors with medications may occur. Therefore, it is important that health care providers are familiar with the most common encountered errors. Health care providers should be familiar with the basic rights of medication administration: Right drug, Right dose, Right patient, Right route, Right time, Right reason, and Right documentation and the three checks.
Recently, art subjects in schools have been drastically decreasing. Massive budget cuts and an emphasis on core classes have been ridding the schools of a very important part of a child’s learning. The arts are a very important part of the educational system, they help at risk youth and they aid in children’s development, the arts have been shown to improve a child’s performance in classes such as english and math, also the arts give a child a means of expression in multiple forms which keeps them engaged.
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.