health care professionals as the patient is oblivious to the effect that non-adherence is having on their overall health status. Medication non-adherence is the outcome from a patient forgetting to take their medicine and this is considered to be wholly unintentional. Intentional adherence in comparison, relates to an intellectual decision on the patient’s behalf, not to take their prescribed medication. Non-adherence may be influenced by a number of factors including modifiable factors; patient beliefs about medicines, knowledge about conditions, perceived personal benefits from their decisions and non-modifiable factors; age and ethnicity.(19) Specific barriers relating to medication non-adherence include drug regimen complexity, patient forgetfulness, patient misconception/lack of understanding, adverse events/side effects and cost of therapy. These factors significantly affect a patient’s belief and concern with regards taking their medication which can result in worrying implications for …show more content…
One method is to improve both verbal and written instructions and medicinal directions, making the indications and doctor’s aspirations clear and concise for the patient to understand and subsequently adhere to. The consultation room in a community pharmacy is a vital point of contact with patients in order to effectively counsel the patient on the importance of adhering strictly to their medication regimen and formally educate them on aspects relating to their condition and health. If a health care professional deems it necessary, they can consider contacting the patient’s family to create a wider support group for monitoring the patient’s adherence. The simplification of dosing regimens, blister packing medication and prescription refill reminders are other highly effective ways of standardising adherence to medication for patients, particularly for older
Indeed, this was important in establishing the rapport and the therapeutic alliance. The doctor explained to her about the nature and the course of the illness, the importance to adhere to medications and the anticipated side effects of the medications. The relationship between non-adherence and re-emergence of the symptoms was emphasized multiple times. This was because she had a past history of multiple relapses secondary to treatment non-adherence.
Complications may arise due to medications being discontinued abruptly and without physician’s approval.
Non-adherence is a problem that has many determinants and health professionals, the health care system, the community and the patients must share the responsibility for adherence. Various dimensions affecting on adherence figure (21), and these have been grouped into the five dimensions through two main factors, are: 1- Medical factors: three medical factors face the patient to affecting on to health therapy: a. Therapy related factors: Many therapies-related factors affect adherence. Most notable are those related to the complexity of the medical regimen, duration of treatment, previous treatment failures, frequent changes in treatment, the immediacy of beneficial effects, side-effects, and the availability of medical support to deal with
Introduction Medication non-adherence can be understood as lack of compliance with the provider recommendations with regards to medications. (1) The WHO defines adherence as “the extent to which the persons' behaviour (including medication-taking) corresponds with agreed recommendations from a healthcare provider”. It is a complicated and multidimensional health care problem which involved the discontinuation of medications temporarily or permanently by the patients or even taking the medication at inaccurate dose or frequency.(1) Non-adherent of medications can occur in various stage where patients may choose to not to refill their prescriptions or even do not want to start the treatment at all. The reasons for the patient to deviate from the prescribed medications may vary and can occur intentionally or unintentionally.(2) Factors that affecting the non-adherence The process of non-adherence on medications can occur in an intentional or unintentional way.
A lot of the time people may want their clinicians to prescribe them with medication without attending treatment. Clinicians will not continue to prescribe medication if they are not being seen by a
One example of this type of clinical practice when a PWD refuse to take prescribed medication is ‘covert medication administration’. Covert medication administration (CMA) is the process of concealing medications in food or beverages to prevent detection and is used for patient without their consent because of presumed lack of decisional capacity to give or refuse consent. This is prevalent in residential aged care facilities (RACF), especially in patients suffering from dementia. According to Abdool (2017), more than 70% of healthcare professionals (HCPs) faced the decision to CMA. Significantly, almost all are in unison that CMA is justified on certain occasions.
Pharmacists are in a unique position to help. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. As the medication experts, pharmacists should lead the way to improving medication adherence and providing optimal patient care. The provisions of this bill do not pose a mandate but where appropriate would require the proration of prescriptions, related cost sharing, and dispensing costs in order to conform the patient to one monthly refill that occurs on the same date each month.
In today’s society we evolve in a highly scientific and technical world, while the importance of proper health care and the ability to cure has become remarkable. Within practices today, the perspective of the patient on his or her treatment should be of utter importance. Hereby stressing the need for patient compliance, compliance being adherence to a treatment regimen or any recommendation from a physician or health care provider. Noncompliance is associated with an increase of medical risk and possibly mortality depending on how serious the illness is. Without patient compliance therapeutic goals are not met and the benefits are not obtained, certain factors have been addressed to why compliance differs in patients, however not enough research
Conforming; “compliance with rules, standards, or laws.” As well as to change the way you act or think in order to fit in with those around you. Do you conform? The truth is we all conform on a daily basis. But, most individuals do not realize when they are conforming and some do it out of habit.
Most people are not educated about the how and why their drugs work, so it could be easy for them to not take it for reasons such as they don’t directly feel the benefits of their medications, they are having adverse reactions but are not mentioning them to anybody, or they can’t remember to take all of their medications at the right times. I think one of the biggest factor could be remembering to take the medication at the right time, but also in my case my medications were not treating real problems so it was easy for me to forget. A patient may feel the same way, because their disease state may have not progressed to a state where the symptoms are not severe enough to make a change in the patients thinking. During consultation with a patient it is important to ask the right open-ended questions when doing a medication review. Instead of asking, “are you taking all of your medication at the proper times?”
In this day and age there seems to be a medication for everything and a commercial for all of them. Our doctors don’t seem hesitant to prescribe a battery of medications for our high blood pressure and cholesterol, for our bloating, and for our digestive issues. Those medications cause your hands to shake and you have dry mouth? Here’s another medication for your side effects. Can’t remember to take all those meds, don’t worry, you’ll get sent home with a giant med box and another medication for memory.
Self-medication along with self-care was introduced in the 1980s continuing to develop until the 1990s when it was starting to become a health issue, and in the 2000s efforts were made to educate the public about medications and reducing the normalness of self medicating. (Bennadi, 2013). With healthcare becoming costlier in the United States and more scarce in developing countries self-medication becomes the only option for some people. It was put onto the pharmacist and other health professionals to “give proper instructions for medicines and explain for what it is prescribed so that it will be helpful for the patient to understand and making his own decisions” (Bennadi, 2013). However, even with health professionals discussing the drugs that their patients are consuming people still take medication how they see fit, as well as those who do not seek consultation at all or cannot afford it.
In pharmacy practice, there are always multiple solutions for a single problem. Practitioner can suggest on the medication and dosage regimen, yet the final decision should lie on the hand of patient. (Robert J.C. et al., 2012) Most of the time, patient does not understand his/her own medical condition and medication plan, let alone making decision on it. Shared decision making, patient activation and broader patient engagement can significantly improve the treatment outcomes.
During this process, a clinical pharmacist met with intervention group patients during all schedule visits to evaluate their drug regimens and make recommendations to them. The outcome measures were prescribing appropriateness, health-related quality of life, adverse drug events, medication compliance and knowledge, number of medications, patient satisfaction, and physician receptivity. As a result, this study demonstrated that a clinical pharmacist providing pharmaceutical care for elderly primary care patients can reduce inappropriate prescribing and possibly adverse drug effects without adversely affecting health related quality of life. CONCLUSION Clinical pharmacists definitely play an important role in healthcare settings. They work with other health professionals to provide high quality patient-centred care.
As a society, we rely greatly on prescription medications to treat medical conditions and alleviate pain. Growing up, I always had the tendencies to avoid medication unless medically necessary. Fortunately, I was a very healthy child that rarely relied on any type of medication. As I got older, I noticed some of my family members having to take medication on a daily basis. I quickly realized that many people need prescription drugs in order to maintain their health when dealing with life-threatening conditions including high-blood pressure and high cholesterol.