Medication adherence refers to whether a patient is taking their prescribed medication as directed. Many chronic illnesses can be fought of and beaten with the use of pharmacotherapy. However, many patients cease to take their prescription, which could happen for a number of reasons, ranging from the patient, to the physician (Brown, Bussell, 2011). This is a very big problem, as developing, manufacturing, and distributing drugs costs a lot of money, and even human lives, that will go to waste and be destroyed if people do not take their medications. In the United States alone, hospitalization occurring for prescription reasons account for one to two thirds of admittance (Brown, Bussell, 2011). This means people are coming in for problems …show more content…
This equation is: (Number of Pills Absent)/(Number of Pills Prescribed). If the ratio falls below 80%, then a patient is considered “not adherent”. A patient could have problems that can cause him/her to be non-adherent. Some of the common ones could range from being too lazy and forgetful to take them, to not liking the side effects a drug can cause. In Brown and Bussell’s paper they state “Several patient-related factors, including lack of understanding of their disease, lack of involvement in the treatment decision–making process, and suboptimal medical literacy, contribute to medication nonadherence.” As health care professionals, it can be easy to forget that not everyone has the same level of medical knowledge as specialists. So when talking to the patient about their medication, they may not understand the medical terms, and may not take their pills as prescribed. Along similar lines, the patients may not have any methods to receive support from family and friends, making it harder to adhere to the requirements. Patients may also just lack the money for all the pills required to treat their ailment, thus falling short of becoming healthy again, and putting them at higher risk for hospitalization and …show more content…
Both the patient and the pharmacist can change and fix their ways in order to decrease mortality. Pharmacists could prescribe the maximum amount of pills allowed in order to limit the amount of times a patient has to go to the pharmacy, to ease the burden on the patient and even the specialist (Zullig, Mendys, Bosworth, 2016.) There is also research showing that when a organization or health care system was helping pharmacist with knowledge on medication adherence, the usual care that was provided generally improved significantly (Timmers, Boons, 2017.) All of these techniques have improved on medication adherence, and have helped save people from their chronic illness and
Even the respondent agreed with the Court of Appeals when they said that it doesn’t matter whether the patient is an inpatient or outpatient or whether the patient is occupying a bed, the hospital is still using the drugs for their own use (Abbott Laboratories v. Portland Retail Druggists, 1976). When an inpatient or outpatient has a take-home prescription, the Supreme Court ruled that the hospital is using the drugs for its own use. This is because the take-home prescription is only used for a limited and appropriate amount of time, and that continuation of care is not unreasonable (Abbott Laboratories v. Portland Retail Druggists,
It is not uncommon for individuals, particularly within the United States to be prescribed antidepressants, prescription sleep medications, pain killers, and a slew of other overly prescribed medications at one point of their lives. In the course of over a half century period pharmaceutical companies have shifted gears toward the research and production of prescription drugs tailored for chronic conditions. In the essay review, “Understanding the “Therapeutic Embrace” between Big Pharma and Modern Medicine”, author Michael Oldani outlines this phenomena. The subject of his book review is a work by Jeremy A. Greene, author of Prescribing by Numbers: Drugs and the Definition of Disease.
If the medications get to the doctor and delivers it to the patients, how will the patients know if that prescription is good enough for them to take? Just because getting free lunches in exchange for the
Physicians in the US are given the autonomy to prescribe to patients without restriction of drug indication as long as the prescribe drug is given to the patient to help with their ailment in good faith. Physicians give the prescription to the patient to get filled in the pharmacy. The retail pharmacist does not have instant access to their medical records to verify the indication. The pharmacist can verify the drug and the intent of the phycisian. Once confirmed, the pharmacist can fill the prescription regardless of efficacy of the drug on the patient.
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
A percentage of the population doesn’t consider prescription drugs very dangerous because they are prescribed by doctors. Unfortunately, that's true and it is very concerning to other people who are aware of the problem. We as a community must help each other and inform each other about the effects prescription drugs have. These types of drugs develop addicts which can be treated effectively depending the type of drug they took. There are two main treatments behavioral treatment and medications.
Alternatively, in an emergency, urgent and acute prescribing circumstances, supplementary prescribing is not suitable because the clinical management plan needed to be agreed in-between Independent Prescriber, Supplementary Prescriber and the patient before prescribing (DOH, 2006). However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. ). Nuttall and Rutt-Howard (2011) states that nurses, midwives and pharmacists are capable to prescribe independently, but allied health professionals are able to prescribe only as a supplementary prescribing who needs a CMP to be in place for the patient they want to prescribe.
There is a lack of support from physicians as a separate medication ordering system will be used, creating an increased in workload and reduction in patient interaction time (Park et al.,
Prescription drugs are highly addictive, and for the most part, easily available if you know someone with a prescription. Like I mentioned before, I think doctors need to try and be more aware if there is a problem with misusing a drug, but it is not entirely their fault if somewhere someone goes wrong. It is in my opinion, kind of a tough subject, because in many cases, people really do need the drugs for pain or whatever the issue may be. Doctors can’t simply cut off a patient that really does need the prescription. In summary, I think doctors need to try to be more aware of their patients, but people sometimes it isn’t that easy so people need to have more restraint.
Researchers built a survey about pharmacists and provided willingness to dispense medications that sometimes conflict with religious doctrine, 668 pharmacists participated in this survey, 13.2% of pharmacists in total 85 pharmacists stated clearly that they would refuse to dispense at least one medication but are willing to transfer the prescription to another pharmacist, and another 4.5% in total 29 pharmacists stated clearly that they would refuse to fill two or more medications but are willing to transfer them to another pharmacist. There are many pharmacists refusing to dispense medication such as contraception, but willing to transfer the prescription to somewhere else, which is shown in this survey. Area or personal religion beliefs should not affect any patients medication needs. According to the results of the survey, even though many pharmacists stated that they do refuse to dispense medication, they are willing to transfer the prescription to another pharmacist. Therefore, patients should be allowed to choose which pharmacist they prefer, thus meet their medication
Medication Adherence Reflective Writing Shaymous Juhnke As a P1 student in SDSU’s pharmacy program one of the activities required to prepare us for real world pharmacy practice would be to take part in a medication adherence simulation. The goal of this activity is to put ourselves in the patients shoes to get an idea about how patients adhere to their regimens in the real world. Through this activity I have learned that it is not always easy to take medications at the right times.
The publications cover the general area/topic of pharmacy and what it is about and other information like the future of pharmacy, payment reform, and other medicines. Challenges that the pharmacy faces are medication non adherence, “Patient engagement between pickup and next Rx refill,” “Balancing personalized service with increasing patient volumes, and the need for customer retention.” Medication nonadherence is responsible for annual 125,000 deaths. Successes in the pharmacy fields are that there are increases of pharmaceutical staff per headcount throughout the nations and the world. This industry has seen a 50% increase in the pharmaceutical industry.
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.
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.
Pharmacists are responsible for the security of pharmaceutical medication, therefore, there needs to be a visible change in policies as the current policies have severe loopholes which causes major health issues to the public. One of the central ongoing issues that has been prominent throughout the years is polypharmacy. Polypharmacy is the concurrent use of medication by a patient, and it’s main victim is the elderly. This is a well known issue and surprisingly has a simple solution, yet there has been no visible change in policy to prevent polypharmacy from occurring despite the universal knowledge that it’s a health issue.