Health Treatment Adherence
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Status: v104 Time: 2025-03-15 Tags: lecturenotes Links:
Tasks:
Content:
Objectives: understand what treatment adherence is learn how frequent adherence occurs describe consequences of non-adherence naming factors that influence adherence learn strategies to enhance adherenece for patients
Take home: treatment adherence is an active choice and responsibility to follow the recommended treatment nonadherence is common among various health conditions and lifestyle changes nonadherence can negatively impact the patient their whanau the doctor and the healthcare system whos five dimensions of adherence, social and economic healthcare system ( condition therapy and patient related) there are many ways for you to improve your patients adherence: support and reminders understandind experience and beliefs treatment education and building a good doctor patient relationship
Things to note:
Ramble s:
understand what treatment adherence is:
congruency between behaviour and agreed health reccomendations adherence =/= compliance however
adherence is an active choice and resposibility compliance is a passive behaviour to follow doctors orders
learn how frequent adherence occurs:
acute illness: 67% chronic illness: 50=55% lifestylwe changes - largely varies based on prescription diabetes 20-40$ follow diet and physical activity reccomendations 65-70% monitor blood glucose level as recommended
adherence for drug prescription prescribed 100% meds filled 88% meds not taked 76% meds discontinued at patient own scedule 47%
describe consequences of non-adherence:
Patient worsen health condition reduced effectivity of treatment increased cost reduces qol burnout just worse in general family increased caregiver times financial burden doctor increased workloas distrust and resentment towards patient give up blaming patient healthcare system more work less resources longer waiting list
naming factors that influence adherence:
social and econemic finanical barriers cultural beliefs limited access to healthcare limited english proficiency healthcare system health inequity long wait times lack of positive reinforcement condition related chronic therapy related patient related
learn strategies to enhance adherenece for patients:
consider every patient to be at risk for nonadherence and possess barriers
assess changes of change assess past adherence patterns and current belief and conerns about treatment patient selfevaluate confidence in carrying out treatment
prompt and remindersapps treatment education regular checkip with patient continue to assess adherence and barriers to adherence referring to other health professionals
motivational interviewing can be effective in coaxing patient into a converstions