8.1 Adherence Flashcards Preview

Semester 3- HPHD > 8.1 Adherence > Flashcards

Flashcards in 8.1 Adherence Deck (16)
Loading flashcards...
1
Q

What is adherence?

A

The extent to which patient behaviour coincides with medical advice

2
Q

What conditions have a high adherence rate?

A

HIV, arthritis, GI disorders, cancer

3
Q

What conditions have a low adherence rate?

A

Diabetes, sleep disorders, pulmonary disease

4
Q

What are the negative implications of non-compliance?

A

Wasted appointment time
Wasted money on drugs
Poorer patient health
Readmissions due to non-compliance

5
Q

What is a ‘pill-count’?

A

A pill is dispensed at a certain time every day by electronic equipment. The number of pills left after a certain amount of time will show adherence.

6
Q

Why may a patient not adhere to treatment (with regard to their illness)?

A

They may have no symptoms so not feel the need to take the medication
The disease may not be life-threatening
The patient may give up with treatment if the condition is severe

7
Q

Why may a patient not adhere to treatment (with regard to their treatment)?

A

The drug may be inconvenient to take
The drug may have negative side effects
The patient may not be observed taking the treatment so get away with non-compliance
They may not understand what the drug is doing to them

8
Q

Why may a patient not adhere to treatment (with regard to the patient)?

A

The patient may not believe in taking medications

The patient may reject the medication based on beliefs

9
Q

Why may a patient not adhere to treatment (with regard to their psychosocial background)?

A

May have psychological issues
May have a lack of cognitive ability
May have a lack of family support
May be very socially isolated

10
Q

Why may a patient not adhere to treatment (with regard to their Healthcare)?

A

May have a negative healthcare experience
May have to wait a long time for a diagnosis or medication
The prescriber must also believe that the medication is the right option

11
Q

When does unintentional non-compliance occur?

A

Arises from capacity and resource limitations

12
Q

When does intentional non-compliance occur?

A

Arises from beliefs, attitudes, expectations and the patient’s motivation to persist with treatment

13
Q

What can be done to increase adherence?

A
Look at motivation
Reduce practical barriers
Try to find reason behind non-compliance
Try to be more patient-centred
Look at effectiveness of treatment in that specific patient
14
Q

What is concordance?

A

The nature of the interaction between the clinician and the patient. The patient should be active and it should be a discussion rather than the patient being told what to do

15
Q

Give examples of good concordance when prescribing medication?

A
Define the problem
Discuss treatment options
Provide information to take away
Check patient understanding of how to take medication and what it does
ICE
16
Q

What is compliance?

A

The extent to which the patient complies with medical advice