11.8.1.3.3. Assessment of Drug Use and patient condition (approximate duration of 5-10 minutes)
The PI/Investigator reviews the patient condition and UDS results using the following framework:
PI / Investigator
“How are you today and how do you feel since our last session? What went well? What was challenging?
Did you experience any difficulties completing your diaries? Are you taking your medication as we discussed?” If the patient reports problems with taking the medication; the PI/Investigator will further question: “What were the circumstances? Were any problems related to the time of taking the medication? Let us work together considering another option to take your medication. If we find the right strategies, learning to take your medication can be an easier goal to help you achieve
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Review the benefits of abstinence and discuss how this can best be achieved.
v. Transfer the patient take home doses one level down 11.8.1.3.4.3 Outcome III. The patient is non-abstinent and non-adherent with
Suboxone®
Some patients may achieve abstinence without medication adherence. This can occur at any time in treatment and in response the PI/Investigator carry the following:
i. Congratulate the patient for being abstinence. ii. Ask about how the patient feels with abstinence and if he is achieving all abstinence related benefits. iii. Ask if the patient is experiencing other problems. If the patient reports other challenges, link it to poor adherence and encourage compliance. iv. Probe on the reasons for non-compliance and addresses any problems, such as side effects..
v. Inform the patient that medication compliance enhances the chances for sustained improvement. vi. Review medication adherence plan. vii. Transfer the patient take home dose schedule one level down. 11.8.1.3.4.4. Outcome IV. Patient is non-abstinent and non-adherent to
Suboxone®
Non abstinence is expected to lead to non-adherence, if this occurs the
After several days of working with me the patient’s states “I know I haven’t taken very good care of my body, but I would like to start doing that now. I have not even tried to manage my diabetes
Thomas, . "Abstinence-Only Sex Education Statistics - Final Nail in the Coffin." Open Education: Free Education for All. N.p., 5 Jan 2009. Web. 4 Apr. 2012
In addition, the patient may seem to understand the information or directions about treatment. However, he or she may feel uncomfortable saying "no" to the doctor for the reason that they may see it as being disrespectful. Communication is very vital, it is important to make sure the patient understands by asking open-ended questions or asking them to repeat in order to verify what they understood.
What are routine daily clinical observations that are found on a care plan that would you perform on a patient?
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
Goal 2: sustain total abstinence; broaden knowledge of the disease and the recovery process (Perkinson, Arthur, & Bruce, 2014, p.391).
The morning started slowly, with a 63 year old woman with a history of hypertension, back in the office four months after her pills ran out. Her blood pressure, not surprisingly, was high. The doctor reminded her, wearily, to call the office for refills. She nodded. "Compliance," he told me, as we left the exam room, "is our biggest problem."
learned how important it is that we must help our patients make a commitment to continue to
Due to my uncertainty, I asked the pharmacist for some tips on how to proceed. He said to use simple language and tell the patient the medication’s dose and frequency, as well as how long to take it for. He also said to mention the cautions and side effects, and which side effects would require coming back to see the pharmacist or the patient’s GP. I was also told to mention any interactions (i.e. if alcohol interacts with the drug to cause drowsiness then avoid driving). These points are in accordance with the NHS’s Patient Counselling and Consultation Skills (2014). Having a mental checklist of what to do improved my confidence when it came to talking to the patient, therefore making me feel less
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.
Abstinence can last as long or as you want. Some reasons you might choose not to have sex at a particular time such as when you’re more focused on academics or when you're dealing with the end of a recent relationship in a particular circumstances. The reason why it is so hard to practice abstinence is because, nowadays teens are wanting to have sex for their pleasure. Abstinence is the most safest way to avoid HIV/AIDS, and other STDs, and unintended pregnancy. If young people choose to remain abstinent or practice “secondary abstinence,” will help them develop a strategy to do so. Secondary abstinence refers to choosing abstinence after previously engaging in voluntary or coerced
“An amateur practices until he gets it right; a professional practices until he can’t get it wrong.” by Kenneth van Barthold is a quote that I have come to appreciate in my life. I am not a perfect individual but I know with practice comes efficiency, accuracy and confidence. I learnt this lesson the hard way when I found myself struggling in my pharmacology class. Pharmacology required hours of studying, repetition, re-edition, along with mnemonics and jingles for memorizing drug classes and individual properties. Despite struggling, I began to love pharmacology because it explained how the human body works through physiology, and various ways pharmacology helped to reverse damaging effects of drugs. Learning how drugs interacted in different ways to provide effective
In the United States, it should be very important to discuss the importance of abstinence among young people of the ages 10 through 25. In industrialized countries, it is very common that teenagers would start indulging in sexual activities at the same age. Studies have proven that adolescences sexual behavior helps to increase self-esteem and identity formation, which helps with the social and romantic interactions in their society. Studies have shown that these behaviors and characteristics are relevant to birth and pregnancy rates, as well as to the incidence of sexually transmitted infections (STIs) including: human immunodeficiency virus (HIV), a virus that causes acquired immune deficiency syndrome (AIDS). The centers for Disease Control
Some patients may have problems following directions, for instance; it may be difficult for a patient to wake up in the middle of the night and take a pill, or if they are taking several pills at the same time, they may get confused about which pill to take at a specific time. The unpleasant outcomes or side-effects of the treatment. Any side effects of the medication, unpleasant taste of the medication, and the pain of physical therapy can cause patients to not follow through. Some patients also may be afraid of needles which may make them adherence to non-compliance. Lack of trust in the adage.
Medication adherence is defined by the World Health Organization as "the degree to which the person's behaviour corresponds with the agreed recommendations from a health care provider”. Medication adherence is a behavioural process that is influenced by many factors, assuming the patient has the knowledge, motivation, skills and resources to follow the health care provider’s prescription. Adherence is an important modifier of health system effectiveness