Compliance with therapies recommended by a physician is a primary element towards a successful treatment. Failure to adhere can lead to serious complications which not only affects the patient but also the physician and most importantly the health care system. Even though compliance and adherence are relatively similar, there is an extensive difference between one from the other. According to World Health Organization (2003), adherence signifies “the extent to which a person's behaviour - taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider.” On the other hand, compliance is the amplitude to which a patient lacks any means of communication with a health care provider regarding the prescribed medication. Unlike compliance, adherence requires physician-patient collaboration and patient’s consent to prescribed medications written by a health care provider. Inevitably, both compliance and adherence are very alike and are required for a successful treatment of chronic illness or disease.
Majority of chronic illnesses are treated through the use of medication assisted treatment such as therapies. Yet the full benefits of therapies are hampered because, according to Consumer Health Interactive readers “one in five reported that they failed to take antibiotics as directed. The majority -- 78 % -- reported that they finished the entire course of antibiotics prescribed. But 14 % said they took the antibiotics only until they felt better; 4 % took a few and saved the rest for another time; and another 3 % failed to fill the prescription” (Jaret, 2014). Medication non adherence can substantially aggravate and heighten an illness, increase health care cost...
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...ine while indirect method includes number of prescription refills, monitoring drug intake, and any side effects experienced.
CONCLUSION
In conclusion, physician-patient relationship is important element in educating patients about the importance of medication adherence. Age, gender, cost, and side effects are few of the reasons that influence compliance but none are as crucial and important as strong patient-physician relationship. Highlighting advantages/ disadvantages of treatment, formulating a detailed regimen to implement the treatment, making frequent follow ups are very crucial to developing a strong patient-physician relationship and lowering the chance of any illness or diseases. Although both physician and patient are responsible for a successful treatment, there is a greater weight on the patient to make sure their treatment is running successfully.
Although equipped with years of schooling, countless clinical experiences, and modern technology, healthcare professionals would accomplish very little without if they do not establish trusting relationships. When a health care provider establishes a trusting with a patient, they are more likely to commit to treatment plans or follow advice. A trusting relationship must also be established between doctors and family members to ensure the best possible solution is achieved for the patient. Moreover, a health care provider is not the sole person in charge of caring for people. He or she is a member of a team of other experienced personnel that must trust each other’s judgments and decisions to create a unified staff dedicated to caring for patients.
According to Dr. John Steiner, a researcher at Kaiser Permanente, very few patients are fully capable of complying with all their doctors’ requests and or recommendations. To illustrate his point, he constructed a chart for a theoretical 67-year-old patient with diabetes, hypertension and high blood pressure. He then tabulated what it would take to be “adherent” with all medical recommendations: Five prescriptions to be filled monthly, getting to and from the pharmacy, (assuming he even has insurance), diet (cutting down salt and fats), exercise (three or four times per week), make it to doctors’ appointments, blood tests, check blood sugar, and on top of that, remembering to take the pills every morning and then again every evening eve...
Antibiotic resistance is one of the most important issues facing health care today, with wide reaching future implications if abuse continues. In the United States alone, antibiotic resistance is responsible for over two million illnesses and 23,000 deaths per year. Providers need to be judicious in the disbursement of these life saving pharmacological agents, while being informative of why antibiotics are not always the answer (Talkington, Cairns, Dolen, & Mothershed, 2014). In the case listed below, several issues need to be addressed including perception, knowledge deficit, and the caregiver’s role. This paper will focus on whether a prescription for antibiotics is appropriate and other courses of action that may be taken instead.
Effective communication between patient and clinician is an important aspect to patient care. Proper communication has a direct positive impact on patient care and adversely poor communication has a direct negative impact on patient care. I will define the seven principles of patient-clinician communication and how I apply these communications with my patients. I will also describe the three methods currently being used to improve interdisciplinary communication and the one method that my area of practice currently uses. Then, I will explain the ethical principles that can be applied to issues in patient-clinician communication. And Lastly, the importance of ethics in communication and how patient safety is influenced by good or bad team communication.
Due to the risk to for noncompliance from multiple medications, uncontrolled chronic health conditions and impaired vision of the patient, the family’s reasons for referral to a home health care coincided with the physician’s as well. Three major safety concerns validated this decision: several medications throughout the day, multiple co-morbidities, and advance age. Her ability to properly manage her medications was questioned when the healthcare team suspected she was uncompliant with her Carvedilol prescription, which consequently resulted in a hypertensive crisis. The progression of her chronic conditions, especially her kidney failure and recurrent dialysis treatment, affects her quality of life and increases her risk for complications.
In this essay, I will be using the understanding of two psycho-social theories, the theory of planned behavior and the health belief model, and the professional ethics to explain how it can lead to the development of concordant medicines-taking behavior in Amira Masood. Concordant is which doctor, pharmacist and patient agree therapeutic decisions that including their respective opinions, to a deeper understanding which extends from prescribing communication to patient support in medicine taking. (1) I will be also discussing the issues of consent and confidentiality arising in the case. The health belief model is comprising by four basic beliefs.
The health care provider should ensure that they communicate effectively with the patient/client.
Kuther, N. (2001). Improving compliance in dialysis patients: Does anything work. Seminars in Dialysis, 14(5), 324-327.
The patient care processes must be consistent with the patient care processes of all other health care providers. These processes include the assessment of the client’s pharmaceutical needs, a health care plan that is constructed to meet the specific needs of the client and a process in which evaluates the health care plan to gauge the efficacy of decisions made and actions taken. Pharmaceutical care management system includes all resources needed to manage the client’s needs, which include the space provided, such as a clinic or hospital, an appointment system for patients, appropriate and ethical documentation, reporting of patient care, evaluation of decisions made and actions taken and payment of service
First and foremost, it is essential that health care providers remain empathetic, knowledgeable and non-judgemental towards people facing a chronic illness. This will allow the patient to feel comfortable with their health care provider and help instill a sense of trust within the relationship. Several researchers postulated that hope evolves from a therapeutic relationship between patient and care provider, within which the patient feels heard, valued and respected (Hawthorn, 2015). This idea reflects the major importance of active listening by health care providers. Throughout the therapeutic relationship, it is beyond important for health care providers to refrain from pretending to understand what their patient may be experiencing or going through in terms of their chronic illness. “Findings from an early study by (Thorne, 1990) documented that chronically ill patients and their families often found that most health care providers could not be trusted to understand the requirements of managing a chronic health condition” (Bucher, Camera, Dirksen, Heitkemper, Lewis, 2014, p.75). This finding raises an important reminder that the patients are the most valuable and knowledgeable source of information concerning their illness, and that the greatest understanding of the illness will be
Many individuals may feel as if they have lost control of their everyday routines, or are somewhat defeated when following treatments programmes and not being able to see an improvement in health. Recently healthcare professionals recognized that if they provide patients with well-defined, straightforward information and knowledge about their illness, it could encourage people to take more of an involved role in managing their condition, such as setting achievable goals, or becoming better practiced at monitoring and managing insulin levels. Thi...
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.
It is important that the patient does most of the talking throughout the interview, so that the doctor can elicit all of the information about the patient’s illness.... ... middle of paper ... ... A. (1981) The 'Standard' of Physician – Patient Communication.
Medications are important part of patient’s life, in that without compliance or adherence to once prescribed medication, the patient’s disease will linger on and cause more complications in their body. Medication compliance is one of the most important topics discussed with the patients. Medication compliance has been described as the ability of the patient to follow correctly prescribed medication. Compliance of medication does not only point out prescription drugs but any therapeutic and medical equipment such as spacers, braces, crutches walkers among others recommended by the physician or nurse practitioner. Medication adherence also addresses the correct prescribed dose of the medication. Ideally, patients
Secondly, they advise their patients in assuring the appropriate use of medications. It is important to tell the patient about the name of the drug, what is it for, when to take the drug, how many times per day, whether it should be taken before meals, after meals or with meals, the method of taking the drug and its side effects and possible drug-drug interactions. (Swanson, 2005)