Keywords: Adherence, Cystic Fibrosis, Telemedicine The problem with treatment adherence in long-term conditions Adherence to medication among patients with long-term conditions is a major problem. An estimated 30-50% of medicines are not taken as recommended and adherence tends to decline after the first 6 months of treatment. [1, 2] Within the NHS, medication spend (£13-£14 billion per year) is the second highest cost after staff, yet it is estimated that within primary care at least £300 million worth of medicines are wasted each year due to poor adherence.  Other societal and economic costs of poor adherence include preventable hospital admissions, morbidity and mortality.  As the NHS faces increasing pressures from an ageing population, rising expectations and expensive technology, optimising medication use is an important agenda if NHS England is to improve population health and keep healthcare affordable.
Time magazine's June 6, 1983 cover story called stress "The Epidemic of the Eighties" and referred to it as our leading health problem; there can be little doubt that the situation has progressively worsened since then. Numerous surveys confirm that adult Americans perceive they are under much more stress than a decade or two ago. A 1996 Prevention magazine survey found that almost 75% feel they have "great stress" one day a week with one out of three indicating they feel this way more than twice a week. In the same 1983 survey only 55% said they felt under great stress on a weekly basis. It has been estimated that 75 - 90 percent of all visits to primary care physicians are for stress related problems.
Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010). According to the European Society of Cardiology Guidelines [ESC] (2012) heart failure is diagnosed by symptoms such as dyspnoea, fatigue, either at rest or during exertion. National Heart Failure Audit [NHFA] (2010) reported that providing care to patients with heart failure costs the National Health Service (NHS) an estimated £625 million a year. Heart failure is considered to be among top ten diagnoses in terms of hospital bed days and spaces, this places significant demand on hospital admissions, as 90 percent of heart failure admissions are usually emergencies and account for 5 percent of all medical emergency admissions in hospitals in the United Kingdom (NHFA, 2010). The unpredictability of the disease makes the assistance of partners important in the care of patients with heart failure.
Of the almost 50 million Americans diagnosed with osteoporosis, 80% are women. Females at any age have less bone density than males, but in the mid-30's women experience bone loss at a rate of 1% each year (Berarducci, 2008). Walker (2010) adds to the previous statistics, citing around one out of three women over the age of fifty will have a fracture related to osteoporosis, compared to one in 12 men. Post-menopausal women are at greater risk due to the estrogen levels declining leading to... ... middle of paper ... ...of Advanced Nursing Practice, 8(1), Retrieved from http://ispub.com/IJANP/8/1/9197 National Institute of Health Osteoporosis and Related Bone Diseases- National Resource Center. (2012).
It can cause your life to change, it can make you take medications every day and if alert, you will learn a lot from your body. According to Dopson, (2010) “Many who experienced chronic pain are unable to work, which adversely affects the economy. In 2000, it was estimated that the cost of back pain alone totaled 12 billion and today 119 million working days are lost per year due…(p.35).” Chronic pain can lasts three months or longer without being successful. Now in days, chronic pain has become more common to hear patients complaining about. Chronic pain can be critical; it is known that chronic pain is usually pain that increases with time.
BACKGROUND Approximately 10% to 30% of patients with atrial flibrillation (AF) do not present structural heart disease or have a comorbidity such as hypertension. Atrial fibrillation is the most frequent arrhythmia in daily practice that occurs under diverse situations and its treatment should be based on the different scenarios of presentation. Severe population-based studies have found that AF is associated with greater morbidity and mortality and worse quality of life. It is the leading cause of arrhythmia-related hospitalizations with an important impact on medical costs. Radiofrequency catheter ablation steadily progresses as an option therapy to cure atrial fibrillation.
This disease is characterized by low bone mass and structural worsening of your bones, leading to bone fragility. There is an increased chances of damaging the hip, spine, and wrist . Twenty-five million Americans are affected by Osteoporosis, making it a major public health problem. 80% of those affected by osteoporosis are women. One out of every two women and one in five men have an Osteoporosis-related fracture.
Anxiety disorders are the most common psychiatric disorder in the United States. Between 15 - 19% of the population suffers from this disorder, which impairs the quality of life and functioning (Stuart 218). What is anxiety? Abnormal Psychology describes anxiety as “an adaptive emotion that helps us plan and prepare for a possible theat.” The text book further states, “worrying about many different aspects of life becomes chronic, excessive, and unreasonable.” This is also known as generalized anxiety disorder or GAD (Butcher 201). DSM IV-TR specifies that GAD is a worry that occurs more days then not for at least 6 months, and that it must be experienced as difficult to control (Butcher 201).
rheumatoid arthritis (RA) is an inflammatory autoimmune disease that affected 1.3 million adults in the U.S. in 2005 (Helmick et al. 2008). Incidence of RA increased by 2.5% between 1995 and 2007 among women with a small decrease of incidence among men (Myasoedova et al. 2010). RA is a painful, debilitating disease that causes stiff and tender joints and affects the heart, skin, and other organs (Scott, Wolfe, and Huizinga 2010).
In this respect, an individual with sleep apnea experiences repeated breathing stops for as many as thirty times an hour when asleep. Such episodes are dangerous for the snorer since it increases the risk of developing heart failure, high blood pressure, stroke, and arrhythmias. Research shows that one in every five people suffers from sleep apnea. America, in particular, has one of the highest incidences of people with this disease. According to Lettieri (2010), about 15 million adults suffer from obstructive sleep apnea in America.