Medication non-adherence is one of factors that lead to therapy failure. There are 30% to 60% of the patients who are non-adherence to their medication and this may create a series of problems. Medication adherence mean by the extent where patients are able to follow or implement to the prescribed medication. On the other hand, the meaning of medication non-adherence is patients failed to follow the medication prescribed by health care professionals. [1]
There are many factors that can lead to such problems. The factors such as patients are lack of trust in medication given by doctors or they are lack of trust in young doctors due to their ages. In addition, patients who are lack of knowledge about their treatment can lead to non-adherence.
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Intentional non-adherence of medication means by patients actively or purposely decides not to follow or use the recommended treatment. The reasons can be due to their level of cognition and their beliefs. Patients will weight or compare the pros and cons of the treatment from the information they received from friends. By comparing the side effects and other adverse effects occur such as drug dependency, they will choose to discontinue their therapy and lead to medication non-adherence. For unintentional non-adherence, it is not related to the level of cognition and beliefs of patient. Mostly, the reasons lead to unintentional non-adherence is the complexity of medication, forgetfulness of patient due to old age or busy with other issues and patient may not understand exactly how to use or take medicines. …show more content…
These allowed physicians to count whether the correct amount of medicines had been consume by patients. However, the disadvantage of this method is that patient may discard the medicines without consuming it. In addition, physicians can detect medication adherent through achievement of treatment goals. It can be done by observing the medical condition of patients whether they have been recovering from disease or not. Through the recovery of patients, we can said that patients are adherent to medication prescribed by
Ask if the patient is experiencing other problems. If the patient reports other challenges, link it to poor adherence and encourage compliance.
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
According to the World Health Organization (WHO), the aging population will continue to grow due to the falling fertility rates and the increases in life expectancy. However, this population has distinctive, demographic factors that may influence their adherence to medication necessities. Dynamics that affect medication regimen in the elderly can be related to “memory and cognition (forgetting to take medication), dexterity (unable to open medication or break pills in half), low literacy, concern about side effects
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
Studies have shown that patients fail to adhere and comply with medicines because of lack of understanding. [1] Gordon et al (2007) conducted a study which aimed to identify medication related problems and identify approaches to support patients to manage their medication. Problems with access to and the organisation of services was one of the findings highlighted from the study. Pharmacy can address the issues associated with organisation of services, patient education and engaging patients in decision making about their medicines in the home during consultation.
Other factors that influence treatment adherence are the following: the symptoms of illness, such as hypomanic denial, psychosis, comorbid disorders, personality disorders, and substance abuse disorders. Side effects of medications and unfavorable personal attitudes toward treatment may also have a great negative impact on treatment adherence. The effectiveness of psychotherapeutic interventions to enhance adherence will allow the ability to address the factors that are changeable and most relevant to treatment adherence in a given individual. These factors will undoubtedly differ depending on the individual 's psychiatric symptoms, medication response patterns, age, gender, and cultural
This relationship can be successfully built in the presence of appropriate communication. The positive correlation has been found between the patients’ adherence and the good communication in various recent studies. It means that the effective communication can make the patients understand the details of their illness, get a knowledge about the steps to be taken in order to cure it and get motivation to keep up their morale (Bakken et al., 2000).
Medication errors are any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care profession, patient or consumer (Johnson, 2012). Approximate 1.3 million people injure each year due to medication errors in the United States. According to the Coordinating Council for Medication Error Reporting and Prevention describes medication errors as any event that cause or lead to inappropriate medication use or patient harm while on the medication (Comrade 2014). The Food and drug administration evaluates and report the most common medication error as improper dosage accounts for 41 percent of fatal medication error and failure
Mc Lellan A (2009) The nurse patient relationship will prove key to effective medication adherence. Nursing Times 105(3).29
Medication errors pose the greatest risks and consequences in many health care settings, there are many different factors that play a role in medication error. Distractions and frequent interruptions increase the risk of medication error when caring for patients. Multitasking is a major contributing factor to these human factors, it is has been documented that distractions and interruptions along with multitasking leads to medication administration errors (MAEs) (Nelms and Jones, 2011). Medication errors post a major threat to the lives of patients, by increasing the chances of harm, a live changing injury, and even cost the patients their life .
Patients are feel difficulty of medication compliance in long term treatment because patient have to be a regular on their medication. However, old people also require an extra attention on medication compliance because sometime noncompliance create a critical situation for them. Sometime patient takes a few dosage of medication and they stop taking medication as soon as they feel well which create a complication on long run. The implications of non-adherence are evident in the outcomes for many diseases, including HIV, cardiovascular disease, type 2 diabetes and high cholesterol (Scholefield,
Medication errors are amongst the most common mistakes that have an impact on patient care. Medications are an absolute benefit if health care providers prescribe, dispense, and administer them to the patient by applying the appropriate technique. The administration of medication is a fundamental aspect of the nursing role and it is associated with significant risk, however, despite the health care team’s knowledge and devotion to quality care, errors with medications may occur. Therefore, it is important that health care providers are familiar with the most common encountered errors. Health care providers should be familiar with the basic rights of medication administration: Right drug, Right dose, Right patient, Right route, Right time, Right reason, and Right documentation and the three checks.
Observe, record, and report to physician patient's condition, treatment provided, and reactions to drugs and treatment
Specific Purpose: To inform my audience about the dangers of prescription drugs when not taken as prescribed by your physician or pharmacist.
Self-care can be defined as primary health resource in health care system. It involves the health activity, health decision of individual and include self medication, self-treatment , social support in illness and first aid in everyday life 12. Now a day there is a increasing trend for self medication in developing countries. Craving for medicines and self-medication has been part of mankind from one generation to another. People had a concept of medicine should be used of any sickness or any sort of discomfort. The relevant awareness about significance of responsible disposing left over medicines or discontinued lack in our population and the antibiotics are commonly used by self-medication when symptoms chronic infection (Gingivitis, Tonsilitis) 6. According to World Health Organization (WHO) states that Self-medication as the use of drugs to treat self diagnosed disorder, symptoms, the intermittent, continued use of prescribed drugs