801e Medication Adherence & Aging

Question 1

adherence

Answer 1

the extent to which a person’s behavior-taking meds, following a diet, and/or executing lifestyle changes- corresponds with agreed recommendations from a health care provider

Question 2

compliance

Answer 2

readiness to yield; conformity in fulfilling requirements

Question 3

persistance

Answer 3

sticking to something; not giving up

Question 4

cognitive facets of a patient’s beliefs

Answer 4

identity, timeline, consequences, control, and causes

Question 5

emotional facets of a patient’s beliefs

Answer 5

feelings that arise as a result of an illness that can lead to depression or anxiety

Question 6

adherence assessment methods

Answer 6

• pt self report (medication adherence rating scale (MARS) & Morisky’s score)
• blood level (phenytoin, digoxin)
• surrogate markers (BP, LDL-C, A1c)
• disease outcomes or events

Question 7

medication possession ratio (MPR)

Answer 7

• # of days in the time period

- 0.85-1.2= excellent adherence

Question 8

adherence aids

Answer 8

purpose, med list, med chart, pill box, adherence packaging, med diary/calendar, alarm/phone apps