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Nur6069 > Adhereance & Consultation > Flashcards

Adhereance & Consultation Flashcards

1
Q

What does contraindication mean?

A

Factor or reason not to give medication / consequence if medication is given

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2
Q

What is an adverse drug reaction?

A

Unwanted, unexpected or harmful reaction which occurs after medication administration

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3
Q

What is adherence?

A
  • patients’ actions/behvaiours in relation to agreed healthcare proffesionals reccomendations.
  • compliance of following treatment reccomendations
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4
Q

Why is adherence important?

A

-Limits medication benefits
- can cause further deterioration in health
-affects the economic cost to the NHS
- causes more pressures on NHS

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5
Q

Who’s responsibility is adherence?

A

Everyone involved with the patients care

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6
Q

What are the 3 steps of medical adherence?

A
  1. Initiation (first dose)
  2. Implementation (regime followed)
  3. Discontinuation (pt stops medication)
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7
Q

What is non adherence?

A
  • hesitant to start therapy
  • dose skipping ( forgetful)
  • dose self adjustment (money saving)
  • overadherence (taking more)
  • wrong administration (ignore guidelines)
  • discontinuation
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8
Q

What are the 5 adherence phenomenon factors

A
  • therapy
  • disease
  • patient
  • social and economic
  • health system

Related factors

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9
Q

Therapy factor of rasons for non adherence

A
  • duration
  • number of tablets
  • intake frequency
  • intake at meals ( parkinsons)
  • packaging change
  • polypharmacy ( multiple meds)
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10
Q

Patient factors for reasons of non adherence

A
  • age
  • religious beliefs
  • anxiety of adverse affects
  • language barriers
  • patient expert
    -poor medical literacy
  • lack of involvement with process
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11
Q

Social economic facts for non adherence

A
  • cost
  • poverty issues/post code lottery
  • biophychosocial
  • cost of treatment
  • cultural beliefs
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12
Q

Health system factors for non adherence

A
  • availability of drug
  • lack of trust
  • poor communication
  • multiple prescribers ( parkinsons)
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13
Q

Intentional non adherence

A
  • addiction to pain relief
  • much housinings
  • perceptions
  • fears
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14
Q

Non intentional non adherence

A

Beliefs
Adverse affects
Dementia
Poor communication
Cost
Complications
Education

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15
Q

What’s medication optimisation

A

Looks at the value medications have to offer ( cost and clinical efficiency)
Ensuring the patients get the right choice of medication.

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16
Q

How do we improve medication optimisation?

A

-patient education
- simplifying prescriptions (East to follow)
- regular reviews ( isit needed?)
- electronic reminders ( apps)
- continuity of care ( record keeping)
- individual support
- synchronised prescriptions

ALL NEEDS EMPOWERMENT, SUPPORT AND ENABLING

17
Q

How do we improve patient adherence

A
  • support groups (charity, supportive practitioners)
  • educational strategies
  • behavioural strategies (goals, coping, working with pts ADL)
  • organisational (shared decision making, empowerment)
18
Q

What is a consultation?

A

Two way interaction with patients to discuss medication information.
Offers diagnosis/opinions and offer treatment options

Open ended questions used

19
Q

How to improve consultations?

A
  • adopt a style to suit individual needs
  • avoid medical jargon
  • non judgemental
  • supportive
  • understand patients fears/belief
  • pt centred
  • allow patient to find own solution
  • recall/ check understanding
20
Q

What is the calgony Cambridge model?

A

5 stage consultation approach
1. Initiate
2. Gather information
3. Physical exam
4. Explore and plan
5. Close session

This provides structure and builds relations ships

21
Q

Challenges and barriers to consultations?

A
  • time constratints (15mins)
  • patients don’t always have one particular problem ( deal with most important first)
  • biopsychosocial ( housing, education, finances, relationships)
  • conflicting angendas ( what’s Important)
22
Q

What is pharmacodynamic

A

What the drug does to the body

23
Q

What is pharmacokinetics

A

What the body does to the drug
(Absorption/metabolism)

Nur6069 (1 decks)

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