ADHERENCE Flashcards
what is the definition of adherence?
extent to which the patients behaviour matches agreed recommendations from the prescriber.
what is the definition of compliance?
extent to which the patients behaviour matches the prescribers recommendations
what is shared decision making?
a collaborative process that involves a person and their healthcare professional working together to reach a joint decision about care
what are the stages of medicine taking behaviour?
Initiation - takes first does
Implementation - extent to which the persons medicine-taking behaviour aligns with the prescribed recommendations
Persistence - length of time between taking first and last dose
Discontinuation - person takes last dose
what is concordance?
shared agreement between the prescriber and the patient regarding therapeutic decisions that incorporate their respective decisions
what are the reasons for non-adherence?
intentional non-adherence
non-intentional non-adherence
what are the 5 domains of non-adherence?
- condition related factors
- health system/healthcare team factors
- patient related factors
- therapy-related factors
- socioeconomic factors
what interventions can be done to improve adherence?
Counselling
Simplification of medication regimen
Reminders
Education programmes or workshops
Support group meetings
Family and psychological therapy
Supervised self-monitoring
Close follow up
Rewards for success
how can you measure adherence?
Objective - Measure of chemical in bodily fluid, Electronic monitoring device, Prescribing databases
Subjective - Patient-self reporting
what adverse reaction can occur from prochlorperazine?
acute dystonia
what adverse reaction can be caused by diclofenac (NSAIDs)
dyspepsia and ulcers
should be prescribed a PPI alongside
what adverse reaction can be caused by indapamide (thiazide diuretic)?
gout - can cause hyperuricaemia
what adverse reaction can be caused by simvastatin?
myalgia
- risk is increased if high doses
what adverse reaction is caused by ramipril (ACEi)?
persistent cough
