Adherence/self-management Flashcards
Define adherence
The willingness to take responsibility for their own care
How can culture affect adherence?
who makes the choices at the home
language barrier
religious beliefs
How can functional ability affect adherence?
If someone can’t physically do something, then they may not adhere to their care plan
Children do not have the functional ability to say they want their medicine
How can cognition affect adherence?
Ex: People with bipolar disorder can think “I feel good, I don’t need my medicine”
How can family dynamics affect adherence?
Speaker of the family rebellious teenagers Parents making the choices for the minor issues between siblings when making decisions about parents Cultural beliefs differ in the family
What are the consequences of non-adherence?
Not getting well
higher mortality rate
having mental issues
change in their quality of life
How can a health-professional feel if they have a patient who is non-adherent?
Irritated
Empathy and thinking that they should do more
What happens to the cost and resources of health-care when someone is non-adherent?
the cost of health care goes up and more resources are used and become unavailable
Give an example of partial adherence that is intentional
When a patient adjusts their own dose/frequency without asking the provider
Give an example of partial adherence that is non-intentional
Forgetting or missing medications or treatments
Define Self-management
A patient’s ability to manage their adherence or treatment
What things attribute to self-management?
Self-efficacy Patient Engagement Health Education Patient-provider partnership Disease management
What are some of the factors that affect learning?
Motivation Readiness Active involvement Relevance Feedback Nonjudgmental support Information that proceeds from simple to complex Timing
Why is readiness something that affects learning?
If someone just got some news that they did not want to hear, they may not be ready to talk about it
Why is active involvement something that affects learning?
It helps the patient feel like they are in control of their care
