EH2 Week 11

Question 1

What is the difference between medication adherence and medication compliance?

Answer 1

Medication adherence is when a patient takes medications as agreed

Medication compliance refers to patients being passive followers of the instructions from health care providers

Question 2

Describe the factors that influence a patient’s ability to take their medications

A) Patient-related factors (5) 
B) Condition-related factors 
C) Therapy-related factors 
D) Socio-economic factors (3) 
E) Health care team/system factors (2)

Answer 2

A) Patient-related factors: Age, motivation, lack of trust, health beliefs and impaired health literacy

B) Condition-related factors: Can have many chronic diseases, requiring more medications

C) Therapy-related factors: drugs that are not useful for some patients, experiencing side effects

D) Socio-economic factors: overcrowding, lack of transport, lack of social support

E) Health care team/system factors: poor provider-patient relationship, poor quality use of drugs

Question 3

What does the AIDES method stand for?

Answer 3

Assess 
Individualise 
Document 
Educate 
Supervise

Question 4

Define Assess (5)

Answer 4

• Assessment of the patient, know the specific issues of the patient, Lack of clinical response, Check the medication list, what is the patient is supposed to be on

Question 5

Define Individualise (2)

Answer 5

• Shared decision-making: clinicians and patients make decisions together using the best available evidence
• Dose Administration Aids: adherence device designed to assist medication management for patient

Question 6

Define Document (3)

Answer 6

• Document medications and keep the medications list up to date, shares the patients onto their health record

Question 7

Define Educate

Answer 7

• Chronic disease self-management empowers by providing information and teaching skills and techniques to improve their self-care, improve the doctor-patient interaction, the quality of life is improved

Question 8

Define Supervise

Answer 8

Maintain the continuity of care to monitor the patient’s progress

Question 9

Define the Quality Use of Medicines (2 decisions)

Answer 9

decisions about medicine use by individuals and decisions that affect the health of the population

Question 10

Define Polypharmacy

Answer 10

Five or more regular prescribed medications

Question 11

What is the difference between a Placebo and Nocebo Effect?

Answer 11

Placebo: inert substance or procedure, being unable to elicit an effect but it does

Nocebo Effect: the patient perceives the placebo to cause harm