Final Flashcards
1
Q
Extent of Non-Adherence
A
50 to 75% don't follow directions 14-21% don't fill scrips 60% can't identify own meds 30-50% ignore instructions 12-20% take other's meds
2
Q
Consequences of Non-Adherence
A
125 000 die of inappropriate med use
25% of nursing home admission is from inappropriate med use
Hospital costs of non-adherence = $8.5 billion
3
Q
The Non-Adherent Patient
A
- If more socially isolated than more likely to not adhere
- Health belief model states dependant on perceived severity, susceptibility, benefits and barriers to adhering
- Social learning theory states that adhering is dependant on locus of control and self efficacy
4
Q
Influence of Disease
A
Adherence less likely with asymptomatic chronic disease and/or the prognosis is poor
5
Q
Treatment of Disease
A
Adherence is less likely if treatment is complicated, long and/or method of treatments (ex. inhaled for asthma)
6
Q
Interpersonal Factors for Adherence
A
- Physician-patient relationship: Patients prefer a patient-centred style (allows for more adherence)
- More understanding physician is of patient’s view = more adherence
- More positive view physician has of patient = more adherence
7
Q
Social and Organizational Setting
A
Higher adherence in cohesive families with lower . conflict
8
Q
Modern Medicine
A
- Non-adherence result of ignorance or deviance
- Increased focus on compliance may itself be cause of increased resistance
- Reactance Theory: Individuals believe that they have a right to control their own behaviour (when threatened, reaction to regain control over behaviour)
9
Q
Role of Physician
A
Trostle: ‘preoccupation with adherence’ consequence of declining authority of medical profession
- Move to patient-centred model (shows medical profession is aware of critics)
- Concordance = proposed as modal of doctor-patients relationship based on mutual respect
10
Q
Lived Experience of Chronic Illness
A
- Self-regulation
- Fear of Medication
- Identity control
- Meaning of illness
