Health Literacy/Medication Adherence and Medication History/Reconciliation Flashcards
What is the definition of adherence?
The extent in which a person’s behaviors corresponds with agreed recommendations from a health care provider.
e.g extent in which patients take medications prescribed
What is the medication adherence percentage?
Anything greater than or equal to 80%
Medical Adherence percentage =
((#pills absent in time x)/(#pills prescribed for time x)) *100
1) (90-23)/90 *100 = 74% Not adherent for Cozaar
2) (90-7)/90 *100 = 92% adherent for Microzide
What is medication non-adherence?
Intentional or inadvertent failure to take medication as prescribed.
e.g Not filling prescriptions, never taking meds, missing dose, inappropriate usage of medication
Why is health literacy an important process of medication adherence?
Health literacy allows patients to better understand their illness and manage their illness therefore increasing adherence. There is a positive and statistically significant relation between literacy and adherence.
What is personal health literacy?
The degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others
What is organizational health literacy?
The degree to which organizations equitably enable individuals to find understand and use information and services to inform health-related devisions and actions for themselves and others
What are the contextual factors of health literacy?
Reading skills, culture, writing skill, speaking skills, listening skills, numeracy skills, conceptual knowledge,
Who does limited health literacy affect?
-Mfs aged 65 and older
-Chronically ill
-Disabled
-Economically disadvantaged
-Individuals with low english proficiency
What does limited health literacy cause?
Delayed diagnoses, increased medication errors, non-adherence, hospital readmissions, increased health care cost, decrease disease state understanding
Red flags for low literacy?
Frequently missed appointments, incomplete registration forms, non compliance, unable to name medication, identifies pills by looking at them and not reading the label
What is medication history?
Used to gather relevant information about patient’s medication use
Elements of medication history = Patient information, Allergies, Health care services, Medications
What is an example of patient information?
Demographic Information (Always use 2 identifiers):
-Name
-DOB
-MRN
-Gender
-Room Number
What is an example of Health care services in medication history?
-Preferred pharmacy
-Insurance
-Other facilities: Hospitals and nursing facilities
What is an example of Allergy in medication history?
-Drug and food allergies
-Review the patient chart
-If they had a previous allergic reaction:
“How long ago?”
“Ask symptoms of reaction”
“Ask treatment of reaction”
“Name of the agent”
“The dosage if possible”
What is an example of medications in medication history? (This question kinda dumb tbh but deal with it lolz)
-Current prescription medications (Special formulations like inhalers, injections, suspensions, powders, and sprays)
-OTCs like acetaminophen, aspirin, topicals
-Herbal and dietary supplements like iron, calcium, probiotics, fish oil, etc.
When verifying a medication what should we do?
If an antibiotic ask: What are we treating, Duration of antibiotic, and complete # of days
For each medication we verify the name, dose, frequency, and indication
We ask when the last dose was: Morning, Noon, Evening? Yesterday, last month, last week?
What are some common errors in medication history?
-Incorrect dose, frequency, strength, name, dosage form
-Omission of therapy
-Therapy with no indication
What are some tips and tricks to be successful when dealing with medication history?
-Open ended questions
-Rephrase and give clues
-Use reliable resources like family and friends
What is medication reconciliation according to join commission?
Medication reconciliation is the process of comparing a patient’s medication orders to all of the medications that the patient has been taking.
What is medication reconciliation according to centers for medicare and medicaid services?
The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital or other provider.
What are the steps to complete medication reconciliation?
1) Obtain as accurate of home medication history list
2) Reconcile medication list to inpatient medication list
3) Using your professional judgement to make clinical decisions on what medication to order for the patient
4) Educate patient and caregivers on most updated medication list upon discharge
What is IESC (Iguana Eats Snow Cone)?
-Indication
-Efficacy
-Safety
-Convenience
How do medical reconciliation and history go hand and hand?
You should be able to collect medication history from different resources and accurately use them in order to execute medication reconciliation.
