Lecture 31 - Adherence to treatment

Question 1

Why does treatment adherence matter?

Answer 1

-tretment effiaccy , and cost of wasted medicine

Question 2

What are the most non-adherent medicines

Answer 2

• ones that require sustained effort or have strong negative emotins
• lowest adherence is in injury adn surgical rehabilitation programs

-patients with side efecs to their medicaitons

• ear infection medicaiton
• lifestyle changes
• cardiac rehabilitation

Question 3

Creative non-adherence

Answer 3

• when medicaitons are used to modify normal amoutns or give to other peoel e.g pill splitting
• giving to someone else
• other treatments supplemented
• double dosing

Question 4

5 ways you can improve adherence

Answer 4

Listen and get patient to repeat instructions back; repeat as needed
 Keep prescriptions simple and give written instructions; be concrete
 Use pill containers and reminders
 Call for missed appointments
 Take patient’s lifestyle into account when determining regimen
 Emphasize importance of adherence at each meeting and gear scheduling to adherence needs
 Acknowledge patient efforts
 Involve spouse or partner
 Ascertain patient worries and expectations; probe for barriers
 Share decision-making with patients