Objective measures Flashcards
Two objective methods of measuring
Pill counting and medication dispensers
How does pill counting work?
Pill counting is an objective method of measuring adherence and it works by calculating the number of doses that a patient should have taken then counting the number of pills left in the bottle to compare it with the number of pills that should remain
How is pill counting conducted?
Typically pill counts are conducted in person,
What issues stems from pill counting being done in person?
It may be a burden to the patient as they may need to be required to come to a clinic and remember their medication. It also may be inaccurate if it’s at times as a patient could deliberately manipulate how many pins there are in a packet.
Why are unannounced pain counts better?
Unannounced pill counts are aware of overcoming this, especially if these are done by a telephone as it is more practical
What did kalichman eat al do
They conducted the research on HIV, positive men and women by completing telephone based on announced pill count, providing blood test spins to look at viral loads with 68 out of 98 participants or receiving a second pill count throughout unannounced home visit
What did kalichman find
Found that a high level of agreement between telephone pay account and the home account in addition, patient loads as determined by the blood specimen correspondence and strongly to the level of a adherence , determined by telephone pelican, suggested that unannounced telephone based or objective measure of monitoring adherence
Name one weakness of pill counting
It is a simple and straightforward method however, it is not measure how many pins the patient has actually ingested if a patient is aware that pills are gonna be counted. They could symphony throw away some to avoid discovering this will lower ability of this measure.
One strength of pill counting
Telephone pill counting has researched support study showed a high level of agreement between accounts home accounts and viral loads on HIV suffering this increases validity
What are medication dispensers?
Are portable devices that allow you to organize medication by day and time these devices provide reassurance to the patient to buy dispensary the correct pills at a set date and time and can use visual or auto alarms to alert the patient
How do medication dispensers work?
Automatic medication dispenser records, the date and time if he leaves the device somehow have alarms and emails
What is one advantage of medication dispensers?
They have the advantage of being portable, and therefore provides monitoring without affecting the patient adversity. Additionally, it provides a reliable way to measure appearance, which is not affected by social disability or error of memory.
There is also the obvious advantages of the patient to stick to their treatment with their reminders, meaning that they are less likely to relapse and be admitted to the hospital.
One disadvantage of medication dispensers
One disadvantage is that the dispensers may not get accurate results although the dispensers may record the medication being removed. It does not mean that the patient has actually taken the medication this method lacks validity
Other factors to consider when wanting to use medication dispensers
In addition, the usefulness of medication dispensers vary with age, the older patients showing lower levels of appearance, even with the use of the dispensers, some fun that alarms are irritating and other found that they forgot to charge the dispensers and it also depends on the reasons for appearance, if patients forgot to take their meds, then it is gonna be useful, but ifpatients are concerned with side effects, then it may not be helpful
