Patient Adherence

Question 1

Types of non adherence

Answer 1

Intentional & non intentional

Question 2

5 phenomen factors of adherence

Answer 2

1. Therapy - duration, number of tablets, polypharmacy, package changing
2. Disease - physica condition, reliant on others, blindness, MH
3. Patient - age, religion, poor pt literacy, lack of involvement
   4.social/economic - cost, poverty, postcode lottery, cultural beliefs
4. Health system - multiple prescribers, drug availability, lack of trust, poor communication

Question 3

Challenges/ barriers to consultations

Answer 3

• time constraints
• co morbidity / multiple issues
• biopsychosocial
• conflicting agenda

Question 4

How do we improve adherence?

Answer 4

Support groups
Educational strategy
Behaviroual strategy ( goals, working with ADL)
Organisational (shared decisions)

Question 5

What are the 5 stages of Cambridge model?

Answer 5

1. Initiate
2. Gather info
3. Physical exam
4. Explore and plan
5. Close session

This provides structure and builds relationships

Question 6

3 steps of adherence

Answer 6

1. Initiation
2. Implementation
3. Discontinuation

Question 7

What is adherence?

Answer 7

Patients actions or behaviours in relation to agreed helathcare reccomendations (compliance)

Question 8

Why is adherence Important?
What happens if not followed?

Answer 8

• can cause further patient deterioration
• affects economic cost to NHS
• pressures increased on NHS
• limits medication benefits

Question 9

What is medication optimisation

Answer 9

The value of medication has to offer
(Cost vs clinical efficency)