Patient Dilemmas pt2 Flashcards
What is patient adherence?
patient’s failure to follow the recommendations of his or her physician or other healthcare providers
What % of patients fail to adhere to treatment recommendations?
40%
What is the strongest predictor of patient non-adherence?
depression
Patient may
comprehend what is being said, but they may not
understand the medical instructions or information =
Language barrier; Adherence
Building trust helps with what?
Patient adherence
Involved patients ask more questions and keep physicians involved in ways to sustain that collaborative relationship =
Adherence
A patient’s beliefs (religion) can influence whether or not they want to follow the physicians recommended instruction =
Adherence
Ethnicity, age, and gender are examples that physicians tailor to improve patient adherence=
Adherence
Definition of Adherence
the ability to follow a
healthcare professional’s recommendation on
treatment regimens.
Whats the percentage of patients discharged from the
hospital failed to pick up their first-time prescription?
30%
What is a boundary?
Something that indicates or fixes a limit or extent
Categories of boundaries
-Physical
-Emotional
-Intellectual
-Sexual
-Material
-Time
Boundary Crossing
a deviation from classical therapeutic activity that is harmless, non-exploitative, and
possibly supportive of the therapy itself
Boundary crossing purpose
-Purpose could be to meet a particular need of the patient
-Typically this behavior is an isolated event; repeating these types of behaviors should be
avoided
Boundary Violations
-Dangerous, could cause distress or harm to the patient
-Crossing a boundary that is not therapeutic for the patient, such as keeping a patient in the hospital when a qualified caregiver could give
them care instead
Boundary Crossing
-Benign and even helpful breaks in the frame
-Usually occur in isolation
-Discussable
-Ultimately cause no harm to patient, clinician or treatment
Boundary Violations
-Exploitive breaks in the frame
-Usually repetitive
-Egregious and often extreme (ex. sexual)
-Clinician discourages discussion
-Typically cause harm to patient, clinician or treatment
T/F: Boundary violations are always harmful of the patient
True
Patients should have a ________ that allows the patient and the provider to act in a way that is healthy and has the patient at the forefront of all interactions.
“Safe space”
What concept is involved with boundary violations?
Slippery Slope
What are the factors that increase likelihood of sliding down a slippery slope?
-not using chaperones during sensitive portions of exams
-treating some patients differently than others
-revealing excessive personal information to patients
-keeping secrets
Patient relationship
Safer, better, cheaper for patient
Receiving a prescription but not filling it, taking incorrect doses of medicine, and stopping treatment too soon are all examples of what?
Non-compliance
Delaying in seeking healthcare, failure to follow doctor’s instructions, “Drug holidays” and “White-coat compliance” are all examples of?
Non-compliance
