Session 6 Flashcards
What is compliance?
The extent to which a patient complies with medical advice.
What is adherence?
The extent to which a patient corresponds with agreed recommendations from a healthcare provider.
What are the consequences of non-adherence?
Worse prognosis for the patient.
Increase cost to the healthcare and person.
What is unintentional non-adherence?
It is where the patient wants to take the medication but is unable to do so due to barriers outside of their control. This may be due to them:
- Unable to physically take the medication.
- Not understanding how to take the medication.
- Not being able to afford the medication.
- They may be unable to get the medication.
- They forget to take the medication.
What is intentional non-adherence?
It is where the patient makes the decision not to take their medication.
This can be due to their beliefs, attitudes and expectations.
What can be done to improve adherence?
Educate patients about the importance of taking the medications, the benefits of doing so and consequences of not.
Making it easier for patients to remember to take their medicine, such as pill organisers.
Simplifying treatment regimes.
What are the 5 factors that influence adherence?
Patient factors - beliefs, understanding, memory, etc.
Psychosocial factors - social support, and psychological health, etc.
Healthcare factors - doctor-patient relationships, communication, concordance, etc.
Treatment factors - side-effects, how easy it is to take the treatment, stigma, etc.
Illness factors - symptoms, severity, etc.
What is concordance?
The agreement reached between patient and doctor abut treatment regimes.
What health problems are homeless people more likely to have?
Premature death.
Alcohol and drug dependencies.
Mental health conditions.
More difficult to access GPs.
What might increase the risk of becoming homeless?
Unemployment.
Childhood trauma.
Alcohol or drug abuse.
Poor family relationships.
Anxiety and depression.
What is inclusion health?
A service, research and policy agenda that aims to prevent and readdress health and social inequities amongst the most vulnerable and excluded.
What are the aims of inclusion health?
Reduce material poverty and deprivation for those who are at the most risk of maltreatment.
Provide suitable housing.
What are intervention categories for helping to treat homeless people?
Pharmacological.
Psychological.
Disease prevention.
Housing and social determinants.
What approach should be taken when treating homeless people?
Non-judgemental approach, ensuring confidentiality, treating what they want to be treated and not what you think needs to be treated.
Make sure that your treatment is personalised for them.
