Unit 3 - LAC3 - Reasons for Non-Adherence Flashcards
Definition of Cognitive Rational Non-Adherence
Non-adherence by patients is often deliberate and based on valid reasons, regardless of medical soundness.
Rational Reasons for Non-Adherence
Uncertainty if the medicine is working.
Dislike of side effects.
Inability to afford treatment.
Inability to commit to the treatment plan.
Study by Bulpitt et al (1988)- what was he investigating
Reviewed reasons why men with hypertension chose not to take medication.
Findings of Bulpitt et al (1988)
8% stopped medication due to sexual problems.
15% stopped due to side effects.
Financial Costs of Treatment and non adherence
Paying for prescription medication or treatment not covered by the NHS.
Private medical insurance increases adherence due to no cost implication.
Spanish Study on Medication Costs
Older patients’ adherence declined for expensive drugs when they had to start paying in 2012.
Rational Non-Adherence Conclusion
Patients think about their decision not to adhere and believe it is rational.
Role of Health Professionals
Need to consider how they communicate with patients about treatment.
Complexity of Treatment Plans
More complex treatment plans lead to lower adherence rates.
Cramer et al (1989) Study findings
Adherence rates: 88% for one dose, 77% for two doses, 39% for three doses.
Definition of Learned Helplessness
Occurs when someone repeatedly faces uncontrollable, stressful situations and does not exercise control when it becomes available.
Example of Learned Helplessness (Abuse)
Victim of abuse does not leave due to learned helplessness.
Example of Learned Helplessness (Stressful Job/Carer)
Individual does not take opportunities to better their situation due to learned helplessness.
Impact of Learned Helplessness on Motivation
Belief in lack of control leads to loss of motivation.
Decision-Making in Learned Helplessness
Individuals experiencing learned helplessness are less able to make decisions.
Non-Adherence Due to Side Effects
Patients may stop medication if they do not like the side effects.
Non-Adherence Due to Cost
Financial costs can lead to non-adherence.
Non-Adherence Due to Complexity
More complex treatment plans result in lower adherence.
Communication by Health Professionals
Importance of clear communication to ensure adherence.
Impact of Financial Costs on Adherence
Higher costs lead to lower adherence rates.
Role of Private Medical Insurance
Increases adherence due to lack of cost implications.
Impact of Residential Treatment Costs
Financial burden of residential treatment can affect adherence.
Rational Decision-Making in Non-Adherence
Patients believe their decision not to adhere is rational.
Importance of Understanding Treatment Information
Lack of understanding can lead to non-adherence.
Impact of Technical Language by Doctors
Technical language can cause difficulty in following treatment.
Adherence Rates by Dosage Complexity
Higher adherence with simpler dosage schedules.
Learned Helplessness and Control
Lack of control leads to learned helplessness.
Learned Helplessness and Stressful Situations
Repeated exposure to stress leads to learned helplessness.
Learned Helplessness and Decision-Making
Reduced ability to make decisions due to learned helplessness.
