Week 4 Adherance to Treatment Lecture Flashcards
what is non-adherence?
multidimensional, failing to understand what you are supposed to do
what is non-compliance
failing to do what your told (different than non-adherance, not as complex)
i am attending a lecture but using my laptop to watch netflix… i am being___ but not____
compliant but not adherent
compliance as defined by docs:
the extent to which behavior matches medical advice
adherance as defined by docs
the extent to which a person behavior (taking meds, following a diet, executing life cahnges) corresponds with agreed recommendations
what are some short-term complicaiton to non-adherance in diabetes treatment?
hyperglycemia, DKA, elevated BP
what are some long term complications to nonadherence
retinopathy, neuropathy, amputations, heart disease, blindness, stroke
patients generally adhere to which more: medications or lifestyle changes
medication
give four reasons why adherence is important in diabetes
extend quality of life, avoid complications, lets you live fully, cost of nonadherence is expensive
what factors contribute to non-adherence? (4)
patient/family char, disease related char, health care system, regimen related char
the more severe the disease the more/less adherent
more
the lower the SES the more/less adherent
less
males or female are more adherent
females
the more complex the regimen the more/less adherent
less
nonadherence in diabetes is defined as: (4 different ones)
overuse, misuse, eractic use of insulin,
infrequent blood glucose testing
poor record keeping
failure to attend appts
