Maintaining A Medication Scheme (Adherence, Compliance)

Only about half of patients who leave a doctor’s office with a prescription, the drug takes as directed. are the most common reasons for a lack of compliance

Adherence to the medication scheme (compliance) is the extent to which a patient follows a treatment regimen. With regard to drug adherence requires that the recipe immediately redeemed and the drug with respect to dose, dose intervals, duration of treatment and other specific requirements (e.g., as drugs administered without food) is taken according to prescription. Patients should be advised to inform their doctor if they stop taking drugs or change what they but rarely do. Only about half of patients who leave a doctor’s office with a prescription, the drug takes as directed. The most common reasons for a lack of compliance are frequent doses Lack of insight Low understanding of the benefits of taking drugs cost many other reasons contribute to the lack of compliance in (s. Reasons for lack of compliance). Reasons for lack of compliance origin basic patient apathy concerns about drug intake (eg. As adverse drug reactions, dependency) Lack of understanding of the disease or its importance Financial aspects Forgetfulness Lack of understanding of the statements in Regulation No confidence in the efficacy of the drug Physical difficulties (eg . B. swallowing tablets or capsules, the opening of bottles or upon receipt of recipes) reduction, modification or elimination of the symptoms of drug Unwanted WANTED drug reactions (real or imaginary) complexes therapy (eg. B. doses with frequent administration, many drugs) interfering or restrictive precautions (eg. As no alcohol or cheese) similar appearance of drugs unpleasant taste or smell In children, it is less likely that a treatment regimen is followed, as in adults. The worst is the adherence in chronic diseases that require a complex long-term treatment (eg. As juvenile diabetes, asthma). It is possible that parents understand the instructions in the regulation is not accurate, and within 15 minutes they forget about half of the information that has given them the doctor. Older people follow treatment regimens as other adults. However, factors are more common among older people who reduce the adherence (z. B. insufficient financial resources, using a variety of drugs or of drugs that must be taken several times daily) (Associated drug problems in the elderly). Cognitive impairment may reduce adherence beyond. Sometimes, prescribers have to be creative by selecting a medicine that is easier to use, even if it would not otherwise be the first choice. For example, could be tried for patients with hypertension, a clonidine patch, which is installed by a weekly outpatient care service or family member who can not follow a preferable daily regimen of orally taken drugs. The most obvious result of noncompliance is that no relief or cure of the disease occurs. Noncompliance results in the United States each year to an estimated 125,000 deaths due to cardiovascular diseases. If the patients are taking their medicines in accordance with regulations, up to 23% of nursing home admissions, 10% of hospital admissions, numerous doctor visits, numerous diagnostic measures and numerous unnecessary treatments could be avoided. In some cases, noncompliance can actually lead to a worsening of the disease. For example, the lack of receipt or a premature termination of a antibiotic or antiviral therapy can lead to resistant pathogens. Pharmacists can uncover compliance issues and help to solve them. For example, pharmacists may find that a patient not a “refill” (equivalent to fetching the result of medication) receives, or that a recipe for a series of medication is redeemed early. By talking through the instructions in the recipe again with the patients, pharmacists can uncover misunderstandings or fears of the patient and gentle. Doctors can change complicated dosages or doses with frequent administration or application, or can alternatively prescribe safe and effective, but cheaper drugs. It is important that communication between all healthcare professionals who treat the patient and maintain.

Health Life Media Team

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