Manage patient adherence to prescribed regimens of one or multiple drug therapies. Medicare’s private health plan and prescription drug plan members are advised to follow a regimen of medicate adherence to cover 80% or more of the prescribed therapies in a calendar year. The Stars Clinical Pharmacist will target barriers that keep members from adhering to medication regimens. Several medication adherence interventions run simultaneously throughout the year. The Stars Clinical Pharmacist will work closely with physicians to determine appropriate interventions and next steps. Initial telephonic outreach to patients will also be needed in order to optimize medication use, and offer tailored solutions, such as reminder calls, regimen simplification,…
Healthcare professionals should understand the basics of informed consent, they should also never fall short of relaying the information in detail, so it would allow the patient or guardian to make an informed judgement that would be in the care seeker’s best interest. As healthcare providers, our society as a whole trusts their opinion and holds their opinion at a high regard, which is why professional standards forces them to inform the society, in this case their patients, of all the possible treatments and the pros and cons that follow the treatment, in order to bring the individual to their standard of status quo. Physicians have a series of questions to ask themselves, which assist them in justifying that the patient has all the information necessary to…
In interacting with your discussion I realized that some of the health factors that interfered with medication adherence in my experience, is the stress of health care visits with some patients, in some instant it is because, they don't have the mean to get to the provider office and have to use public transportation that add to a very stressful situation. Other time is because, some feel discomfort in asking providers questions, because these are in a rush to speak with patient that they in turn sometimes can remember what they really want to ask about the medication so this get in the way of patient belief or understanding.…
The patient’s chief complaint, present illness history, past history, family history, social history, current medications, and review of systems…
The cost of nonadherence is estimated to cost the US healthcare system $100 to $300 billion a year (Phrma, 2015). This figure includes the cost of hospitalization, premature death and nursing home admission. Adding an additional $2,000 to the annual per patient cost, 40% of the nursing homes admission has been associated with non-adherence (Phrma, 2015). The consequences of nonadherence are significant, they include transplant failure, acute rejection, decrease quality of life, which all leads to an increase in health care cost and potential longer term hospitalization (Tanriover, Stone, Mohan, et al, 2013). Nonadherence cause approximately 13%-35% of the transplant loss. Kidney recipients who do not adhere to their treatment regimen die at…
It is important that we recognized these issues while they are still new. I know a few years ago you were encouraged to treat pain more aggressively, and you may be unaware of the dangerous of the medicines you are giving your patients, and your patients are unaware also. It is very important to educate your patients so things don’t…
The duty and responsibility of the doctor and medical team is taking the psychological, social and spiritual aspects when dealing with patients who complain of any chronic illness.…
The policy is hoping to emphasize the importance of complying with medical treatment if advised. It ensures that patients follows the medical management regardless of their infection status in order to provide a safer environment for the public and people in close contact to the patient.…
Such information should be available only to the physician of record and other health care and insurance personnel as necessary. Privacy is an individual’s constitutional right to be left alone, to be free from unwarranted publicity, and to conduct his or her life without its being made public.…
Before using any of the methods to manage pain, the client needs to be assessed, as every kind of pain relief can be harmful, care plan and policies and procedures always have to be followed and necessary precautions have to be taken.…
Medication adherence refers to the extent to which patients follow provider recommendations about day-to-day treatment with respect to the timing, dosage, and frequency. It may be defined as “the extent to which a patient act in accordance with the prescribed interval, and dose of a dosing regimen.”. (Bosworth et al., 2011, p.…
Noncompliance is a common problem in many clinical settings. This barrier may be very frustrating for the APN. The patient may choose not to adhere to the recommendations of their primary care providers. Some reasons for noncompliance may not be the patient’s choice such as literacy issues, lack of funds, lack of resources, or inadequate communications. These are issues that may be addressed by the case manager or social worker who are involved in the…
When a patient is making a decision it should be based on the facts only. It is not the place of medical professional to try coercing the patient into the decision favored by the medical community. While it is common for…
The main focus of patient care was to control the patient’s pain. Also the patient experienced nausea, vomiting, and constipation .These symptoms were unwanted side effects of the opioids he was taking. During my placement the condition of the patient worsened. Pain increased, along with the side-effects of the medication taken by the patient. Some of the activities that the patient was able to perform independently became difficult, such as getting to the toilet and maintaining personal hygiene. The patient became restless at night time due to the increase of pain. At this point the amount of opioids taken by the patient was increased by the doctor, so that as well as the medication in the syringe driver the patient could take a set amount of strong opioids when required by mouth to relieve the pain. I will relate this care issue to the research article I have chosen to critique and discuss. These oral opioids where always administrated by his wife. The patient was unable to do it himself due to his physical deteriorated condition. However was always the patient that asked to take the medication when he felt he needed it. I have chosen…
National Institute for Health and Clinical Excellence (2009). NICE Clinical Guideline 76: Medicines adherence. Available at : www.nice.org.uk/CG76FullGuideline. (Assessed: 20 November, 2012).…