Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Pharm 5018

ch 6 Factors That Foster + Outcome

QuestionAnswer
Intentional vs. Nonintentional Prescribers must evaluate whether not taking the drugs was a willful act/Does the person have dementia?/Do they believe that the medication was discontinued or replaced?/Did they not understand it was to be continued for a longer period of time?/Did they not understand that a “cure” was not reasonable?
Barriers to Adherence Perceived adverse drug reactions /Asymptomatic conditions/Chronic conditions/Knowledge deficit/Cognitive impairment and psychiatric illness
Barriers to Adherence Complexity of drug regimen/Financial impact of medications/Communication difficulties/Multiple providers
Measuring Adherence There is not one method that is foolproof/Patient reports/Communicate with patient!/Clinical outcomes/Pill counts/Refill records/Biological and chemical markers/Example: laboratory tests or vital statistics (such as blood pressure) not improved
Keys to Patient Education Simple instructions/Written handouts at appropriate literacy level /Instructions in native language, both oral and written/Incorporate aids, such as colored bottles and calendars/Incorporate health and cultural beliefs.
Involve the Patient With the Plan Patient-centered care means discussing the perceived barriers to care and possible solutions to the problem/Have a clinic navigator or clinic staff call the patient and ask how he or she is doing/Set goals and also reinforcements for keeping to the plan.
Simple Solutions? Make plan less complex/Provide home delivery of medications. Do not let patients leave without scheduled follow-ups./Can the plan be more flexible?
Conduct a Review of the Nursing Database to Find Unknown Barriers See Figure 6-1 for the Five Spheres of Influence and the many possible factors that may be at the crux of the problem /Previous stability or adherence that becomes unstable is typically related to a change in one or more of these variables
Domino Effects Change in one sphere of influence can trigger changes in another. Example: loss of insurance (health system influence) can trigger issues of cost (socio-economic sphere), create family stress (interpersonal sphere), decrease feelings of personal worth (personal sphere), etc
Try to Find a Factor That Can Be Modified Seek resources for new insurance/provide access to low-cost medication programs. /Send messages that you care./Make referrals as needed for social care
Created by: palmerag