Medication Adherence Definition

Gawande’s (2015) article “Overkill,” suggests that physicians overprescribe drugs and tests which are ultimately unnecessary for patients. To eradicate such behavior, I would implement an electronic health record (EHR) with the following functions: Computerized provider order entry (CPOE) with a clinical decision support system (CDSS) to assist physicians/clinicians (stakeholders) in their medical practice or at hospitals. These functions will help to alleviate redundant tests and make suggestions about treatment. According to HealthIT.gov (2014), CDSS caters chiefly to drugs, laboratory testing, radiology procedures, and helpful clinical literature (HealthIT.gov, 2014).

It is convenient for the patient. Patients like to know for simple blood work up like strep throat, hemiglobin count .test your sugar level right there.

To the best of our knowledge this is one of the first studies to explore the association between medication adherence and the potentially inappropriate medication use and also the related socio-demographic variables in elderly population with chronic illness in an outpatient setup. Adherence is measured by three levelled MMAS-8, PIM is evaluated by AGS Beers criteria 2015 and the data were analysed by ordinal logistic regression model. Two hundred-six patients (48.5%) do not adhere to the regimens as prescribed (MMAS-8 < 6) while 179 (42.1%) had medium adherence (MMAS-8 6 to criteria cannot be used as a gold standard, as they do not identify all cases and aspects of potentially inappropriate prescribing and the criteria are designed

Straka (2012) suggested effective HH education in basic nursing curricula may improve adherence in clinical practice. Interactive educational methods include role play, student feedback, cognitive reflection, self-assessment, or use of a fluorescent marker to demonstrate HH effectiveness. Huang et al. (2002) found increased adherence four months after an educational intervention. Hill et al. (2014) found LTCF nurses often received HH training using return demonstration and were more likely to educate residents, family members, or visitors. Ellingson et al. (2014) found having a clinical role model provide HH education helpful.

Meaningful use is defined as using certified electronic health record (EHR) technology. It is important to healthcare because of the following; quality, safety and efficiency which reduces health disparities by having computerized physician order entry (CPOE) to document all medical orders that other health care providers inside and outside the hospital to be aware of health management. Maintaining an active medication lists ensuring that any health care provider working with a patient is aware of most or all the medications that a patient is being treated with, and allows the EHR system to make the health care provider aware of any controlled medications, allergies, or drug-drug interactions. Implementation of clinical decision support rules

These new measures address not only whether HTN is treated but also whether it is controlled.

In the process of investigating the research topic, many relevant and current research articles were discovered. Cumulative Index to Nursing and Allied Health Literature (CINAHL) was the database in which 4 out of the 5 articles were discovered. The keywords used were medication administration and electronic medication administration record entered in separate searches. Limitations applied to each search were the publication dates between 2010 and 2014 and full text. Both searches combined yielded a total of 42 articles and relevance was determined by reading first the title and then the abstract. For 1 out of 5 articles the database OvidSP was used. The key words electronic medication administration was used and applied limitations were a publication date between 2010 and 2014 and original articles. The search yielded 134 results and relevance was determined by reading the title and then the abstract. All of the discussed articles are current and published between the years 2010 and 2014 and

Some advantages could be prevention problems with handwriting, alike drug names, drug interactions, and specification errors; combination with electronic medical records, clinical decision support systems, and adverse drug event reporting systems; faster communication

In the dissertation Adherence to Stimulants in Adult Attention Deficit Hyperactivity Disorder, O’Callaghan (2009) examines the experiences, points of view and insights of adults with Attention Deficit Hyperactivity Disorder (ADHD) as it relates to medication adherence. The theoretical foundation for the study is centered on the Health Belief Model, in which an individual’s perceived acuteness of ADHD symptoms, perceived efficacy and cost of medication treatment influence medication adherence (O’Callaghan, 2009). To gain a better understanding the complexities of medication adherence among adults with ADHD, the researcher used the mixed methods approach of explanatory sequential design (O’Callaghan, 2009). For this particular study, the quantitative

I actually got confused with your outcomes, It seems that they all have to do with medication adherence, and your actually say that 99% of the audience will be able to identify three medication adherence behaviors within three months, I would think that is rather high %, , would a lower number be more realistic, unless of course you are giving this presentation to co-workers that work strictly with those that have mental illness, then that number would be realistic. I also noticed you did not have a reference page, hopfully this is something that you have, cut were unable to bring to the discussion board,

to ensure the doctor, nurse and patient all are aware of the medication being administer (welch,

The provision of written medication information given to the patient helps significantly in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient’s understanding of their medications, and when a patient feels more competent with the use of their medications, reduced

Adherence to pharmacotherapy is the basis of treatment success of chronic illnesses. The association between advance practice nurses and their patients as it relates to successfully managing their health care regime is important on many levels. One basic viewpoint is that of failure in adherence to medication will impact optimum health and affect wellbeing. According to Jimmy and Jose (2011) The prescription of medication is necessary to treat an assortment of medical problems to ensure treatment success. According to Brown and Bussell (2011) and Hovstadius and Petersson (2011) Roughly 50 percent of patients do not take their medication as prescribed. As per the World Health Organization (2003), "the extent to which a person behaves, that is, taking medication, diet recommendations related to suggestions from a health care provider" is known as adherence.

Adherence to medication safety is defined as the extent to which a patient’s drug regimen, time and mode of administration of the medications, corresponds to the providers’ prescriptions.” (Wang et.al, 2013) The World Health Organization (WHO) defines “adherence as the magnitude to which the behavior of an individual, as to the use of medicines, following a diet and/or executing lifestyle changes, corresponds to the recommendations of a healthcare professional.” (Martins, 2017). A study was performed by Chia and associates (2006) that found, 50% of patients across all age groups with varied medical conditions do not adhere

Non-adherence has adverse implications in regards to a variety of clinical conditions. Cardiovascular disease is a serious healthcare issue and accounts for approximately 1 million deaths annually in the United States. In addition, approximately 5.7 million people in the United States suffer from some form of cardiovascular disease. According to Iuga & McGuire (2010), non-adherence among patients with cardiovascular disease stands at about 50% and causes adverse progression in the intensity of cardiovascular-related complications. Non-adherence among patients with cardiovascular disease is the leading cause of death. Medication is the primary form of treatment for patients with cardiovascular diseases.