Chapter 13: Factors Affecting Medication Adherence in Healthcare Settings

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What can cause confusion for patients when new medications are substituted within a class?

Similar appearance, dosing schedule, side effect profile, or interactions

Different appearance, dosing schedule, side effect profile, or interactions (correct)

Different appearance but same side effect profile

Same appearance but different dosing schedule

How can clinicians promote medication adherence effectively?

Prescribing more medications without assessing adherence

Reprimanding the patients for non-adherence

Ignoring poor adherence and maintaining a distant relationship with the patient

Recognizing poor adherence, identifying contributing factors, and enhancing partnership (correct)

What is a hallmark of strong patient-clinician partnerships in terms of communication?

No communication

Effective communication (correct)

Misleading communication

One-way communication from clinician to patient

How can clear explanations of health recommendations help with adherence?

Minimize patient confusion Signup and view all the answers

What type of environment encourages bidirectional communication and rapport between patients and clinicians?

An environment that conveys compassion and respect Signup and view all the answers

Why is it important for clinicians to normalize factors impeding adherence?

To elicit factors impeding adherence more effectively Signup and view all the answers

What factor may hinder patients living in low-income housing units or who are homeless from proper medication storage?

Lack of understanding Signup and view all the answers

Why can misunderstanding, uncertainty, and confusion about medical recommendations lead to poor adherence?

Difficulty following the prescribed regimen Signup and view all the answers

What percentage of information conveyed to patients in a medical visit do they typically recall and comprehend?

50% Signup and view all the answers

In what way does the lack of scheduled breaks in certain work environments affect medication adherence?

Limits the time available to take medications Signup and view all the answers

Why might patients living in low-income housing units face challenges with monitoring the effects of their medications?

Work environment restrictions Signup and view all the answers

What complicates medication adherence for patients who must take multiple medications?

Certain medications conflicting with each other Signup and view all the answers

Why are depressed patients less likely to follow through on medical recommendations?

Lack of confidence in treatment effectiveness Signup and view all the answers

What is a common challenge with medication regimens for depressed patients?

Complexity of the regimens Signup and view all the answers

Why are depressed patients more likely to be isolated?

Lack of social support Signup and view all the answers

What may contribute to depressed patients not following medical recommendations?

Multiple health problems Signup and view all the answers

Why might a network and environment supporting medication adherence be beneficial?

To increase treatment effectiveness Signup and view all the answers

What factor might hinder depressed patients' adherence to medical recommendations?

Hopelessness about treatment effectiveness Signup and view all the answers

What led to the mandate for pharmacists to provide face-to-face medication counseling for new prescriptions?

The Omnibus Budget Reconciliation Act of 1990 (OBRA 1990) Signup and view all the answers

What is a common issue faced by clinicians in exploring different patient factors contributing to poor adherence?

Limited time to explore health beliefs and patient factors Signup and view all the answers

What role did most states play in response to the need for patient medication counseling?

Mandated pharmacists to provide face-to-face medication counseling Signup and view all the answers

What is a common scenario where patients may miss out on discussing medication-related problems?

When they receive medication refills Signup and view all the answers

What are some common refill restrictions imposed by insurance plans?

Limiting each prescription to a 30-day supply Signup and view all the answers

Why did Congress pass the Omnibus Budget Reconciliation Act of 1990 (OBRA 1990)?

To mandate states to improve patient education about medications Signup and view all the answers

What type of questions should clinicians ideally use to engage patients in discussions about adherence?

Open-ended questions Signup and view all the answers

Why is it suggested to ask patients to bring in their pill bottles during discussions about adherence?

To confirm an understanding of the regimen Signup and view all the answers

How far back in time should clinicians typically ask patients about their medication schedule?

3 days Signup and view all the answers

What is one of the strategies mentioned for increasing recall and comprehension of the medication regimen?

Providing written instructions Signup and view all the answers

Why do clinicians ask about missed doses over a span of 3 days during discussions about adherence?

To identify potential areas of improvement in adherence Signup and view all the answers

What is the main purpose of using introductory statements that acknowledge the difficulty of adherence?

To engage patients in a non-judgmental way Signup and view all the answers