Medication adherence or patients adherence means correct following of medical advice by the patient. according to prescription those written by doctor.
2. INTRODUCTION
Medication adherence-
“ Medication adherence or patient adherence means correct following of
medical advice by the patient.”
or
When patient take their medication as prescribed.
It is a factors that determines the therapeutic out comes, in a patient
suffering from chronic illness/ diseases.
3. CAUSES OF MEDICATION NON-ADHERENCE
“ When patient do not take their medication as prescribed.”
Social – economic
Poor of social economic status
Lack of family or social support
Lack of financial resources
Busy work schedules
High cost of medication
Health care system related
Poor communication
Poor understanding
Poor relationship with doctor
Lack of knowledge
Poor medication distribution
4. Therapy related
Timing of medication
Dose of medication
Duration of treatment
Lack of immediate benefit of therapy
Condition related
Severity of symptom
Patient related
Lack of motivation
Stress , depression
Lack of education
Patient forget to take medicine
Lack of symptom’s
Misunderstanding
5. PHARMACISTS ROLE IN MEDICATION ADHERENCE
Pharmacists can improve medication adherence because the can actually
show the medication to the patient and relate any information to the
medication.
Educate patients regarding medication adherence .
Pharmacists can impart the information that patients need to know such as-
Name and purpose of the drug
When and how to take the medication
Possible side effect , precaution, interaction with food or other drugs.
Duration of therapy
6. Strategies to improve the pharmacist-patient relationship:
Improve communication skills.
Improving patient education
Give clear explanation
Check the patient understanding
Monitor the side effect
Monitor the beneficial effect
Speak the same language of patient.
7. MONITORING OF MEDICATION ADHERENCE
Assessment , qualification measurement and evaluation of adherence
Direct and indirect methods –
The direct measurement includes
Drug monitoring
Detection of the drug
Direct observation therapy
The indirect measurement includes
Self reports
Medicine counts( capsule / tablet )
Rates of prescription refills
Measure pharmacological response