Noncompliance of Medication
In most cases, the cure of chronic ailments entails the long-term utilization of pharmacotherapy. The medicinal drugs have been proved effective in combating most illness. However, their entire gain is not always realized due to the fact most of the patients do not efficaciously take the medication as per the physicians’ prescription. Even though remedy noncompliance has been deemed to be attributed to the patient, it can also be the mistake of the physicians as properly as the nurses. The patients may lack the suboptimal fitness literacy and might not have been worried in the decision that led to the treatment. On the other side, the medical doctor could have failed to communicate efficaciously to the patient about the side effects of the medication, as is the case of our case study. Besides the medical doctor, prescribing complex drugs regimen language barrier is another significant factor that causes medication noncompliance (Kim et al., 2014).
For the case study, the patient is Indian and has refused to take the prescribed medication due to the side effects associated with the drug. It is because of the language barrier that the patient does not have the full knowledge of the benefit of the drug. The conversation below was between the nurse and the patient.
Nurse: How are feeling?
Patient (interpreter): She says she is not feeling okay at all. She stopped using the medication because of the side effects.
Nurse: How was the medicine affecting you?
Patient (Interpreter): The medicine was making her dizzy all the time and gave her fever.
Nurse: Sometimes the medication can cause the side effects, but that is normal for Hypertension medication, it is better if she continues taking the medicines as prescribed by the physician. Since the medication will help improve the control of blood pressure.
The community healthcare amenity is working on a program to teach the English language to all citizens who do not understand or speak English. Also, some intervention programs have been developed to help the patient with chronic diseases to comply with the medication (Rajpura & Nayak 2014). Finally, a multidisciplinary approach has been adopted to enable the patients to fully participate in managing their conditions to promote compliance with medicines regime that is prescribed by the physician (Nieuwlaat et al., 2014).
Reference
Kim, J. H., Lee, W. Y., Hong, Y. P., Ryu, W. S., Lee, K. J., Lee, W. S., & Morisky, D. E. (2014). Psychometric properties of a short self-reported measure of medication adherence among patients with hypertension treated in a busy clinical setting in Korea. Journal of Epidemiology, 24(2), 132-140.
Nieuwlaat, R., Wilczynski, N., Navarro, T., Hobson, N., Jeffery, R., Keepanasseril, A., ... & Sivaramalingam, B. (2014). Interventions for enhancing medication adherence. The Cochrane Library.
Rajpura, J., & Nayak, R. (2014). Medication adherence in a sample of elderly suffering from hypertension: evaluating the influence of illness perceptions, treatment beliefs, and disease burden. Journal of Managed Care Pharmacy, 20(1), 58-65.
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