Exam (elaborations)
PHMD 1201 Intro to Pharmacy Practice Final Exam
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PHMD 1201 Intro to Pharmacy Practice Final Exam...
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PHMD 1201 Intro to Pharmacy Practice Final ExamCompliance - ANSWER A process in which a patient passively follows a treatment plan
as instructed
Adherence - ANSWER A process in which a patient actively decides to follow a
treatment plan as instructed
Persistence - ANSWER Duration of how long a patient remains on a medication
Consistency - ANSWER How regular a patient takes their medication
1. Non-adherence
2. Initial non-adherence
3. Partial non-adherence
-Sporadic non-adherence
-Repeat non-adherence
4. Persistence
5. Adherence - ANSWER Medication Adherence on a Continuum
Sporadic Non-Adherence - ANSWER Individual took 1-19% more or less than the
prescribed number of doses
Repeat Non-Adherence - ANSWER Individual took >/= 20% more or less than the
prescribed number of doses
Non-adherence to a regimen is not limited to frequency of tablet consumption:
, -Improper use of medication administration devices
-Taking a dose with prohibited foods, liquids, or other medications
-Taking medications at wrong or inconsistent times of the day - ANSWER Other Types of
Non-Adherence (non-compliance factors)
High rates of non-adherence have been reported
Non-adherence appears to be greater in some diseases than others:
1) Diabetes: 73%
2) Arthritis: 55-71%
3) Hypertension: 16-50%
4) Asthma: 10-46% - ANSWER Scope of Non-Adherence (reports)
-Complex drug regimens
-Multiple doses
-Asymptomatic conditions
-Chronic Conditions
-Cognitive impairments
-Physical impairments
-Dissatisfaction with care
-Poor provider-pt relationships
-Low health literacy
-Difficult route of administration - ANSWER Risk Factors for Non-Adherence
-Adverse drug reactions/side effects
-Hectic Lifestyle
-Caregiver needed for administration
-Alternate health beliefs
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