this document contains the full notes summarised for rational non-adherence including the case studies and theories used (Leys cognitive model) as well as evaluative points.
Rationa no adherenc .
Non adherence is where one does not follow the advice given to them to help them
improve their health. One reason why patients may not adhere to advice is due to the
cost-benefit analysis. The benefits they may think of are; It prevents,reduces and
eliminates illness.
The weaknesses are that; There may be side effects, there may be financial barriers, there
may be a lack of trust and understanding between doctor and patient.
Bulpitt and Fletcher reviewed research into the adherence of medical treatments of
patients with high blood pressure.They looked at 40 studies and saw that many people did
not adhere to the advice given to them. The findings were that people stopped adhering to
the medication due to the side effects e.g. feeling sick and dizzy. This made them come to
the conclusion that when costs outweigh the benefits people still won't adhere to the
medication.
strength weakness
Highlights major reasons for non Secondary research used. If the validity or
adherence. Allows there to be amendments reliability was questioned in these studies
to give medication that may have less side then the entire study is invalid.
effects
Le ’ cognitiv mode - C3
Leys cognitive model is made up of three factors that can be used in order to make a
patient adhere to medical advice. These factors are understanding, memory and
satisfaction. All these factors -if used correctly may help the patient adhere to advice to
improve their health.
Understanding and adherence is how much of the advice did the client understand. If the
client does not understand what they need to do in order to improve their health, they won't
adhere to the advice. One reason for lack of understanding may be the medical
terminology used -patients/clients may not understand some of the terminology that is used
causing a barrier-. Another reason why understanding may not be achieved is due to the
fact that doctors may assume that clients/patients have knowledge of biological
anatomy. For example the location of the kidneys. This may cause confusion within the
patient thus causing a damage of understanding and satisfaction causing non adherence.
The second factor that is responsible for adherence is memory. Often, patients/clients forget
up to 80% of the advice given to them. This may be the drug prescribed to them or the
treatment they need to receive. One reason for this is anxiety as patients would typically
remember the keywords -ie the causation of their illness but not know how to treat it. Another
reason why patients' memory may fail them is because they'll believe that the causation is
more important than the treatment -picking and choosing.
Strength weakness
Role of memory- dong et al found people Assumed simplicity between understanding
with depression who received memory and adherence. Research- more
therapy improved on adherence and took understanding may cause negative impact
medication correctly on adherence- curvilinear relationship
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