Medication Adherence Case Study

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Why do you think patients don't take their medications?
I think there are many reasons why people don’t take their medication. Medication Adherence: WHO Cares? identifies patient-related factors, socioeconomic factors, factors related to the health care team and system, disease-related factors, and therapy-related factors(Brown & Bussell, 2011). People may not be able to afford medications, or have difficulty when it comes to insurance companies covering the medications. Patients may also not understand how to properly take the medications and are afraid to ask questions for clarification, or are afraid of the side effects. Doctors and nurses assume the patient understands, when they really don’t. It may also be difficult for some people with disabilities, people with visual problems, or the older population to organize their medications. My
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I haven’t really thought much about medication adherence once my patient’s leave the hospital. I work in the NICU, so the parents are responsible for giving the medications. Babies are often discharged on vitamins; if they have cardiac, respiratory, or other problems, they may have other medications. Usually, we have parents fill the prescription within the hospital and we check the medication before they are discharged. They have to follow up with their pediatrician within 2-3 days after discharge, as well as receive a phone call from our discharge coordinator within 24-48 hours after discharge. They also will have follow-up in our clinics if their condition requires it. We educate our parents about why their baby is on certain medications and answer questions. We send a schedule home with them as well that shows the administration times of the medication, and how to give them. Once they are discharge, we hope the parents are compliant. And if not, hopefully their pediatrician or one of the doctor’s at their follow ups will catch

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