Week 4- adherence Flashcards by abby wright

Q

compliance

A

doing exactly what treatment providers tell you to do
- the power is in the hands of the provider rather than patient

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Q

adherence

A

positive proactive behavior encompassing patient freedom of choice which results in lifestyle change

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Q

intentional partial adherence

A

adjusting dose/frequency

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Q

non-intentional partial adherence

A

non purposefully forgetting/missing/neglecting

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Q

balance of treatment adherence

pros and cons

A

upside: improved health outcomes leading to decreased readmission which causes less morbidity and mortality
downside: side effects of medications along with cost, as well as acceptance of highly stigmatized diagnosis

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Q

main cause of poor adherence

A

medications; specifically concerns about side effects

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Q

HCP characteristics

A

relationship
communication
trust
patient education

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Q

health system factors

A

access
cost
quality of services
coverage

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Q

non-modifiable characteristics of a patient

A

demographics
physical factors

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Q

factors affecting medication/treatment adherence

5

A

condition
medication factors
healthcare system/HCP factors
socioeconomic factors
patient factors (major one)

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Q

condition factors

one of the components affecting treatment adherence

A

includes;
- disease control
- disease characteristics
- patient specific

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Q

medication factors

one of the components affecting treatment adherence

A

regimen
effects
properties

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Q

healthcare system/HCP factors

one of the components affecting treatment adherence

A

HCP characteristics
health system factors

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Q

socioeconomic factors

one of the components affecting treatment adherence

A

social/environmental factors
lifestyle factors
economic factors

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Q

patient factors

one of the components affecting treatment adherence

A

cognitive and psychological
behavioral
non modifiable characteristics
family/caregiver characteristics

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Q

indirect assesment of adherence

A

self-report from patients and their views/opinions
- is better option because it involves the person

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Q

direct assessment of adherence

A

lab tests, blood work, urine,

not ideal because it is considered tracking

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Q

nursing priorities for adherence

5

A

coping
self identity/esteem
social support
maximize optimal functioning
maintain overall physical health

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Q

interventions to support treatment adherence

related to patient factors

Study These Flashcards

A

CBT
motivational interviewing
psycho-education
personalized reminders

Q

interventions to support treatment adherence

related to medication therapy

Study These Flashcards

A

improved dosing schedules
expanding provider access
involving people in decisions
offering choice
enhanced communication

Q

community treatment orders adherence

benefits

Study These Flashcards

A

preventative in trying to break cycle of involuntary hospitilization
maintains client in community
more independence

Q

community treatment orders adherence

challenges

Study These Flashcards

A

consent is required but may be viewed as coercive or threatning
impact on patient rights as it anticipates risk

Q

recovery enabling factors

5

Study These Flashcards

A

accessible support
vocational training
shared decision making
respect
spaces for belonging

Q

3 factors that make healthcare recovery oriented

Study These Flashcards

A

focus is on person not illness
client driven interventions
strengths based approach

CHIME framework | personal recovery

Connectedness Hope Identity Meaning Empowerment

chronic disease management model | for recovery; 5

- self management is an outcome and process - work necessiated by disease - work of maintaining every day life - work of dealing with altered view of future - links back to health promotion

self management skills/tips | 5

- stress management - self motivation - self confidence - time management/organization - healthy lifestyle/balanced diet

components essential to successful self management

- patient - healthcare team - system

patient component | essential part to successful self management

- individual factors - context - resources

health care team component | essential part to successful self management

- philosophy - approach - knowledge/skills - resources

system component | essential part to successful self management

- philosophy - resources - structure/infrastructure

the patient in self management

- day to day factors - provider contact - knowing health history - supporting in relation to caregiver burnout

health care provider in self management

- ongoing monitoring - working in a team - staying updated on whats new - ensuring personal mental health

system in self management

- coordinated and integrated care - accessibility - skills development for intersectional areas - resources

milieu therapy | type of talk therapy

- group method - involves physical and social environment - uses everyday activities - routine - teaches interpersonal skills

CBT (cognitive behavioral therapy) | type of talk therapy

- highly structured - short term - skill building and psychoeducation - 6 to 10 sessions - can involve mindfulness

cognitive model of anxiety

situation leads to automatic thoughts which leads to anxiety, leading back to the situation - goes in loop

automatic thoughts | come from

automatic thoughts --> intermediate beliefs (rules and attitudes) --> core beliefs

automatic thoughts

- instant and unconscious interpretation of events that stem from intermediatre thoughts and core beliefs - distorted which can lead to distorted moods - feel real and factual

dysfunctional thought record | for reframing negative thoughts

tool that is used to help reduce and make thoughts questionable along with reframe them

DBT (dialectical behavioral therapy) | type of talk therapy

- used for borderline personality disorder - system approach - includes 1 on 1 and group skills - highly structured and organized into 2 phases

1st phase of DBT

work is focused on building new regulation skills related to trauma

2nd phase of DBT

work on the managing amd recovering from trauma can begin

dialectics

behavioral program based on dialectical philosophy meant to counteract cognitive style of BPD - how to hold 2 truths together

assumptions of DBT

- patient is doing the best they can but they can do better - patient may not have caused the problems but they do have to solve them - patient defines goal for their life worth living

purpose of group skills training | and nursing role

reinforce everyday life skills - supporting person to move from guidance to independence with using the skills provided