Adherence/Compliance
This word defines the extent to which the patient's behavior matches the AGREED recommendations from the prescriber.
What is adherence?
This disorder affects a client's ability to articulate and/or understand speech & written language.
What is aphasia?
Risk factors that cannot be changed.
What is non-modifiable?
State 5 risk factors for falls.
What is:
-sensory deficit (vision, hearing, touch, etc.)
-Taking more than 6 medications
-Gait instability
-Arthritis
-Loss of muscle mass
-Incontinence?
Define functional ability.
What is the physical, psychological, cognitive & social ability to carry on normal activities?
Give 4 behavioral examples of patient adherence.
What is taking medications as prescribed, exercise, smoking cessation, weight loss/diet, follow up, monitoring BP, etc?
Nerve damage with resulting sensation loss in the lower extremities that occurs over time from elevated blood glucose & triglyceride levels.
What is diabetic neuropathy?
This level of prevention focuses on early screening to detect a disease before it causes symptoms or complications in the client.
What is secondary prevention?
Name 6 components of a functional assessment.
What is:
-Basic ADLs (BADL) (bathing, feeding, dressing, toileting)
-Instrumental ADLs (IADL) (shopping, preparing meals, paying bills, doctor's visits, transportation, taking medications, etc.)
-Senses (vision, hearing, etc.)
-Home environment
-Affect
-Gait/mobilty
-Previous falls
Continence, etc.?
True or False:
Functional ability may differ from functional performance, which refers to the actual daily activities carried out by an individual.
What is true?
Name potential 3 consequences of patient nonadherence.
What is disease progression, increased health care cost, increased disability & lower quality of life, & increased mortality & complications?
This initiative is a program developed by the US Department of Health & Human Services (DHHS), with intention of improving the overall health of Americans.
What are Healthy People?
This type of prevention focuses on decreasing the risk of the development of medical conditions by changing behaviors, minimizing exposures, and/or administering vaccines.
What is primary prevention?
State the 4 domains of functional ability.
What is
-Physical domain
-Psychological domain
-Cognitive domain
-Social domain?
5 factors that are associated with maintenance of high-level functional ability.
What is
-Proper nutrition, exercise, routine health check-ups, stress management, regular participation in meaningful activities, avoidance of tobacco and other substances related with abuse?
Give 4 examples of patient non-adherence.
What is
receiving prescription but not filling it
-taking incorrect dose/doses
-taking meds @ the wrong time
-increased or decreased frequency of doses
-stopping treatment too soon
-delaying in seeking HC
-non-participation in visit
-failure to follow doctor instructions
-"drug holiday" (stops therapy then restarts)
-"white-coat compliance", compliant around the time of appointment
Health promotion.
What is the process of encouraging clients to take control and improve their overall health?
This type of prevention focuses on controlling the chronic effects of a health issue that has already occurred and on restoring the individual to optimal functioning.
What is tertiary prevention?
This is a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity.
What is healthy?
State 5 interrelated concepts for Functional Ability.
What is:
Mobility, nutrition, gas exchange, cognition, sensory perception, coping, development, culture, etc.?
State 6 reasons why non-adherence/non-compliance may be seen in the older adult?
What is
-Adverse effects of treatment/medications
-Increased, or decreased sensitivity to drugs
-Frequent change of prescriptions (prescription cascade)
-Living alone
-Finances
-Lack of social support system
-Difficulty in opening the medication container
-Going to pharmacist/chemist due to physical problems like(osteoarthritis)
-Cognitive impairment
-Impaired mobility or dexterity
-Swallowing problems
-Everyday inconvenience in carrying and taking medicines
3 Nursing Interventions to improve patient compliance.
What is education using
-Written literature in the preferred language
-Audio-visual materials
-Allowing patients to demonstrate care and medications before leaving the hospital
-Labeling
-Special Medication Calendars and DrugReminder Charts
-Special Medication Containers, Caps, andSystems?
State 6 elements that can influence the health status of an individual or population.
What is:
-Access to health care
-Access to preventive care
-Environment
-Family Unit
-Mental Health
-Food, shelter, basic needs
-Culture
_-Societal Influences
-Weight, tobacco use, substance abuse
etc.?
The physical, mental, and emotional stages a person goes through as he or she grows and matures.
What is a Developmental stage?
When educating an older adult, it is important to keep in mind this.
What is learning at a slower rate and having difficulties processing multiple bits of information at one moment?