Medication Adherence. Office Staff Training
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1 Medication Adherence Office Staff Training All rights
2 Learning Objectives The participant will be able to: Describe the lifestyle of seniors. Identify the challenges of medication adherence. Utilize assessment skills to identify and manage medication non-adherence. State the reasons for non-adherence. Demonstrate solutions to increase the ability for seniors to achieve adherence All rights. All rights
3 Lifestyle Profile of Seniors Brief overview of lifestyle: Family and friends Work/retirement/travel Exercise/nutrition Social interaction issues: o Physical o Cognitive abilities o Medications and independence All rights. All rights
4 Medication Adherence What does it mean to be adherent? Taking medications at the right time, the right dose and the right way as the doctor has prescribed Why is adherence so important? Improves patient health Keeps patients out of the hospital Keeps healthcare costs low Maintains patients optimum health and independence All rights. All rights
5 Challenges Most Important Challenge: REDUCE THE COMPLEXITY OF TAKING MEDICATIONS All rights. All rights
6 Challenges Directions Different colors Pill bottles Types of medications Prescriptions Schedules Assistance All rights. All rights
7 Assessment The most critical element to medication adherence success is overall patient assessment: Physical strength Cognitive abilities literacy All rights. All rights
8 Physical Strength Can patients do any or all of the following alone or with assistance? Open a container (box or bottle) Cut their own food Get dressed, take a bath, brush teeth Use a cane, walker, wheelchair Get to the doctor s office or pharmacy Read or hear directions All rights. All rights
9 Cognitive Abilities Physical strength is important but so is brain power, also known as cognitive abilities: Mental acuity Comprehension Non-verbal behavior Dementia/Alzheimer s All rights. All rights
10 Literacy DEFINITION: How patients can understand and act on health information ASSESSMENT: The Newest Vital Sign (NVS) All rights. All rights
11 The Circle of Non-Adherence COGNITIVE ABILITIES I forget to take (or refill) my medication! PHYSICAL STRENGTH The bottles are too hard to open! ASSISTANCE I don t think I need it any more! I feel better! I have trouble getting to the pharmacy! COSTS It costs too much to buy my medicines! EDUCATION I am not sure how to take my medicine! I am having a side effect to my pills! All rights. All rights
12 2018. All rights
13 Solutions to Increase Adherence Pill boxes and calendars Refill programs Buy generics Alternative payment plans Home delivery Synchronization Transportation assistance New generation: phone alarms, text reminders, calendar updates Education Involve caretakers All rights. All rights
14 Questions to Ask Patients Auto-refill Transportation Costs of medications Remember to take medications Medications: pills or liquids? Caregiver Difficulty swallowing All rights. All rights
15 Final Notes Encourage patients to take a list of meds to doctor appointments: o o o o o Prescribed & OTC medications Vitamins Herbal supplements Teas Medical marijuana Medications should be reviewed at least once a year by their PCP. Advise patients to keep an updated medication list with them always All rights. All rights
16 Final Notes Warnings to Patients: Stop medication when discontinued. Follow doctor instructions regarding new medication. Use one pharmacy to ensure continuity of medications. Ask pharmacist how to dispose of old medications All rights. All rights
17 Summary To maintain independence and optimal health, patients will: Properly manage medications to prevent overdosing or under medicating. Decrease number of ER and hospital visits. Have reduced stress and anxiety. Leverage resources All rights. All rights
18 Questions G c 1/ All rights. All rights
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