Med Surgical Your staff development PPT presentation will include the information from your written in 1-12 slides (including a title and reference slide in APA format). Make sure to include speaker notes at the bottom of your slide to explain the content of your slide.
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PICOT paper 2
August 22, 2021
It is described as the extent to which a person’s behavior such as taking the medications given, following diet and implementing lifestyle changes corresponds to the prescriptions of the healthcare provider. Adherence to treatment varied with the age of the patient and as well as the environment in which the individual is in. There are factors that are considered as major influence to adherence to treatment. Among the factors include the side effects of the medication where an individual may choose not to follow the medication as prescribed by the healthcare provider if the side effects are intense. The second factor that affects adherence to treatment is cost of the medication where higher cost of medication may discourage the patient from meeting the requirements of the prescription from the healthcare provider.
Also, dosing frequency influence the extent to which an individual follows the prescription given by the healthcare provider on the medication. In addition to the factors that influence adherence to medication is the routes for administration. As defined in the introduction, adherence to treatment may occur in various ways including medication, lifestyle changes or diet changes. An individual may present different levels of correspondence depending with the area. For instance, executing lifestyle changes may have lower level of adherence compared to taking medications of following diet. In addition to the factors that may influence adherence to treatment include the patient demographics, beliefs and comorbidities. Among the demographics considered is age such as adherence to treatment among the adults (Raynor, 2020).
Reason for choosing the topic
I chose because I had one family member suffer in past with tuberculosis. Adherence to treatment has been selected for the discussion as it is plays a significant role in patient outcome and general well-being of an individual recovering from an ailment. Determining the impact of one of the factors outlined which influence adherence to treatment provides a thorough understanding of what interventions needs to be done to reduce the prevalence of low adherence to treatment.
PICOT Question: In tuberculosis grown-up patients, how does adherence to treatment contrasted and a non-adherence influence
In tuberculosis grown-up patients, the level of adherence to treatment varies with certain elements or basis. The basis determines the difference in the adherence to treatment on various conditions. One of the bases used is the nature of work schedules particularly given that majority of the adults are either employed or working in their own businesses that vary with the level of time commitment to the job. Tight work schedules affect adherence to treatment where patients with tight work schedules realize more difficult in following the medication as prescribed by the healthcare provider. Less tight work schedules offer opportunity for the patient to follow the medications or treatment procedure as prescribed. The higher the commitment to other activities, the higher the chances of the patient failing to adhere to the treatment plan (Wahyuni et al, 2018).
The second basis of contrast in adherence to treatment is social norms. Different people have different sets of belief that influence their decisions on medication. Some of the social norms that impact the behavior of individuals determine the level of adherence. For instance, some patients have strong belief on the effectiveness of herbal medications compared to the artificial drugs. This affects the adherence to medications in that they are less-inclined to artificial medication. This lowers adherence to treatment if the treatment plan was given by a healthcare provider. Similarly, an individual with positive attitude towards modern science and medication has a higher adherence to treatment compared to those who believe more on traditional medication (Raynor, 2020).
The third basis of contract in adherence to medication among tuberculosis grown-up patients is the quality of prescription instructions. Tuberculosis requires the patient to continue taking medications over long period of time. This requires strict follow-up of the treatment plan to ensure the medication or diet prescribed is followed. Therefore, the prescription instructions play a significant role in the patient outcome. Poor prescription instructions lowers adherence to treatment where the instructions are given by the healthcare provider without consideration of the characteristics of the patient. Well-developed prescription instructions where the guidelines match the social status of the patient such as progressive change of lifestyle contributes more to effectiveness of treatment to improved patient outcome. The fourth basis of contrast in adherence to treatment is experience to medication where patients have varied experience in using long-term medications. The higher the experience in following treatment plan, the higher the adherence to medication. Lower experiences expose the patient to errors in follow-ups on the treatment plan and medications (Wahyuni et al, 2018).
Non-adherence to treatment among grown-up tuberculosis patients is dependent on certain factors. Among the factors include poor prescription, lack of knowledge on medication and very tight work schedules. The outlined factors discourage the patient from adhering to the prescribed instructions. This occurs through either failing to understand the treatment plan or inappropriate treatment plan based on the demographics of the patient (Guix-Comellas et al, 2017).
Methods used in evaluating effectiveness of implementation
Effectiveness of implementation can be assessed by determining the expected outcomes of the conditions and whether the intended goal was attained. In goal-based approach, the healthcare provider use patient outcome measures to determine the level of adherence to treatment among tuberculosis patients. Among the measures include readmission to healthcare facilities, patient experience and effectiveness of care. Goal-based approach is based on the goals set on the treatment plan where the patient is monitored to determine whether the objectives and goals of the treatment plan were attained (Liu et al, 2020).
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Wahyuni, A. S., Soeroso, N. N., Wahyuni, D. D., Amelia, R. I. N. A., & Alona, I. V. A. N. A. (2018). Relationship of attitudes and perceptions with adherence in treatment of pulmonary tuberculosis patients in Medan, Indonesia. Asian Journal of Pharmaceutical and Clinical Research, 11, 222-224.
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