what caring techniques can nurses use to encourage pt to adhere to treatment plan

Encourage patients to record dates of new appointments in their calendars or smartphones. Staying organized gives the patient the ability to adhere to their treatment regimen. Oncology nurses can implement these ideas while their patients are still in the hospital to help their patients stay on track with their care after they leave.

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How can we improve patient adherence to care?

Jan 11, 2019 · Oncology nurses working in hospitals can do a lot to help patients prepare to adhere to their treatment regimens. For example, they can encourage patients to communicate …

How can a nurse best educate patients about discharge planning?

Oct 17, 2017 · 1. Determine Adherence. Use problem-solving skills to determine if patients are adherent with taking their medications as prescribed or continuing to take their medications. …

Can nurse interventions improve medication adherence in discharged older adults?

Aug 11, 2020 · What caring techniques/strategy can you use during the health assessment of a patient to encourage the patient’s adherence to a treatment plan? I believe that keeping to the …

What are the treatments for PTSD in nursing?

Connecting with the patient and building trust and a rapport will encourage the patient to adhere to the treatment plan. Patients need to know they are not alone, and they have some sort of …

Are there better ways to encourage patients to adhere to their treatment plan?

What caring techniques strategy can you use during the health assessment of a patient to encourage the patient's adherence to a treatment plan?

How can nurses promote medication adherence?

How do you encourage patient compliance?

What are some possible strategies health care providers can use to help improve drug therapy compliance?

What interventions can be utilized in order to improve adherence and retention care?

What interventions will the nurse use to improve adherence to a medication regimen for the older adult?

What is adherence nursing?

What educational tools can you use to promote patient adherence with the medication regimen?

What are nursing interventions for medications?

How do you promote medication concordance?

How can a clinician optimize behavior change?

Clinicians can optimize behavior change by ensuring that the patients (1) perceive themselves to be at risk due to lack of adoption of healthy behavior (perceived susceptibility), (2) perceive their medical conditions to be serious (perceived severity), (3) believe in the positive effects of the suggested treatment (perceived benefits), (4) have channels to address their fears and concerns (perceived barriers), and (5) perceive themselves as having the requisite skills to perform the healthy behavior (self-efficacy).

How can a physician provide effective patient education?

According to Katz,[20]physicians can provide effective patient education by (1) limiting instructions to 3 or 4 major points during each discussion; (2) using simple, everyday language, especially when explaining diagnosis and giving instructions; (3) supplementing oral teaching with written materials; (4) involving the patient's family members and friends; and (5) reinforcing the concepts discussed.[20] This is especially true for millions of citizens with low literacy skills.

What is the problem with nonadherence to medication?

The problem of poor adherence to medical treatment is a well-recognized problem in the literature. [1–4]Studies have shown that in the United States alone, nonadherence to medications causes 125,000 deaths annually and accounts for 10% to 25% of hospital and nursing home admissions.[5] This makes nonadherence to medications one of the largest and most expensive disease categories. Moreover, patient nonadherence is not limited to medications alone. It can also take many other forms; these include the failure to keep appointments, to follow recommended dietary or other lifestyle changes, and to follow other aspects of treatment or recommended preventive health practices. Hence, the actual implications of nonadherence go far beyond the financial aspect of medication nonadherence, as estimated above.

Why is it important to address patients' beliefs, intentions, and self-efficacy?

This is because knowledge alone is not sufficient to enhance adherence in recommendations involving complex behavior change. [21,22,23]

What is patient communication?

Patient communication encompasses interventions ranging from physician-patient communication, sending mail or telephonic reminders, to involving patients' families in the dialogue. Of these, the most problematic is physician-patient communication. At least 50% of patients leave their doctors' offices not knowing what they have been told. Studies have shown that (1) 50% of psychosocial and psychiatric problems are missed by physicians due to lack of proper communication[25]; (2) physicians interrupt patients on an average of 18 seconds into the patients' descriptions of the presenting problems[26]; (3) 54% of patients' problems and 45% of patient concerns are neither elicited by the physician nor disclosed by the patient[27]; and (4) 71% of patients stated poor relationships as a reason for their malpractice claims. [28]

Is understanding of a patient's condition related to adherence?

Research has consistently demonstrated that patients' understanding of their conditions and treatments is positively related to adherence, [15]and that adherence, satisfaction, recall, and understanding are all related to the amount and type of information given. [16]

Do patients always understand prescription instructions?

Many studies have shown that patients do not always understand prescription instructions and often forget considerable portions of what healthcare practitioners tell them. [17,18]Studies have shown that patients who understand the purpose of the prescription are twice more likely to fill it than those who do not understand the purpose. [19]

Who is on a patient's health care team?

Members of a patient’s health care team include their physicians, pharmacists, specialists, and caregivers. Ask patients if they would like their health information to be shared with someone they approve — or consider their caregiver — so that there can be a collaborative effort to provide support and motivation with someone close to them. Be sure to have documentation of an authorized representative form or Power of Attorney on file allowing the pharmacy to disclose information to the approved person.

How can a pharmacy technician help patients?

As health care professionals, pharmacy technicians can assist patients with improving their adherence by encouraging them to speak with their provider and pharmacist about their health and medication concerns as well as utilizing the 5 strategies listed below: 1. Determine Adherence. Use problem-solving skills to determine if patients are adherent ...

Why are there barriers to taking medications?

2. Identify Barriers. There are various reasons why patients may experience barriers resulting in their not being adherent when taking their medications: side effects, cost of medication, transportation issues, forgetfulness , multiple medications with different daily instructions, health literacy, etc. It’s important to pay attention and find out ...

Why is it important to build rapport with patients?

Building rapport with patients is not only essential to creating a positive relationship, but it can also serve as an outlet to allow patients feel comfortable expressing their health concerns. Patients should feel like they’re in a judgment-free zone when they disclose their information.

What is medication adherent?

Medication Adherence is defined by a patient taking their medications as prescribed or continuing to take their medications. Medication taking is behavioral and addressing patients that are non-adherent by providing support and resources can help lead to better outcomes.

What are nurse interventions?

Nurse interventions were classified as either nurse-led care and nurse-collaborative care , as provided by Registered Nurses (RN). Based on the Cochrane Effective Practice and Organisation of Care taxonomy of health systems interventions [ 19 ], we considered patient-level interventions conducted by nurses (education, counselling and teaching; reminder interventions using telephone contact, discharge planning or medication adherence aids, e.g. electronic monitors or pill dispensers; meetings with a healthcare professional in the patient's home). These could be alone or in collaboration with pharmacists or physicians. We also considered interventions at the healthcare-professional level (educational meetings and distribution of educational materials; educational outreach visits with feedback through medication reviews of medical records; monitoring of medication therapy by assessment, adjustment or change of medication; verbal or oral recommendations to pharmacists or physicians; team meetings to discuss care or refer the patient to the physician). Interventions targeting healthcare organisations, legal regulations and financial issues were excluded.

What are discharge planning and patient education?

All studies employed discharge planning and patient education as usual-care activities to improve medication adherence. These interventions were carried out in hospital and/or at the participant's home (counselling and patient education/teaching). The interventions exclusively delivered by RNs or implemented in collaboration with other healthcare professionals were multidimensional. Hence, some interventions integrated other healthcare professionals and patients through meetings, education sessions or reminders (see Supplementary data 1, available at Age and Ageing online).

Why are older adults not adherent to medication?

Several studies have demonstrated that insufficient medication adherence is common among discharged older adults [ 9, 10 ]. Older adults experienced changes in their medication regimen during hospitalisation [ 11] and in the 1st week following hospital discharge [ 8 ]. Such changes, as well as complex treatment plans, tended to decrease medication adherence and could be a reason for a patient's non-adherence. Older adults may also have restarted taking medications that were discontinued during hospitalisation, failed to start new medications initiated during hospitalisation, or taken incorrect dosages [ 9, 12 ]. Moreover, medication changes are poorly communicated to the patient at the time of discharge [ 13 ]. Older adults are at a particularly high risk of non-adherence in the 1st days or weeks following hospital discharge [ 9 ]. Therefore, it is important for healthcare professionals, especially community healthcare nurses, to follow-up with older adults early and frequently to keep them adherent to therapy. Nurses are well placed to provide and coordinate adherence-care because they are present in the majority of healthcare settings, are in close physical proximity to patients, and act as interfaces between patients and physicians [ 14 ].

Why is there no evidence of medication adherence?

Finally, the lack of substantial evidence could be explained by the fact that we do not understand exactly what medication adherence problems consist of in sufficient detail. Frameworks to assist the development of complex interventions, therefore, advise preparatory assessments involving patients and other stakeholders, in order to better understand the problems and the context. More objective measures of medication adherence are needed to determine intervention effects accurately, and investigators should make use of best-in-class adherence measures, such as prescription monitoring. Researchers should invariably design studies to minimise the risk of bias and should report their procedures clearly.

How many studies have shown that medication adherence is higher in the intervention group than in the usual care group?

In nine studies, medication adherence was higher in the intervention group than in the usual-care group, and the difference reached statistical significance in eight of them. Three out of seven nurse-led interventions [ 21, 28, 33] and five out of seven collaborative-care interventions [ 23, 26, 29, 30, 34] significantly improved medication adherence.

Why is medication adherence important?

Medication adherence—defined as the extent to which patients take medication as prescribed by their healthcare professionals—is an important aspect of treatment efficacy, healthcare costs and patient safety [ 1, 2 ].

What are nurse collaborative interventions?

The nurse-collaborative interventions were more focused around participants’ clinic visits, integrating counselling and comprehensive teaching by a pharmacist or a physician about the importance of medication adherence, and the aid of electronic devices such as weekly tele-monitoring, daily ECG, weighing, medication organisers and electronic patient reminders about medication adherence [ 23, 26, 27, 29 – 31 ]. Two collaborative interventions used medication adjustments by the pharmacist, organised feedback to other healthcare professionals, and proposed social and personal support [ 27, 30 ].

What degree do nurses need to treat PTSD?

Nurses who are interested in treating patients with PTSD may benefit from specialized training, even if they already have Master of Science in Nursing (MSN) degrees. Advanced training such as an online post-master’s certificate in psychiatric mental health (PMHNP) can help nurses build the skills they need to help people who suffer from PTSD.

Why is active listening important in nursing?

Essential to all nursing practices, active listening skills help nurses collect vital data about patients’ trauma history and gauge their current mental state and anxiety levels.

Why do emergency responders have PTSD?

For example, emergency responders may experience PTSD as a result of regularly witnessing scenes of injury and death. Factors that put individuals at greater risk for developing PTSD include proximity to a traumatic event, exposure to multiple traumas, prior experience with trauma, and chronic illness. The wide range of symptoms associated ...

What are the symptoms of a traumatic event?

However, the disorder is characterized by three primary types of symptoms, according to the Anxiety and Depression Association of America: Re-experiencing a traumatic event through intrusive recollections, flashbacks, and nightmares. Emotional numbness and avoidance of people, places, and activities that are associated with a trauma.

What is cognitive therapy?

Cognitive therapy. A type of talk therapy, cognitive therapy helps patients recognize and modify potentially harmful thinking patterns, such as fears that traumatic events will recur.

What journal published a review of posttraumatic stress disorder?

The Journal of Child Psychology and Psychiatry, “Practitioner Review: Posttraumatic Stress Disorder and Its Treatment in Children and Adolescents”

Who can administer PTSD?

With proper training, health care professionals in multiple disciplines — including psychologists and psychiatrists, advanced social workers, licensed professional counselors, and psychiatric mental health nurse practitioners (PMHNPs) — can conduct PTSD interventions. Advanced practice nurses with mental health expertise can administer or assist in the administration of primary PTSD therapies and treatments:

What happens at the end of a case manager and patient conversation?

At the end of the conversation, the case manager and the patient have created a joint plan of care the patient has agreed to follow.

Why is there a challenge to telephonic case management?

There's more of a challenge to telephonic case management because the case manager can't see if the patient still is engaged, Commander adds.

What is the third group of physicians?

The third group's physicians receive education from the health plan and reports on individual patients with suggestions on actions they should take. For instance, the report may alert the physician that a patient is not on controller medication but has filled his or her prescription for emergency medication several times.

Which group of providers receive case management?

Members in the fourth group of providers receive case management, and their physicians receive education and actionable reports from the health plan.

How can nurses educate patients?

Hospital nurses can best educate patients by understanding that discharge planning begins with admission. Nurses have to ensure patients are effectively educated throughout their hospitalization so that they are prepared to care for themselves and don’t return for the same issue. Spending the last 20 minutes of a hospital stay discussing the patient’s illness and follow up care is not adequate. Handing him materials to read on his way home is most ineffective because he likely has little to no understanding of what he was hospitalized for and why he needs to follow up. Without proper education he will return home and resume his previous life style until he has another episode. Preventing re-hospitalization is a huge responsibility for the entire health care industry. To accomplish our part of this task we as nurses need to constantly improve patient education.

How can nurses improve patient education?

We cannot create more time for nurses. Some of the things nurses can do to improve patient education include: Delegate more responsibilities to their support staff and be more focused on patient education. Begin educating patients with every encounter from admission.

What is the role of a nurse in the health care system?

One of the most important roles nurses have today is patient education . This was once reserved for the physician, but no longer. Today nurses assume more and more responsibility for educating patients and helping them to become responsible for their own health status. Patients need to take a proactive role in their own health care. This means they need to comprehend their health status and work to stabilize and prevent or minimize complications from any chronic illnesses. Patient education needs to be comprehensive and easily understood. Health educators (in particular nurses) must understand that greater than 50% of Americans are health care illiterate. This has nothing to do with their ability to read and write; but rather their inability to understand health care information and what they need to do with that information.

How to explain medication to a patient?

Make sure the patient understands their medications as you administer them. Quiz them on the actions and side effects. Explain to the patient how this will help them to control their chronic or acute disease and what outcomes to expect. Further you need to explore with the patient whether these medications will be necessary long term? Do they understand how and when to refill medications? If this is the first time a patient has had an acute illness he may not know that he needs to refill a medication. That process may be completely foreign to him.

What is the role of patients in health care?

This means they need to comprehend their health status and work to stabilize and prevent or minimize complications from any chronic illnesses. Patient education needs to be comprehensive and easily understood.

Why is it important to educate patients?

Educating patients helps to improve their outcomes and in the bigger scheme of things will lower the cost of medical care through the wellness model.

How to help patients with information?

Feed patients information in layman’s terms. Utilize visual activities as often as possible. People remember what the see far more than what they hear or read.