How are patients affected by the burden of treatment?
treatment burden The deterioration in a patient's health that may be caused by exposure to medications, radiation therapy, surgery, or other forms of therapy. Medical Dictionary, © 2009 Farlex and Partners Want to thank TFD for its existence? Tell a friend about us, add a link to this page, or visit the webmaster's page for free fun content .
Is treatment burden dynamic or cyclic?
Jun 29, 2015 · In addition to the burden of illness, patients are affected by the burden of treatment, defined as the impact of the “work of being a patient” on functioning and well-being.
What is the treatment burden in chronic heart failure?
Mar 01, 2021 · Treatment burden is defined as “the workload of healthcare and its effect on patient functioning and well-being” [1, 2]. It has also been defined as “the self-care practices that patients with chronic illness must perform to respond to the requirements of their healthcare providers, as well as the impact that these practices have on patient functioning and well …
Is it possible to reduce the burden of taking multiple medications?
Oct 19, 2018 · Simply put, the treatment burden is “the workload of healthcare and its effect on patient functioning and well-being.” The BMJ: Treatment burden should be included in clinical practice guidelines
What is the treatment burden?
Treatment burden is, therefore, an important concept that is distinct from disease burden, symptom burden and other related terms. Treatment of chronic illness comes in many forms including surgery, physical therapy, psychological therapy and radiotherapy.
What are the health consequences of treatment burden?
The health consequences of treatment burden are particularly concerning given that treatment burden has been associated with specific symptoms, recurrence of disease, decline in health, reduced survival, decreased treatment satisfaction and reduced quality of life.
How many prescriptions were filled in 2008 in Australia?
In Australia, as in many developed nations, the use of medications represents one of the largest components of health expenditure; accounting for 13% of the total health expenditure in 2006–07.4There were 262 million prescriptions filled in 2008,4many of which were used to treat chronic illness.
What are the factors that contribute to predisposing factors?
Prominent predisposing factors (antecedents) include the person's age and gender, their family circumstances, possible comorbidity, high use of medications, characteristics of treatment and their relationship with their health‐care provider.
What is the burden of treatment?
In addition to the burden of illness, patients are affected by the burden of treatment, defined as the impact of the “work of being a patient” on functioning and well-being. This work includes medication management, self-monitoring, visits to the doctor, laboratory tests, lifestyle changes, etc.
Why are annual reviews so difficult?
Annual reviews are difficult because there are multiple investigations required and these take place over multiple different appointments and sometimes at different hospitals in the same group .” (55-year-old woman with diabetes and a cardiac condition from the United Kingdom). Finally, patients reported consequences of the burden of treatment, ...
How does being sick affect your daily life?
Patients expressed how healthcare tasks imposed on them by the healthcare system, such as arranging doctors appointments and filling out paperwork, affects their daily lives,“ Being sick also adds a lot of extra tasks, paperwork and appointments.
Should treatment objectives be based solely on attaining specific goals in specific diseases?
Treatment objectives should not be based solely on attaining specific goals in specific diseases but also on mitigating the impact of conditions and treatments on patients’ professional, family and social lives, for minimally disruptive medicine.
What is reflective management?
Reflecting on Management. Patients must make decisions about their health care, requiring an appraisal of their treatments, either with the help of healthcare providers, or based on their own judgments. Sometimes decisions are made that deliberately contradict advice given by health professionals.
What is the role of stroke patients in rehabilitation?
Stroke patients are involved in extensive inpatient rehabilitation, attending therapy, taking medications, and working arduously to regain lost functions. During the rehabilitation process patients must adjust to their new physical abilities and learn self-care practices to prepare for discharge.
What is the lack of information about stroke?
In several studies, stroke patients reported that information about stroke was lacking, inadequate time was allocated, timing was inappropriate, or information was given in a form that was incomprehensible. When asked about their stroke, women (more often than men) report a lack of information from medical staff.
How do women and men interact with stroke patients?
One study reported that women are more likely to form an alliance with healthcare assistants, while men form alliances with nurses and therapists or other patients. Men more frequently reported trying to exert influence over their care, while women took a more passive role. Whatever the patient preference, the literature suggests that patients are not adequately consulted about their desires to be involved in decisions about care or about their treatment priorities and goals (Gallacher et al., 2013).
What are the components of treatment burden?
Treatment burden, when described in terms of patients and their family members, has four components: (1) making sense of stroke management and the plan of care, (2) interacting with others, (3) enacting management strategies, and (4) reflecting on management.
Is stroke stressful after discharge?
On top of all that, none of them knew much about stroke. It’s all very stressful. In this period of time after discharge from inpatient care, the patient schedule is extremely busy with healthcare appointments, with patients being required to negotiate numerous therapists.
What is polypharmacy in healthcare?
Polypharmacy is the situation of having many medications (or many different forms of medicine, e .g. inhalers, tablets, patches and liquids), which adds to the treatment burden for a patient. Polypharmacy is sometimes necessary but, if additional medication is recommended, the reasons should be clearly explained to the patients and, if appropriate, another medication should be stopped. Tools such as “STOPP-START” (Screening Tool of Older Persons’ Prescriptions and Screening Tool to Alert to Right Treatment) may be considered as a guide to de-prescribing [ 4, 5 ]. These tools offer criteria to help HCPs to review potentially inappropriate medications in the elderly and have been endorsed as best practice by some organisations.
Why is it so difficult to offer choice to HCPs?
Offering choice can be difficult for HCPs who are often limited in what they can prescribe by the need to follow guidelines or organisational constraints related to cost or medication availability in their settings.
What is a treatment trial?
A treatment “trial” can be carried out with agreement to stop the medication if clinical goals are not achieved and/or benefit is not felt by the patient within a specific timeframe. Realistic treatment goals of a new medication must be clearly defined for both the patient and the HCP, recognising that the patient's perception of benefit may differ from a clinical definition of effectiveness. A patient, for example, may want to improve day-to-day function or to prioritise extended life, while the HCP may judge effectiveness as a change in physiological parameters. More generally, all medicines should be reviewed regularly (annually as a minimum) to check that they are still appropriate and to ensure their usage remains meaningful for the patient.
How does HCP work?
HCPs need to take this into account by providing information in a form and format patients can understand, preferably in their native language. They should also address specific barriers, such as learning disabilities and reduced physical/functional/cognitive capacity, which mean patients may struggle to comprehend the information being provided. Conversely, there can be challenges associated with “expert patients” who have set ideas and specific (sometimes unrealistic) expectations, which prohibit an open conversation with the HCP.
What are the aspects of treatment burden that should be considered by healthcare professionals (HCPs) when prescribing new
These include having a common understanding of the (realistic) goals of treatment, the risk of side-effects and the potential impact on lifestyle.
What is the best fit for a patient?
Any medication prescribed should be the “best fit” for the patient. To reach this decision, the patient must understand the medication's potential side effects so they can weigh up the possible impact on their quality of life. A good example of this is in IPF, for which the two available antifibrotic drugs have very different side effects and the choice may depend on the patient's assessment of the likely impact of side effects. It is vital that patients know who to contact to discuss concerns (and how to do so) and for practical advice on how to manage side effects. Similarly, regular monitoring, especially in the early stages ensures that side effects are recognised promptly and managed efficiently. In patients who, themselves, have barriers to understanding (young children or patients with severe cognitive impairment), it is important to have this conversation with their carer (s) whilst involving the patient to the extent that understanding allows.
Why should a pharmacist avoid a patient's check?
renal/liver function, disability, attitude to risk, experience of illness, values/beliefs and social circumstances) and medicine can be avoided by a pharmacist's check to reduce and mitigate unnecessary risk to patients.
Making Sense of Stroke Management
- Following a stroke, patients and family members are often eager for information from their healthcare providers. They want to understand what happened, what to expect, and how to participate in the goals set by those managing their care. In several studies, stroke patients reported that information about stroke was lacking, inadequate time was allocated, timing was i…
Interacting with Others
- Along with making sense of stroke and its management, a great deal of effort is required to engage with a range of health professionals both in the hospital and in the community. One study reported that women are more likely to form an alliance with healthcare assistants, while men form alliances with nurses and therapists or other patients. Men more frequently reported trying …
Enacting Management Strategies
- Stroke patients are involved in extensive inpatient rehabilitation, attending therapy, taking medications, and working arduously to regain lost functions. During the rehabilitation process patients must adjust to their new physical abilities and learn self-care practices to prepare for discharge. Patients must fit into the routines set by institutions and many describe negative envi…
Reflecting on Management
- Patients must make decisions about their health care, requiring an appraisal of their treatments, either with the help of healthcare providers, or based on their own judgments. Sometimes decisions are made that deliberately contradict advice given by health professionals. This appears often to be the consequence of a breakdown in communication between patient and health prof…