Everything Session 6 (Aherence, Homelessness And Healthcare) Flashcards

1
Q

What is compliance?

A

Extent to which a patient complies with medical advice

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2
Q

What is Adherence?

A

The extent to which a parsons behaviour corresponds with agreed recommendations with a healthcare provider

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3
Q

What is concordance?

A

An agreement reached after negotiation between a patient and a healthcare professional that respects the beliefs and wishes of a patient in determining whether, when and how medicines are to be taken

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4
Q

What are the consequences of non-adherence?

A

Loss of health benefits
Wider economic burden

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5
Q

What are the reasons for non adherence?

A

Unintentional adherence
Intentional adherence

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6
Q

Example of Unintentionally not adhering to medication

A

Patients wanting to take medication but are prevented by barriers outside of their control (like poor recall/comprehension/ financial reasons)

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7
Q

Why might a patient Intentionally not adhering to medical advice?

A

Beliefs
Attitudes
Experiences
Lay beliefs

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8
Q

What interventions can improve (unintentional) adherence?

A

-Educating patient/improve their knowledge on medication
-Simplify regime (simple to follow treatment)
-Making it easier to remember to use medicine and improve the quality of interaction and trust in health care provider

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9
Q

What are the 5 factors involved in the model of Adherence?

A

-Illness factors
-Patient factors
-Psychosocial factors
-Healthcare factors
-Treatment factors

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10
Q

How long does homelessness usually take to occur?

A

A 20-30 year downward spiral

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11
Q

What needs to be provided to support the homeless?

A

-Alcohol and drug dependence support
-Mental health support
-Health assessments
-Financial support/advice

These are normally all needed since they often have co-morbidities

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12
Q

What are the approaches to providing good health care?

A

-Provide a “safe house” with a GP on duty
-Vaccinations - Hep C
-Pharmacological intervention
-Housing and social determinants
-Non-judgemental

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