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Nurs 327 > Week 4- adherence > Flashcards

Week 4- adherence Flashcards

1
Q

compliance

A

doing exactly what treatment providers tell you to do
- the power is in the hands of the provider rather than patient

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2
Q

adherence

A

positive proactive behavior encompassing patient freedom of choice which results in lifestyle change

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3
Q

intentional partial adherence

A

adjusting dose/frequency

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4
Q

non-intentional partial adherence

A

non purposefully forgetting/missing/neglecting

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5
Q

balance of treatment adherence

pros and cons

A

upside: improved health outcomes leading to decreased readmission which causes less morbidity and mortality
downside: side effects of medications along with cost, as well as acceptance of highly stigmatized diagnosis

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6
Q

main cause of poor adherence

A

medications; specifically concerns about side effects

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7
Q

HCP characteristics

A
  • relationship
  • communication
  • trust
  • patient education
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8
Q

health system factors

A
  • access
  • cost
  • quality of services
  • coverage
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9
Q

non-modifiable characteristics of a patient

A
  • demographics
  • physical factors
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10
Q

factors affecting medication/treatment adherence

5

A
  • condition
  • medication factors
  • healthcare system/HCP factors
  • socioeconomic factors
  • patient factors (major one)
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11
Q

condition factors

one of the components affecting treatment adherence

A

includes;
- disease control
- disease characteristics
- patient specific

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12
Q

medication factors

one of the components affecting treatment adherence

A
  • regimen
  • effects
  • properties
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13
Q

healthcare system/HCP factors

one of the components affecting treatment adherence

A
  • HCP characteristics
  • health system factors
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14
Q

socioeconomic factors

one of the components affecting treatment adherence

A
  • social/environmental factors
  • lifestyle factors
  • economic factors
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15
Q

patient factors

one of the components affecting treatment adherence

A
  • cognitive and psychological
  • behavioral
  • non modifiable characteristics
  • family/caregiver characteristics
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16
Q

indirect assesment of adherence

A

self-report from patients and their views/opinions
- is better option because it involves the person

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17
Q

direct assessment of adherence

A

lab tests, blood work, urine,

not ideal because it is considered tracking

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18
Q

nursing priorities for adherence

5

A
  • coping
  • self identity/esteem
  • social support
  • maximize optimal functioning
  • maintain overall physical health
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19
Q

interventions to support treatment adherence

related to patient factors

A
  • CBT
  • motivational interviewing
  • psycho-education
  • personalized reminders
20
Q

interventions to support treatment adherence

related to medication therapy

A
  • improved dosing schedules
  • expanding provider access
  • involving people in decisions
  • offering choice
  • enhanced communication
21
Q

community treatment orders adherence

benefits

A
  • preventative in trying to break cycle of involuntary hospitilization
  • maintains client in community
  • more independence
22
Q

community treatment orders adherence

challenges

A
  • consent is required but may be viewed as coercive or threatning
  • impact on patient rights as it anticipates risk
23
Q

recovery enabling factors

5

A
  • accessible support
  • vocational training
  • shared decision making
  • respect
  • spaces for belonging
24
Q

3 factors that make healthcare recovery oriented

A
  1. focus is on person not illness
  2. client driven interventions
  3. strengths based approach
25
Q

CHIME framework

personal recovery

A

Connectedness
Hope
Identity
Meaning
Empowerment

26
Q

chronic disease management model

for recovery; 5

A
  • self management is an outcome and process
  • work necessiated by disease
  • work of maintaining every day life
  • work of dealing with altered view of future
  • links back to health promotion
27
Q

self management skills/tips

5

A
  • stress management
  • self motivation
  • self confidence
  • time management/organization
  • healthy lifestyle/balanced diet
28
Q

components essential to successful self management

A
  • patient
  • healthcare team
  • system
29
Q

patient component

essential part to successful self management

A
  • individual factors
  • context
  • resources
30
Q

health care team component

essential part to successful self management

A
  • philosophy
  • approach
  • knowledge/skills
  • resources
31
Q

system component

essential part to successful self management

A
  • philosophy
  • resources
  • structure/infrastructure
32
Q

the patient in self management

A
  • day to day factors
  • provider contact
  • knowing health history
  • supporting in relation to caregiver burnout
33
Q

health care provider in self management

A
  • ongoing monitoring
  • working in a team
  • staying updated on whats new
  • ensuring personal mental health
34
Q

system in self management

A
  • coordinated and integrated care
  • accessibility
  • skills development for intersectional areas
  • resources
35
Q

milieu therapy

type of talk therapy

A
  • group method
  • involves physical and social environment
  • uses everyday activities
  • routine
  • teaches interpersonal skills
36
Q

CBT (cognitive behavioral therapy)

type of talk therapy

A
  • highly structured
  • short term
  • skill building and psychoeducation
  • 6 to 10 sessions
  • can involve mindfulness
37
Q

cognitive model of anxiety

A

situation leads to automatic thoughts which leads to anxiety, leading back to the situation
- goes in loop

38
Q

automatic thoughts

come from

A

automatic thoughts –> intermediate beliefs (rules and attitudes) –> core beliefs

39
Q

automatic thoughts

A
  • instant and unconscious interpretation of events that stem from intermediatre thoughts and core beliefs
  • distorted which can lead to distorted moods
  • feel real and factual
40
Q

dysfunctional thought record

for reframing negative thoughts

A

tool that is used to help reduce and make thoughts questionable along with reframe them

41
Q

DBT (dialectical behavioral therapy)

type of talk therapy

A
  • used for borderline personality disorder
  • system approach
  • includes 1 on 1 and group skills
  • highly structured and organized into 2 phases
42
Q

1st phase of DBT

A

work is focused on building new regulation skills related to trauma

43
Q

2nd phase of DBT

A

work on the managing amd recovering from trauma can begin

44
Q

dialectics

A

behavioral program based on dialectical philosophy meant to counteract cognitive style of BPD
- how to hold 2 truths together

45
Q

assumptions of DBT

A
  • patient is doing the best they can but they can do better
  • patient may not have caused the problems but they do have to solve them
  • patient defines goal for their life worth living
46
Q

purpose of group skills training

and nursing role

A

reinforce everyday life skills
- supporting person to move from guidance to independence with using the skills provided

Nurs 327 (8 decks)

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