Adherence to Pediatric Medical Regimens

الغلاف الأمامي
Springer Science & Business Media, 23‏/11‏/2007 - 174 من الصفحات
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1. It is incumbent on medical providers that they are asking patients to - here to regimens with demonstrated eficacy, Providers need to remind themselves of the Hippocratic oath: "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit ofmy patients, and abstain from whatever is deleterious and mischievous" (as cited in Cassell, 199 1, p. 145). 2. Providers need to abandon the "blame and shame" approach to dealing with medical adherence problems. It is tempting to blame patients for adherence failures and shame them into changing their behavior. Providers need to share the blame (or better yet omit blame) and look at their own attitudes and behaviors that impact adherence. For example, failing to simplify regimens or minimize negative side effects can adversely impact patient adherence. 3. Patients and their families are no longer (or maybe were never) satisfied with apassive role in their health care. In fact, the tern compliance lost favor in the literature because it implied for some an authoritarian approach to health care that required unquestioned obedience by patients to provider recommendations (DiMatteo & DiNicola, 1982). Comprehensive and effective health care requires a cooperative relationship between providers and patients and their families. It also acknowledges the following realities, particularly for treating persons with chronic illness: "Doctors do not treat chronic illnesses. The chronically ill treat themselves with the help of their physicians; the physician is part of the treatment.

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الصفحات المحددة


Medical Nonadherence Prevalence Consequences
Consequences of Nonadherence
Review Critique and Clinical Implications
Assessing Adherence
Assessing Disease and Health Status
Strategies for Improving Adherence to Pediatric Medical Regimens
Review of Adherence Intervention Studies and Recommendations
Summary of Adherence Intervention Studies
Publications Organizations and Website Resources
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الصفحة 28 - At the individual level, efficacy is defined as "belief in one's capabilities to organize and execute the courses of action required to produce given attainments
الصفحة 88 - Both greater restriction of, and less time spent in, active play. 60 Up and around, but minimal active play; keeps busy with quieter activities. 50 Gets dressed, but lies around much of the day; no active play; able to participate in all quiet play and activities. 40 Mostly in bed; participates in quiet activities. 30 In bed; needs assistance even for quiet play. 20 Often sleeping; play entirely limited to very passive activities. 10 No play; does not get out of bed. 0 Unresponsive.
الصفحة 67 - Over the past decade, significant progress has been made in the development of structured interviews for assessing adherence.
الصفحة 42 - The term functional analysis has historically characterized a wide array of behavioral assessment activities and has been denned as "the identification of important, controllable, causal functional relationships applicable to a specified set of target behaviors for an individual client
الصفحة 165 - DP, & Endres, RK (1986). Compliance with blood glucose monitoring in children with Type I diabetes mellitus.
الصفحة 155 - Effective patient care in the pediatric ambulatory setting: A study of the acute care clinic.

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