Issues of Adherence to Treatment - An Article Review INTRODUCTIONThe clinical presentation of schizophrenia occurs in three phases, first entail initial prognosis and first treatment, phase 2 includes periods of relative calm between episodes of overt signs and symptoms but during which the patient needs sustained treatment and phase three includes periods of exacerbation or relapse that require hospitalization or more frequent contact with mental health professionals. The problem that is a standard when dealing with patients at that have schizophrenia is that there is an issue with medicinal non-compliance by way of the fact that more often than not patients tend to disregard prescribed medication, which actually leads to worsening of the situation.
In this context the following research will look at the details of three journal articles that look at methods of dealing with non adherence. AbstractThe following essay will discuss the role that is played by nurses in dealing with patients suffering from schizophrenia. In this endeavor, the essay will look at an analysis of three journal articles that deal with the factors that form a barrier to the adherence to medication in patients.
Also, the research will look at the role that therapy and alternative forms of motivation can play when dealing with the problem non compliance with schizophrenia medication. Literature review and extensive analysis have been undertaken of three basic articles dealing with the issue of non-adherence. The paper finds that pressures from society along with lack of awareness form the crux of the issue where non adherence is concerned and efficient way of dealing with the problem is through the employment of alternative methods of therapy and motivation.
ARTICLE ONEThe first article entitled, ‘The role of the inpatient mental health nurse in facilitating patient adherence to medication regimes’, by Happel et. Al., (2002) looks at an analysis of the role of the nurse in light of the fact that non-adherence to antipsychotic medication is linked to symptom relapse and readmission to the hospital setting. According to the research, there are several complexities that characterize the non-compliance of prescribed medication where things schizophrenia is concerned. On account of these very complexities it is evident that there could be no single strategy that could be employed towards improving compliance rate of schizophrenic patients.
Despite the fact that more often than not there is an absence of a clear agreement with respective to the things that do and do not affect compliance, there is adequate substantiation to establish the fact that factors such as abuse, population variables, knowhow of side-effects and the illness itself, potentially have a major on the probability of patients down with schizophrenia taking his or her medication as prescribed, the recognition of these factors highlights the role that must be played by the nurses in the enhancement of medicinal compliance, thereby aiding the reduction of suffering and ensuring the recovery in affected patients.
For most nurses, the biggest factor that affected the management of medication was issues of environmental concern, which stood mostly in relation business of the wards, limitations to the availability of information to the patients, rapid inward changeover of the doctors, conflicting nurse roles, and the patient pressure and rush aggravated further by acuity. Patient adherence was hindered by factors of social stigma attached to psychotic medication, interference from the family, patient acuity touching new highs, shortened duration of stays and a more than normal medical staff turnover.
There was also an issue related to training of nurses in the effective instituting of medication. What is needed therefore is a better management of medication, along with more awareness and reinforcements of the positive effects of medication in such scenario. Barriers to effective medication adherence and assessment could also crop up from the patent side of the equation. These would be inclusive of contact related problems, mental, or even emotional issues.
There could be problems of prejudice and attitudes to complicate things further; like absence of a pharmacy nearby, absence of transportation to healthcare facility, availability of both but absence of, say, high doses of opioids at the pharmacy, and even the lack of a home caregiver to assist with administering drugs pose major.