Reasons for non-adherence 1 and 2

    Cards (17)

    • Why don’t people follow the advice of medical professionals?
      ·         Inconsistency in advice
      ·         Trust
      ·         Bad habits- might be hard to change
      ·         Is it feasible to follow advice?
      ·         Conflicting beliefs
      ·         Disagree
      ·         Personal ignorance
    • What are 1 and 2 reasons for non adherence?
      1. Stress
      2. Rational non-adherence
    • Stress as an explanation for non-adherence
      ·         People who are under stress are less likely to adhere to medical advice
      ·         People become stressed when they perceive that they cannot cope
    • Ways stress may occur
      • Stress from poverty
      • Non adherence is higher/worse in lower socioeconomic groups
      • Stress is closely associated with chaotic lifestyles
      • Being diagnosed can be stressful, and stress can make people disorganised
      • In these circumstances, individuals often forget to take their medication or find it hard to follow medical advice
    • Stressed clients
      Usually anxious, so their attention becomes narrower
    • When speaking to professionals, these individuals may
      • Latch on to key words and ignore the rest
    • What impact does stress have on your memory?
      Stress has a negative impact on your memory. Even if an individual understands the medical advice, adherence is impossible if they can’t remember it.
    • Strengths of non adherence due to stress
      Support for effectiveness: stress is a reason for non adherence.
    • Weakness of non adherence due to stress
      Although we know that stress impacts adherence short term, it Is unclear what the influence of stress is long term adherence
    • Rational non-adherence
      Sometimes individuals chose not to follow medical advice for reasons they believe are logical, well considered and make sense.
      A rational decision is based on weighing u the costs and benefits of following or not following medical advice
      The main benefit of adhering is that it reduces or eliminates the symptoms of an illness, disease or injury.
    • Potential costs of adhering to medical advice
      • Side effects
      • Financial barriers
      • Patient-practitioner relationship
    • Side effects
      • Medications causing dizziness or affecting appetite
      • Risk of injury from exercise
    • Financial barriers
      Some people do not adhere simply because they cannot afford it
    • Patient-practitioner relationship
      The level of trust a patient has in the professional affects how likely the individual is to adhere to medical advice
    • Practitioner centred approach vs a patient centred approach

      The approach taken by the practitioner can affect adherence to medical advice
    • Strengths of rational non adherence
      Rational factors do influence adherence. Eg: in Spain adherence decreased for expensive drugs once individuals had to start paying for them
    • Weakness of rational non adherence
      The approach assumes that the individual has logically weighed up the cost and the benefits- decisions are not typically made up this way.
       
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