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Reasons for non-adherence 1 and 2
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Created by
Fay Winter
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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?
Stress
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
View source
Stressed clients
Usually
anxious
, so their
attention
becomes
narrower
View source
When speaking to professionals, these individuals may
Latch on to
key words
and
ignore
the rest
View source
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
View source
Side effects
Medications
causing
dizziness
or affecting
appetite
Risk of
injury
from
exercise
View source
Financial barriers
Some people do not
adhere
simply because they cannot
afford
it
View source
Patient-practitioner relationship
The level of
trust
a patient has in the professional affects how likely the individual is to
adhere
to medical
advice
View source
Practitioner
centred approach vs a patient centred approach
The approach taken by the
practitioner
can affect
adherence
to medical
advice
View source
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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