Document Detail


Medication adherence is a partnership, medication compliance is not.
MedLine Citation:
PMID:  20682408     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Medication adherence is a complex phenomenon. As individuals assume greater responsibility for, and participation in, decisions about their health care, teaching and supporting adherence behaviors that reflect a person's unique lifestyle are the essence of a clinician-patient partnership-and it is a perfect fit with assisted living communities and nursing practice. The notion of compliance is an outdated concept and should be abandoned as a clinical practice/goal in the medical management of patient and illness. It connotes dependence and blame and does not move the patient forward on a pathway of better clinical outcomes. This article discusses the differences between compliance and adherence, identifies purposeful and unintentional reasons for nonadherence, and describes assessment tools for adherence, medication effect, and self-management capacity. Drawing on the scholarly work of others, we introduce a model for medication adherence, the ACE-ME Model: assessment, collaboration, education, monitoring, and evaluation. This model draws on the strengths and science of nursing and engages nursing participation in the continuing evolution of adherence strategies. For purposes of clarity in discussing these concepts, we use the word patient in this article rather than the word resident-that is, the older adult living in an assisted living community.
Authors:
Elaine Gould; Ethel Mitty
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Geriatric nursing (New York, N.Y.)     Volume:  31     ISSN:  1528-3984     ISO Abbreviation:  Geriatr Nurs     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-08-04     Completed Date:  2010-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309633     Medline TA:  Geriatr Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  290-8     Citation Subset:  N    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Affiliation:
Hartford Institute for Geriatric Nursing, College of Nursing, New York University, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Assisted Living Facilities*
Cooperative Behavior
Geriatric Nursing
Humans
Medication Adherence / psychology*
Patient Education as Topic / methods*
Patient Participation / methods,  psychology
Self Administration / nursing,  psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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