MEDICATION

NONCOMPLIANCE
Group 1FLisa, Jenny, Alaina, Dom, Lorelei

ACTIVITY 1
-eat one skittle every 3 minutes for the
duration of the presentation, without using
any timer or reminders

ACTIVITY 2
-look over the paper for a minute,
remember the prescriptions and
instructions. At the end of the presentation
recall as much information as possible

Compliance and
Compliance- Are
you going to follow your doctors
Adherence
orders?
The CDC defines it as a patients
following of providers orders

passive

Adherence- Can you work with your provider to follow

instructions?
Being able to conform to a providers

timing,
dosage, and frequency of
medication-taking during the prescribed
recommendation with respect to

length of time

Non-Adherence

fu n facts
-20-30% of prescriptions are

never

filled
-Nearly 50% of medications are
not continued as prescribed
Adherence continues to decrease
after the first 6 months
-The World Health Organization (WHO)
estimates that by 2020, 157 million
Americans will have at least one
chronic condition that requires
medication therapy- Almost half the
population
-Medication nonadherence costs
approximately $2000 per patient in
physician visits annually

Patient Literacy- major barrier to

medication adherence
[M ore th an 90 m illion A m erican s
h ave in ad eq u ate h ealth literacy]

Factors Relating to
Medication
Noncompliance
1. Issues regarding the health-care system
and/or the health-care team
2. The patient himself
3. The patients prescribed treatment/therapy
4. The condition of the patient
5. Social/economic factors

Side Effects: Facts and

Figures of Medication
Noncompliance
THE PATIENT
-According to the CDC, non adherence causes
failures, and about

30-50% of treatment

125,000 deaths annually

-Diseases progress and functional abilities decline; this results in even

more hospital visits and medications, and a general lower quality of
life
-Medication noncompliance leads to substantial worsening of disease,
greatly increasing healthcare costs, and even death

Side Effects: Facts and

Figures of Medication
Noncompliance
THE ECONOMY
-In 2014, between $100 and $300 billion of avoidable health care
costs were attributed to nonadherence in the US
-Considering costs of medications for the patient, there is substantial
evidence that the long term costs of poor outcomes exceed costs of
medications in many chronic illnesses
-When patients dont adhere to their prescriptions, it causes
increased service utilization at physician offices, emergency rooms
and urgent care centers, increases avoidable pharmacy costs related
to therapy as a disease progresses, and increases the amount spent
on diagnostic testing that could be avoided if primary illnesses were

Medication
Noncompliance
In terven tion s
-90 day supply of medication and allowing for
automatic prescription renewal (CDC, 2013)
-Medication home delivery
-A daily medication reminder (CDC, 2013). This
could be in the form of an alarm or app on the
patients phone
-Another good reminder for patients is that their
practitioners, nurses, and pharmacists are very
valuable resources. If patients have questions or
confusion regarding their medication dosing, side
effects, or drug interactions, they should seek the
consultation of a pharmacist or health care provider

S.I.M.P.
L.E

S- simplify the regimen

I- impart knowledge
M- modify patient beliefs and
behavior
P- provide communication and
trust

Common Medications for

the Elderly
-Body aging: does not work as well
-Risks in using multiple medications
-Dangerous side effects
Longer time on a drug, more likely to have
an adverse drug reaction
Toxic drug reactions can occur in the elderly
even with low doses

Medication Categories that

Specifically Pose Issues for the
Elderly

Non-Steroidal Anti-Inflammatory
(NSAIDS)
-bleeding in stomach/ulcers
-increase BP

Muscle Relaxants + Anti-Anxiety/AntiInsomnia

-confusion
-increased risk of falls
-feel groggy and sleepy for extended periods
of time

Continued
Diabetes drugs
-hypoglycemia
Opioid Pain
Relievers
-confusion
-falls
-seizures
Antipsychotics
-increased risk of stroke

QUESTIO