Main Article Content

Abstract

Background- Poor adherence is one of the major factors which alters therapeutic outcome of medication in geriatric patients with chronological diseases.  Medication non-adherence is one of the drug related barrier for hospitalization of elderly patients. So, there is a need to assess the factors responsible for hospitalization of elderly patients due to medication non-adherence.


Aim- To identify the factors responsible for hospitalization of elderly patients due to medication non-adherence and importance of clinical pharmacist role in the improvement of medication adherence


Materials & Methods- Morisky 8-item Medication Adherence Questionnaire- to identify medication non adherence, patient information leaf lets. A prospective interventional study was conducted in tertiary care teaching hospital,


Results- A total of 423 patients were interviewed. Out of these 182 patients were included in the study. Among these 42 patients were affected by polypharmacy, 38 patients were affected by lack of knowledge, 34 patients were affected for being asymptomatic, 30 patients were affected by cost of medication. After patient counseling, 18 patients had overcome from non-adherence due to polypharmacy, 33 patients had overcome non-adherence due to lack of knowledge, 28 patients had overcome non-adherence by being asymptomatic.


Conclusion- The present study showed that the clinical pharmacist involvement in disease management has positive impact in creating awareness about the disease, which improves medication adherence along with quality of life.

Keywords

Geriatrics Adherence Chronic Diseases Factors Influencing Adherence Patient Counseling

Article Details

How to Cite
B. Sarada, N. Krupa Sagar, V.Gowthami3, E. Kiran Kumar Reddy, E. Sam Jeeva Kumar, & Dr. M. Sureshwar Reddy. (2021). Role Of Clinical Pharmacist In Identifying The Factors That Influence Medication Non- Adherence And Improvement On Hospitalised Geriatric Non-Adherent Patients. International Journal of Research in Pharmacology & Pharmacotherapeutics, 4(2), 259-268. https://doi.org/10.61096/ijrpp.v4.iss2.2015.259-268

References

  1. [1] Leon shargel, susanna WU-pong, Andrew B.C.YU. Applied Biopharmaceutics & Pharmacokinetics: 5th edition. United States: McGraw- Hill Education (Asia); 2005. pg.no:636 -637.
  2. [2] Parthasarathi G, Hansen KN, Nahata MC: A Textbook of Clinical Pharmacy Practice: 2nd edition. Hyderabad: Universities Press (India) Private Limited; 2012. pg.no:74-84.
  3. [3] Verginiapoole Arcangelo, Andrew M. Pharmaco therapeutics For Advanced Practice: A Practical Approach. 2nd edition. Library of congress cataloguing; pg.no-55-59
  4. [4] World Health Organization. Adherence to long-term therapies: evidence for action.January2003.Available: www.who.int/entity/chp/knowledge/publications/adherence_full_report.pdf (accessed November 4, 2011).
  5. [5] Christopher R. Gauthier, RPh, Medication Adherence and Compliance – the Pharmacist’s Role.
  6. Available from: http://www.mparx.com/wpcontent/uploads/2011/06/Medication Adherence and Compliance.pdf
  7. [6] Antonia Kalogianni. Factors affect in patient adherence to medication regimen: Health Science Journal. 2011; 3(11): pg.no:157-158.
  8. [7] Shalini, Joshi MC. Study of polypharmacy and associated problems among elderly patients: Internet Journal of Medical Update. 2012 January;7(1): pg.no:35-39
  9. [8] Malhotra S, Karan RS, Pandhi P, jain S. Drug related medical emergencies in the elderly: role of adverse drug reactions and non-compliance. Postgrad Med J. 2001; 77: pg.no:703–707.
  10. [9] Kabir M, Iliyasu Z, Abubakar I.S, Jibril M. Compliance to medication among hypertensive patients in Murtala Mohammed Specialist Hospital, Kano, Nigeria: Journal of Community Medicine & Primary Health Care. 2004 June; 16 (1): pg.no: 16-20.
  11. [10] Anshu Gupta1, Dr. Dinesh Mehta et al. Compliance in Chronic Obstructive Pulmonary Disease Patients Attending Pulmonary Medicine OPD in a Tertiary Care Hospital: Prospective study: Journal of Dental and Medical Sciences. 2013 Mar- Apr; 7(6):Pg. No: 34-38.
  12. [11] Shuvankar Mukherjee, Biswanath Sharma Sarkar et al. Compliance to anti-diabetic: Journal of Clinical and Diagnostic Research. 2013 April; Vol-7(4): pg.no: 661-66.