Schizophrenia: Support Services for Medication Adherence

Nicole Prins

Evidence for Care

  50% schizophrenics non-adherent to medication regime

  Why are they non-adherent?

  Provide support services to allow medication compliance

Nursing Theory

  Nola Pender

  Health Promotion Model

  Pender described health as “a positive dynamic state rather than simply the absence of disease” (Health Promotion Model, 2013, NA).

  How does this relate to patients and their care?

Summary of Research

  Review of research over past ten years

  Why completed?

  Twenty-two reviewed studies

  Results

Critique of the Study   Problem: Studies not completed by authors

  Review of literature: Credible

  Hypothesis: None

  Subjects: 22 studies

  Instruments: Electronic, family, clinician support, MI with TAT, others

  Design: Systematic Review

  Results: Effective

  Conclusion: Some studies showed promise, some showed little promise, keep trying to see which support services will work

  Limitations: Age group, cost, adherence, side-effects, refusal to participate, family members

Interdisciplinary Care

Get therapy involved in client care

  Pharmacy about drug side effects

  Case Manager for follow up care

  Physician to discuss any questions

Research Findings

  Support services depend on the patient

  Establish trusting relationship

  Include patient in their care when possible

  Why non-adherence?

Nursing Diagnosis and Interventions

. Ineffective Management of Therapeutic Regimen R/T the Individual (Gulanick, M, nd, “Nursing Diagnosis”)

. Interventions

1. Patient Planning in treatment regimen

2. Tailor the therapy to the patient’s lifestyle

3. Simplify the regimen, and eliminate unnecessary doctor’s visits

4. If patient lacks resources, link up with resource group

Advocate Role

  Need to advocate for our patient’s

  Provide equal care for all

  Educate patient’s on resources

How does this Study Help?

  Discusses multiple support services that can help with medication compliance

  Not every support service will work for each patient

  Find which service will work for which patient

Significance of Research

  Need to continue this type of research

  Tailor support services to patient’s needs

  Find out which support services work and which do not

References   [Christian Bale]. Retrieved from http://www.psychguides.com/guides/schizophrenia/

  El-Mallakh, P., & Findlay, J. (2015). Strategies to Improve Medication Adherence in Patients with Schizophrenia: the Role of Support Services. Neuropsychiatric Disease and Treatment, 1077-1090. doi:10.2147/NDT.S56107

Gulanick, M. (n.d.). Nursing Diagnosis Care Plans, 4e. Elsevier. http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/gulanick32.html

  Health Promotion Model. (2013). Nursing Theory. http://www.nursing-theory.org/theories-and-models/pender-health-promotion-model.php

  [Interdisciplinary]. Retrieved from https://n415son11.wordpress.com/2014/ 04/2 1/interdisciplinary-practice-nurses-as-full-partners-in-care/

  [Medication]. Retrieved from http://psychcentral.com/news/2012/05/07/50-years-of-data-back-benefits-of-antipsychotics-for-schizophrenia/38303.html

  [Nola Pender]. Retrieved from http://desarrolloconocimientoenfermeria.blogspot. com/2013/12/modelo-de-promocion-de-la-salud.html

References Cont. [Nurse Boxer]. Retrieved from http://blog.nursingjobsonl y.com

[Pill Counter]. Retrieved from http://www.pillthing.com/categories/pill-organizers-for-every-schedule

[Street Sign]. Retrieved from http://westside.k12.ca.us/departments

[Therapy]. Retrieved from http://www.news-medical.net/news/20140206/Talking-therapy-may-provide-effective-alternative-to-medication-for-people-with-schizophrenia.aspx