Asan advanced registered nursing practitioner, I have a critical roleto play in medication compliance by the elderly. Hence, my researchinterest recommends improving the outpatient care that includes afocus on drug therapy. By simply adhering to their medicationregimen, the CHF patient can improve their outcomes. Previousresearch by different scholars on medication compliance by CHFpatients is usually conducted in clinical or hospital settings, verylittle research is done in the home care setting (Witham& McMurdo, 2012).Therefore, the purpose of this research study is to identifyinterventions that help improve adherence to medication regimen ofthe elderly CHF home health care patients.
Thefirst step in developing interventions to improve medicationadherence of the home health CHF elderly patient is to become awareof research studies that identify barriers to the medication regimenand possible interventions that can be useful. Consequently, thisresearch entails a library search and literature review whichincludes the review of research articles that identify barriers forCHF patients to follow their medication regimen and some testedinterventions. Consequently, recent studies identify Congestive Heartfailure as the most common reason for hospitalizations of the elderlywhich costs Medicare approximately ten billion dollars (Lopert etal., 2012). Furthermore, Pyle (2015) identifiedthe following reasons why CHF patients do not adhere to theirmedication regimen inability to manage multiple medications, complexand inadequate medication instructions, patients ran out medicationsand prescriptions, adverse drug reactions, poor memory, and financial hardship
Subsequently,there should be a price comparison of how much it costs to havepharmacists resolve medication barriers versus the cost of having ahome health nurse do the same. Also, a comparison of having apharmacist intervene with medication barriers versus a home healthnurse would be interesting. I believe that the relationship betweenthe nurse and patient can help improve medication adherence.
Accordingly,smartphone application is an innovative solution to the problem. Thereadily available devices have many features that can be redesignedto meet the elderly patients’ health care needs. The mobile appsare capable of generating reminders for various medications. Besides,the app should record whether the medicine were taken or missed, andis available in the user’s language. Subsequently, the patientswill need training on how to use the mobile applications as well asits functionality.
Lopert,R., Shoemaker, J. S., Davidoff, A., Shaffer, T., Abdulhalim, A. M.,Lloyd, J., and Stuart, B. (2012). Medication adherence and medicareexpenditure among beneficiaries with heart failure. The AmericanJournal of Managed Care, 18(9), 356.
Pyle,J. J. (January 01, 2015). A motivational interviewing educationintervention for home healthcare nurses. HomeHealthcare Now, 33, 2,79-83
Witham,M. D. & McMurdo, E. T. (2012). Interventions to enhance adherenceto medications in patients with heart failure: A systematic review.Circulation Heart Failure (5), 126-133.