FACTORS CONTRIBUTING TO ADHERENCE TO TREATMENT REGIMEN AMONG OLDER RESIDENTS

 

CHAPITRE ONE

 

1.01 INTRODUCTION

 

1.1 THE STUDY’S BACKGROUND

 

Medication adherence has long been an issue for elderly patients. Because the elderly are prone to multiple co morbidities, they are at a higher risk of polypharmacy and, as a result, may present with a higher risk of medication non-adherence than the younger population. Medication non-adherence reduces treatment effectiveness and escalates medical expenditures. There are numerous ways for monitoring medication adherence, including patient surveys, self-reports, pill counts, clinical response assessment, physiological marker measurement, and patient diaries.

 

drug adherence refers to how well a person’s behavior matches the drug regimen agreed upon with a health care practitioner. Balaji and Ramanath KV (2003). A person over the age of 65 is considered an elderly patient. Adherence is a complex phenomenon that varies by population.

 

Age, gender, socioeconomic status, and the severity of the disease, the complexity of prescribed medications, social acceptance, poor patient-related relationships, cost, forgetfulness, and the presence of psychological problems have all been shown to contribute to adherence in various populations.

 

F. Saleem and M. Hassali, 2002. Medication non-adherence is a complicated problem that contributes to critical medical and public health issues such as poor treatment outcomes, higher hospitalization rates, and higher health-care costs. Balaji and Ramanath KV (2003). It is usual for older patients to be treated for multiple health disorders at the same time, which might result in a complicated pharmaceutical regimen. In addition to posing pharmacological dangers, poly pharmacy, defined as the concurrent and continuous use of many medications, predisposes people who practice it to poor adherence.

 

Many factors, including unclear instructions, inadequate patient education, a lack of patient involvement in the treatment plan, medication cost, side effects, and the complexity of the dosing regimen, may influence medication compliance in the elderly population.

 

Many studies have shown that the majority of the elderly do not take their medications on time or in the correct amount due to complicating factors such as the number of medications prescribed and the number of providers seen for multiple health problems, as well as other physical and cognitive challenges that the elderly face. Intentional medication non-adherence might result from a lack of information about their illnesses and the role medications play in their long-term care.

 

Strong data suggests that older individuals with chronic illnesses struggle to stick to their drug routine. To enhance drug adherence, the multifaceted causes of poor adherence must be identified. Because poor medication adherence is multifactorial, only a sustained, coordinated effort will ensure optimal medication adherence and full realization of current therapies. As a result, the goal of our research is to investigate the characteristics that influence adherence to treatment regimens among elderly patients in Ughelli.

 

1.2 THE PROBLEM’S STATEMENT

 

Adherence to treatment regimen matters a lot in medication, especially with older residents, but it is difficult to observe that most older residents do not adhere to the treatment, which could be due to the cost of continuing the treatment, or it could be because the severity of the sickness has been reduced, or it could be that they cannot follow the instructions (might have forgotten or illiterate ones that cannot read or write). Finally, while several studies have been conducted on the impact of medication non-adherence, not a single study has been conducted on the factors contributing to the treatment regimen among older residents in Ughelli.

 

1.3 STUDY GOALS AND OBJECTIVES

 

The primary goal of the study is to identify the characteristics that influence adherence to treatment regimens among elderly people. The study’s other specific objectives are as follows:

 

1. to identify the factors influencing treatment adherence among senior residents of Ughelli.

 

2. to assess the impact of treatment adherence among senior residents of Ughelli.

 

3. to ascertain the extent to which noncompliance with treatment regimens impacts senior residents of Ughelli.

 

4. to suggest potential answers to difficulties.

 

1.4 QUESTIONS FOR RESEARCH

 

1 What factors influence treatment adherence in Ughelli’s elderly population?

 

2 What effect does treatment adherence have on older residents of Ughelli?

 

3 To what extent does non-adherence to treatment regimen influence senior residents of Ughelli?

 

4 What are the potential solutions to the issues?

 

1.5 RESEARCH HYPOTHESIS STATEMENT

 

H0: Treatment regimen adherence has no effect on elderly inhabitants.

 

H1: Treatment regimen adherence has a major impact on older residents.

 

1.6 THE IMPORTANCE OF THE STUDY

 

The study on the factors influencing adherence to treatment regimen among older people will be extremely beneficial to the entire elderly population in Ughelli since it will educate them on the consequences of not adhering to the guidelines that guide the therapy. To avoid misunderstandings, the study will allow carers or medical experts to interpret in a language that the elderly can understand. Finally, the study will add to the body of existing literature and knowledge in this field of study, as well as serve as a foundation for future research.

 

1.7 STUDY OBJECTIVES

 

The study on the factors influencing treatment regimen adherence among senior people is limited to Ughelli.

 

1.8 STUDY LIMITATIONS

 

Financial constraint- A lack of funds tends to restrict the researcher’s efficiency in locating relevant materials, literature, or information, as well as in the data collection procedure (internet, questionnaire, and interview).

 

Time constraint- The researcher will conduct this investigation alongside other academic activities. As a result, the amount of time spent on research will be reduced.

 

1.9 TERMS AND CONDITIONS

 

Adherence The act of performing anything in accordance with a specific regulation, norm, or agreement.

 

Regimen A medical therapy, diet, or exercise regimen prescribed for the promotion or restoration of health.

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