Transcript Kate_Thorndike - Association of Pharmacy Technicians, UK

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Improving Patient Compliance
By Kate Thorndike
Specialist Transplant Pharmacy Technician MAPharmT
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Introduction
 What
is my role?
 Can
you define patient compliance and the issues
affecting it?
 How
are we improving patient compliance in
Transplant?
 How
can we use this in practice?
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Definition
 Compliance
– The extent to which patients take
medicines according to the prescribed instructions
 Adherence
– The extent to which the patient’s
behaviour matches agreed recommendations from
the prescribers
 Concordance
– Shared decision making about
medicines between a Healthcare Professional and
a patient, based on partnership, where the patient’s
expertise and beliefs are fully valued

Weiss M and Britten N, Pharmaceutical Journal vol 271 (493)
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Concordance, adherence and compliance in medicine taking. Report for the National Co-ordinating Centre for NHS
Service Delivery Oragnisation R and D (NCCSDO) 2005
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Why Compliance?
 Transplant
medications are vital to stop rejection
and organ loss therefore patients must follow
prescribers recommendations or they may lose
their organ and in some cases their lives
+ Factors affecting patient groups
 Taking
medication
 Timing
of doses/consistency
 Change
 Side
to doses
effects
 Drug
holidays
 Brand
 Language
 Eyesight
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Improving compliance post
Transplant
 Drug
education – understanding medication
 Aids
– dossette boxes, mobile phone alerts, smart
phone apps
 Clinic
sessions – Young Adults Transplant Service
 Follow
up - contact information
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Group Activity
 Using
the patient medication sheet and material
provided think about how you would present this
new medication regimen to a transplant patient
 What
information would you highlight for the
patient?
 How
would you present it to the patient?
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Patients Medication Sheet in Transplant
Patient Counselling sheet designed by Bridget Featherstone – Lead Pharmacist in Transplant
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Patient Medication Sheet in Transplant
Patient Counselling sheet designed by Bridget Featherstone – Lead Pharmacist in Transplant
+ How do I use this technique?
 Every
new transplant patient is given a medication
sheet specific to their drug regimen
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Using these sheets, every patient is counselled to
ensure thorough and correct understanding of why
and how to take their medication
 Once
discharged I run an outpatient clinic to
highlight other important lifestyle changes
 My
contact details are provided on the medication
sheets so patients can contact me with any queries
regarding medication once discharged
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An audit of Medicines Adherence on the Transplant
Unit at Addenbrookes Hospital
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In January 2009 the National Institute of Health and Clinical Excellence
(NICE) published guidance on Medicines Adherence. In June 2012 the
Transplant Unit at Addenbrookes Hospital conducted an audit on New solid
organ transplant patients to assess the level of patient education given to aid
adherence.
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25 people over 18 participated.
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OBJECTIVES
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Do these patients receive adequate and appropriate verbal and written information related to their
medicines?
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Do these patients clearly understand the information provided to them?
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Do these patients have opportunities to raise concerns and if so, were they addressed
appropriately?
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STANDARDS
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1, 100% of the patients receive adequate and appropriate verbal and/or written information related to
their medicines
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2, 100% of the patients clearly understand the information provided to them
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3, 100% of the patients have opportunities to raise concerns.
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4, 100% of the patient concerns were addressed appropriately
An audit of Medicines Adherence on the Transplant
Unit at Addenbrookes Hospital
Chart showing the responses to a medicines adherence questionnaire in the
transplant arm
100
96
96
96
90
72
80
70
Percentage
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60
50
40
30
20
10
0
Adequate and
appropriate
information
provided
Clearly
understood
information
provided
Opportunities
to raise
concerns
Concerns
addressed
appropriately
Audit
standards
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Medicines Optimisation –
WE can make a difference
 The
role of a Specialist Pharmacy Technician
 Understanding
patient compliance and the issues
affecting it
 Improving
 Educating
patient compliance
and supporting patients on their
medication
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Thank you!

Kate Thorndike

Specialist Transplant Pharmacy Technician MAPharmT

Cambridge University Hospitals NHS Foundation Trust

Addenbrookes Hospital

Hills Road

Cambridge
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CB2 0QQ
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Email: [email protected]
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Tel No: 01223 216055