Syndetics cover image
Image from Syndetics

Adherence to Pediatric Medical Regimens [electronic resource] / by Michael A. Rapoff.

By: Contributor(s): Material type: TextSeries: Clinical Child Psychology LibraryPublisher: New York, NY : Springer US : Imprint: Springer, 1999Edition: 1st ed. 1999Description: XVIII, 174 p. online resourceContent type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 9780585375816
Subject(s): Additional physical formats: Printed edition:: No title; Printed edition:: No title; Printed edition:: No titleDDC classification:
  • 370.15 23
LOC classification:
  • LB1027.55
Online resources:
Contents:
Medical Nonadherence Prevalence, Consequences, and Correlates -- Adherence Theories: Review, Critique, and Clinical Implications -- Assessing Adherence -- Assessing Disease and Health Status -- Strategies for Improving Adherence to Pediatric Medical Regimens -- Review of Adherence Intervention Studies and Recommendations for Research and Clinical Practice.
In: Springer Nature eBookSummary: 1. It is incumbent on medical providers that they are asking patients to - here to regimens with demonstrated eficacy, Providers need to remind themselves of the Hippocratic oath: "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit ofmy patients, and abstain from whatever is deleterious and mischievous" (as cited in Cassell, 199 1, p. 145). 2. Providers need to abandon the "blame and shame" approach to dealing with medical adherence problems. It is tempting to blame patients for adherence failures and shame them into changing their behavior. Providers need to share the blame (or better yet omit blame) and look at their own attitudes and behaviors that impact adherence. For example, failing to simplify regimens or minimize negative side effects can adversely impact patient adherence. 3. Patients and their families are no longer (or maybe were never) satisfied with apassive role in their health care. In fact, the tern compliance lost favor in the literature because it implied for some an authoritarian approach to health care that required unquestioned obedience by patients to provider recommendations (DiMatteo & DiNicola, 1982). Comprehensive and effective health care requires a cooperative relationship between providers and patients and their families. It also acknowledges the following realities, particularly for treating persons with chronic illness: "Doctors do not treat chronic illnesses. The chronically ill treat themselves with the help of their physicians; the physician is part of the treatment.
No physical items for this record

Medical Nonadherence Prevalence, Consequences, and Correlates -- Adherence Theories: Review, Critique, and Clinical Implications -- Assessing Adherence -- Assessing Disease and Health Status -- Strategies for Improving Adherence to Pediatric Medical Regimens -- Review of Adherence Intervention Studies and Recommendations for Research and Clinical Practice.

1. It is incumbent on medical providers that they are asking patients to - here to regimens with demonstrated eficacy, Providers need to remind themselves of the Hippocratic oath: "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit ofmy patients, and abstain from whatever is deleterious and mischievous" (as cited in Cassell, 199 1, p. 145). 2. Providers need to abandon the "blame and shame" approach to dealing with medical adherence problems. It is tempting to blame patients for adherence failures and shame them into changing their behavior. Providers need to share the blame (or better yet omit blame) and look at their own attitudes and behaviors that impact adherence. For example, failing to simplify regimens or minimize negative side effects can adversely impact patient adherence. 3. Patients and their families are no longer (or maybe were never) satisfied with apassive role in their health care. In fact, the tern compliance lost favor in the literature because it implied for some an authoritarian approach to health care that required unquestioned obedience by patients to provider recommendations (DiMatteo & DiNicola, 1982). Comprehensive and effective health care requires a cooperative relationship between providers and patients and their families. It also acknowledges the following realities, particularly for treating persons with chronic illness: "Doctors do not treat chronic illnesses. The chronically ill treat themselves with the help of their physicians; the physician is part of the treatment.

Accessibility summary: This PDF is not accessible. It is based on scanned pages and does not support features such as screen reader compatibility or descriptions for non-text content (e.g., images and graphs). However, it likely supports searchable and selectable text based on OCR (Optical Character Recognition). Users with accessibility needs may not be able to use this content effectively. Please contact us at through this accessibility request webform if you require assistance or an alternative format.

Inaccessible, or known limited accessibility

No reading system accessibility options actively disabled

Publisher contact for further accessibility information: accessibilitysupport@springernature.com

Old Kluwer collection

Licensed e-book