Local Time
- Timezone: America/New_York
- Date: 12/17/2014
- Time: 11:00 am - 7:00 pm
Challenges and Solutions to Patient Adherence
Non-Adherence or a Lack of Self-Care
Non-Adherence as a frequent cause of avoidable hospitalization
National implications
Reasons for non-adherence
- Patient related
- Clinician related
- Health system related
Multiple co-morbidities and adherence
- Barriers to self-care
- Low literacy and cognitive impairment
- The older adult
- Break in Continuity of Care
Strategies to Enhance Adherence or Self-Care Management
Disease management (health management) to enhance self-management
- Key components
Self-care management
Patient-centered care
Increase access and continuity of care
Improving transitional care
Behavioral strategies
Motivational interviewing
Simplifying the complex
How to educate patients
- Teach back Methods
Increasing communication and collaboration on an interdisciplinary team
Handling relapses
Supporting NPSG and IOM competencies and health care reform
Disease Management Strategies for the most Common Co-morbidities (Heart Failure, Diabetes Mellitus and COPD)
Enhancing patient self-care management by improving our knowledge of these illnesses and applying this knowledge to any patient situation
- HF, Diabetes, and COPD made simple
- Evidence-Based guidelines
- Lab recommendations
- Non-Pharmacological interventions
- Simplifying a low sodium diet, and a carbohydrate consistent meal plan
- Teaching daily weight monitoring
- Teaching effective self-monitoring of blood glucose and insulin administration
- Teaching effective use of inhalers, nebulizers, and oxygen
- Simplifying the complex pharmacological management of these illnesses
- Device therapy
- Handling hypoglycemia, hyperglycemia, and sick days
- Self-Care plan and recommended screening
- Complications of chronic disease
- Preventing exacerbations Important teaching points for HF, Diabetes, and COPD
- Promoting weight loss/Exercise
- Promoting tobacco cessation
Other skills and options to enhance self-care management
How to perform a comprehensive assessment and not miss anything
Telehealth as a disease management strategy
- Store and forward vs. audio & video interaction
- Implications for telehealth
Applying immediate changes in patient care to enhance self-management
The Dos and Don’ts of documentation
Patient self-care management from hospital to community
Patient tools
Clinician tools
Interactive case studies