Does the Medicine Go Down
 
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 There is a large amount of research evidence to support the view that patients do not always use prescribed medication as intended or required for successful treatment of their condition.

The reasons for not taking medication as prescribed include:
· worries about side effects, or interference in their daily lives.
· beliefs about their medicines, or taking medicine in general.
· lack of information about their condition and the importance of treatment.
· practical difficulties such as access to a pharmacy or complicated regimens.

Further research demonstrates that patients are more likely to be motivated to take their prescribed medicines when they understand and agree with the treatment and have been active partners in the prescribing decision, i.e. when there is concordance.

Current practice in prescribing medication relies on the person complying with the prescriber’s advice/views, which often ignores their feelings and beliefs. Professionals prescribing medication often expect the person to accept their diagnosis and comply with the recommended treatment.

To achieve concordance over compliance in practice the focus of the consultation needs to change. The health professional shares information on the diagnosis and treatment options and encourages a dialogue that allows the persons view to be considered, there is an opportunity to voice concerns and to reach agreement about treatment/medicines. Following this type of consultation the patient will be more likely to feel satisfied with the outcome as they have been an active partner in the decision making process and therefore will understand the medicine and treatment and use it as is required for a successful outcome.

This new resource was initiated by the Trent Workforce Development Confederation.
It is a resource which we believe has captured the spirit of working together with service users and health professionals to create a learning resource that;
o is accessible to staff, learners and the public
o brings together the perspectives of both staff and service users
o highlights the need for partnership – of both staff and service users having responsibilities and equipping people to better engage and be better engaged

The DVD could be used as a stand alone programme for health professionals or could form part of a more in-depth training session on concordance which will not only help patient and health professional communication but could improve health outcomes.
 
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