Medication Adherence Strategies in Older Adults |
Certified
for 1 AMA PRA Category 1 Credit™
Co-Sponsored
by
the
University of Alabama
School
of Medicine
Division of Continuing Medical Education,
Division of Gerontology, Geriatrics, and
Palliative Care, and
The Center for Aging
| Release
Date: January 27, 2009 |
Expiration
Date: January 27, 2012 |
| TARGET
AUDIENCE: |
| Primary
care physicians |
| OBJECTIVES: |
| Upon
completion of this CME activity,
participants
should be able to: |
- Better define medication adherence and understand the factors which may influence it.
- Identify barriers to medication adherence in older populations.
- Learn strategies for improving medication adherence.
|
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| FACULTY: |
| EDITOR
AND CONTRIBUTING AUTHORS: |
Angela
R. Curtis, PhD
Managing Editor
Assistant Professor, Geriatric Education
Manager
Division
of Gerontology, Geriatrics and
Palliative Care
Andrew S. Duxbury, MD, FACP
Associate Professor of Medicine, Division of Gerontology, Geriatrics and Palliative Care
University of Alabama at Birmingham
Birmingham, Alabama |
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| |
| DISCLOSURE: |
Dr. Duxbury has no commercial affiliations
to disclose.
Because of the nature of preliminary
studies, some products mentioned are
unlabeled and investigational. Dosages,
indications, and methods of use of
drugs mentioned in this publication
may reflect the experience of the authors,
clinical literature, or other resources.
Therefore, please see the full prescribing
information before using any licensed
product mentioned. |
| CME
PARTICIPATION: |
| To
participate in this online course
for CME credit, please review the
objectives before beginning the program.
Complete the course and the self-assessment
test before January 27, 2012 to receive
CME credit. Your certificate will
then be available online. This process
should take approximately 1 hour. |
| ACCREDITATION: |
The
University of Alabama School of
Medicine is accredited by the Accreditation
Council for Continuing Medical
Education to provide continuing
medical education for physicians.
The
University of Alabama School of
Medicine designates this educational
activity for a maximum of 1 AMA
PRA Category 1 Credit™.
Physicians should only claim credit
commensurate with the extent of
their participation in the activity.
The
boards of nursing in many states,
including Alabama, recognize Category
1 continuing medical education
courses as acceptable activities
for the renewal of license to practice
nursing. |
| DISCLAIMER: |
| Dosages,
indications, and methods of use of
any drug referred to in this publication
may reflect the clinical experience
of the authors, clinical literature,
or other clinical resources. Therefore,
please see the full prescribing information
before using any product mentioned.
UAB is an equal opportunity/affirmative
action institution. |
| INTRODUCTION: |
Medical teaching and the medical literature are full of references to non-compliant patients and there is much discussion amongst physicians about ways to get patients to become more compliant, especially with the taking of medications on an outpatient basis. Issues of compliance are one of the key targets of public health programs and can be succinctly summed up in the following quote from US Surgeon General C. Everett Koop, “Drugs don’t work in patients who don’t take them.”[1] |
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CASE: |
Mrs. P is a 78 year old white female with a history of significant hypertension, dependent edema and adult onset diabetes who has been successfully treated in the past with a combination of clonidine 0.1 mg tid, amlodipine 10 mg, and hydrochlorothiazide 25 mg for the hypertension and metformin 1000 bid with Januvia 50 mg po for her diabetes. On recent office visits, her blood pressure has been measured at 180/100 when it had previously been 130/70 and her HgA1c has increased from 6.9% to 8.7% over the last year. Mrs. P states that she takes her medications as prescribed. She is a widow who lives alone on a limited income, but she remains active and independent in the community. She has missed two of her last three appointments with your office.
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