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Cognitive impairment and medication adherence

V Conn, S Taylor, R Miller

    Journal of Gerontological Nursing
    |July 1, 1994
    PubMed
    Summary

    Medication knowledge does not always predict adherence. Forgetting medication is a key issue, and caregivers often assist cognitively impaired elders with medication management.

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    Area of Science:

    • Gerontology
    • Pharmacology
    • Patient Adherence

    Background:

    • Medication knowledge does not consistently correlate with adherence to prescribed regimens.
    • Forgetting to take medications is a common issue that requires further investigation.
    • Cognitive impairment's impact on medication adherence is complex, particularly in elderly populations.

    Purpose of the Study:

    • To examine the relationship between medication knowledge and adherence.
    • To investigate the role of forgetting in medication adherence.
    • To assess the association between cognitive impairment and medication adherence in elders.

    Main Methods:

    • Cross-sectional study design.
    • Patient interviews and knowledge assessments.
    • Caregiver-assisted medication administration observation.

    Main Results:

    • No significant correlation found between medication knowledge and adherence.
    • Forgetting medication emerged as a critical factor influencing adherence.
    • Cognitive impairment was not directly associated with non-adherence, as caregivers provided support.

    Conclusions:

    • Improving medication adherence may require strategies beyond enhancing patient knowledge.
    • Addressing medication forgetfulness is crucial for effective treatment management.
    • Caregiver support is vital for ensuring medication adherence in cognitively impaired elderly patients post-discharge.

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