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Compliance issues with the geriatric population: complexity with aging

S De Geest1, W von Renteln-Kruse, E Steeman

  • 1Center of Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium. sabinadegeest@compuserve.com

The Nursing Clinics of North America
|August 28, 1998
PubMed
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Medication nonadherence is a significant healthcare problem, especially in older adults. This article examines adherence challenges, measurement methods, risk factors, and interventions for the geriatric population.

Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Health Services Research

Background:

  • Nonadherence to prescribed medical treatments presents a substantial challenge within healthcare systems.
  • The geriatric population exhibits unique vulnerabilities and risk factors contributing to treatment nonadherence.

Purpose of the Study:

  • To specifically address medication adherence issues within the geriatric population.
  • To critically evaluate methods for measuring medication nonadherence.
  • To identify determinants and risk factors for noncompliance in elderly patients.

Main Methods:

  • Discussion of the strengths and limitations of various adherence measurement techniques.
  • Description of factors influencing compliance, with a focus on geriatric-specific risks.

Related Experiment Videos

  • Overview of interventions aimed at improving medication adherence.
  • Main Results:

    • Measurement tools for assessing medication adherence in older adults have varying degrees of validity and reliability.
    • Specific risk factors in the geriatric population, such as polypharmacy and cognitive impairment, significantly impact adherence.
    • A range of interventions, from educational programs to simplified regimens, can be employed to enhance compliance.

    Conclusions:

    • Addressing medication nonadherence in the elderly requires tailored strategies considering their unique needs.
    • Accurate assessment of adherence is crucial for effective intervention planning.
    • Interventions focusing on patient education, medication management, and addressing psychosocial factors can improve geriatric adherence outcomes.