ipl-logo

Patient Adherence

1577 Words7 Pages

Human behaviour plays a leading role in whether a patient adheres to an exercise programme or not.(Peek et al. 2015). There are countless drivers of behaviour and reasons why people behave the way they do. These can include personal or individual, social and environmental factors. (Picorelli et al. 2014). According to the transtheoretical model of change, people arrive at different stages of readiness for change. (Hall et al. 2012). Getting patients to behave in a certain way is complex. A physiotherapist must determine what stage they are at to ensure a high level of adherence.
According to “Bandura”, self efficacy is the biggest predictor of adherence. Self efficacy is the belief in one’s ability to succeed in a situation.(Bandura 1977, …show more content…

(Miller et al. 1997). Therefore human communication and behaviour are the main aspects in promoting patient adherence to prescribed exercise programmes. For physiotherapists, the most important thing to ensure a high level of adherence is to individualise to a patient. (McKinney 1989). There is a sufficient amount of evidence showing that the nature and quality of the patient-clinician relationship is a huge determinant of success of recovery. As physiotherapists, we should use the motivational interviewing strategy to understand our patients needs and desires and then to put a tailored plan in place. Physiotherapists need to recognise the importance of using motivational interviewing to drive behaviour change. The use of open and closed questions, reflective listening and positive body language will show real and genuine appreciation of the patient’s struggles and difficulties. Summarising at the end of an appointment is also a fundamental step in establishing high adherence. This will enable a patient to listen to their own story and to show that the physiotherapist has understood what the patient is going through. Encouragement and motivation are essential in promoting adherence. Social support, appropriate advice and empathy along with ease with which a patient can incorporate those recommendations into his …show more content…

and Hamer, P. (2003) 'The physiotherapy experience in private practice: the patients' perspective', Australian Journal of Physiotherapy, 49(3), 195-202.

Resnicow, K., DiIorio, C., Soet, J. E., Borrelli, B., Hecht, J. and Ernst, D. (2002) 'Motivational interviewing in health promotion: it sounds like something is changing', Health Psychology, 21(5), 444.

Thompson, P. D., Buchner, D., Piña, I. L., Balady, G. J., Williams, M. A., Marcus, B. H., Berra, K., Blair, S. N., Costa, F. and Franklin, B. (2003) 'Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity)', Circulation, 107(24), 3109-3116.

Vermeire, E., Hearnshaw, H., Van Royen, P. and Denekens, J. (2001) 'Patient adherence to treatment: three decades of research. A comprehensive review', Journal of clinical pharmacy and therapeutics, 26(5), 331-342.

WCPT (2007) [online], available: http://www.wcpt.org/sites/wcpt.org/files/files/WCPT_Description_of_Physical_Therapy-Sep07-Rev_2.pdf

Show More
Related
516 Words | 3 Pages

By accomplishing different and new requests, the Physiotherapist Assistant enhances the hospital and physical therapy reputation and even this allow exploring different opportunities for adding value. Under physical therapist supervision, the PTAs offer services in physical therapy, this helps to maintain and promotes the

Read More
2189 Words | 9 Pages

Therapy programme will include strengthening, balance training and endurance training. Dietitian will also have a role to play to ensure adequate nutrition and education on proper diet to patient. Prior to discharge a home assessment would be conducted by the occupational therapy and recommendation will be given on necessary modification (5, 7). Functional activity training will also be incorporated to mimic home environment and achieve patient’s need and goals. Patient will also be given a home exercise programme and referred to community rehabilitation team for follow-up (6).

Read More
427 Words | 2 Pages

The United States Centers for Disease Control and Prevention (CDC) have strongly recommended the use of PT, non-drug, non-opioid as the first-line of treatment for chronic pain. The public tends to think that physical therapy deals more on the physical aspect of health. As we have learned in Health and Wellness, there is more than to the physical aspect of health. Wellness do not only include

Read More
963 Words | 4 Pages

This is thought to be true because the individual is learning more effective and healthier ways to perform their duties. For example, if an individual is receiving care for low back pain caused by lifting heavy objects, it is the responsibility of the therapist to develop a plan of care that targets this action. A physical therapist should instruct the individual in proper lifting techniques and possible strengthening and stretching exercises to decrease the current pain and prevent future injuries from

Read More
1219 Words | 5 Pages

According to SCT, people are more likely to exercise if they have strong levels of self-efficacy, feel that others support them in doing so, and have access to resources like facilities and equipment (Nkwoji, 2018). By targeting these factors, interventions based on SCT can promote behavior change and improve physical activity levels. SCT provides a comprehensive framework for understanding and predicting behavior change, including in the context of physical activity. SCT interventions may encourage long-lasting behavior change by highlighting the significance of individual and contextual elements as well as observational learning and

Read More
1372 Words | 6 Pages

Part I: In 250 words or less, express your motivations for choosing Kinesiology as a major and how it relates to your future goals. I have wanted to pursue a career in the medical field since I was a child. In high school, this passion was put to the test after I suffered a bilateral hip injury that made mundane tasks like going up stairs, getting dressed, or even standing a painful and taxing ordeal. I was advised to quit all physical activity by my team of doctors, but as a three sport athlete for me that was not an option.

Read More
1410 Words | 6 Pages

Introduction Motivational interviewing is a collaborative, person-centred form of communication which focuses on the language of change. ‘It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion’ (Miller et al., 2013, p.29). The technique of motivational interviewing was developed by two psychologists, Bill Miller and Steve Rollnick. Motivational interviewing is therapeutic to patients as it is based on a partnership, rather than a nurse-patient relationship (Heckman et al., 2010). There are four processes of motivational interviewing; engaging, focusing, evoking and planning.

Read More
1518 Words | 7 Pages

The author found that the majority of physiotherapists were involved in unidisciplinary supervision. This one-to-one supervision appeared as an opportunity for less experienced physiotherapist to learn from ‘experts’ in the field, again highlighting that clinical supervision is a reflective process. The respondents were able to identify the value of clinical supervision as a means of gaining support and developing both personally and

Read More
1355 Words | 6 Pages

I often noticed the activities the physical and occupational therapy practitioners performed with clients such as, walking and ROM exercises and I honestly assumed that this is what occupational therapy was all about; helping patients build up strength to perform everyday activities. At the time, I was unaware of how superficial I was in my thinking and that there was more behind than what I saw on the

Read More
701 Words | 3 Pages

In the past, I was not exercising until few years ago and I became very ill and overweight. My doctor and a personal trainer suggested that I start doing some type of form of exercise at least for 30 minutes 3-4 times each week. Instantly, I began to notice that I felt a lot better and had more energy to do my daily tasks and was able to believe in myself more. Thesis Statement: Today, I am going to share these three points on why everyone should exercise weekly.

Read More
1339 Words | 6 Pages

Physical Therapy Physical Therapists provide rehabilitation for injuries and help maintain stability. “Some history of Physical Therapist formed their first professional association in 1921 called the American Women’s physical therapeutic association. In the late 1940s, the association had changed its name to the American Physical Therapy Association. Physical Therapy was developed when the association’s membership swelled to 8,000 and the number of physical therapy education programs across the US increased from 16 to 39”(“APTA History”). Although many people may think being a physical therapist is hard because of the qualifications needed, the daily work, salary, and needs of the service have drawn my attention to the field.

Read More
1483 Words | 6 Pages

With the results of recent studies, I am hopeful that more medical providers will look to prescribing exercise instead of medication to patients with depression. “Exercise, like any other treatment, won’t work for every depressed patient. But the psychiatrists who incorporate it into their practices are finding that the only way it can work is if it’s treated like real medicine” (Olga

Read More
1503 Words | 7 Pages

As a result, patients will satisfy and cooperate effectively with the physiotherapists throughout the

Read More
876 Words | 4 Pages

Medication Adherence Reflective Writing Shaymous Juhnke As a P1 student in SDSU’s pharmacy program one of the activities required to prepare us for real world pharmacy practice would be to take part in a medication adherence simulation. The goal of this activity is to put ourselves in the patients shoes to get an idea about how patients adhere to their regimens in the real world. Through this activity I have learned that it is not always easy to take medications at the right times.

Read More
752 Words | 4 Pages

My core values have improved because I have been more focused and understanding to my patient's desire or achieve in receiving physical therapy treatment. As a clinician, I take more responsibilities of accepting errors and consequences and self-correct without taking in a negative manner or revenge. I became more flexible with changes of the style of treatment, such as new advanced technologies based on evidenced based practice, linked to excellence (core value). The physical therapy code of ethics has impacted my career of being more aware in preventing liabilities, such as performing activities beyond the scope of my practice. There is a professional consideration of each other's limitations, by engaging in exploration to add to the discovery of facts recognized in the scope of practice (APTA, 2003).

Read More

More about Patient Adherence

Related Topics

Open Document