>>>
>>> AS
>>> AS MANY AS HALF OF THE MEDICATIONS TAKEN BY ADULTS
WITH CHRONIC ILLNESS AND NOT
BEING TAKEN AS PRESCRIBED.
THAT CONTRIBUTES TO 125,000
DEATHS PER YEAR ACCORDING TO
THE JOURNAL OF AMERICAN MEDICAL
ASSOCIATION.
ASSOCIATION. WE HAVE JENNIFER AND JENNIFER
HERE TO HELP US.
>> OBVIOUSLY SOMETIMES PEOPLE
JUST DO NOT FOLLOW INSTRUCTIONS
BUT OTHER TIMES THERE ARE
REASONS WHY IT IS DIFFICULT FOR
THEM TO DO IT.
CAN YOU GIVE US SOME OF THE
COMPLEXITIES BESIDES
COMPLEXITIES BESIDES NONCOMPLIANCE.
NONCOMPLIANCE. >> ABSOLUTELY.
>> ABSOLUTELY. AS YOU KNOW HEALTHCARE IS
COMPLEX AND CAN BE OVERWHELMING
TO PATIENTS AND MOST DAYS.
I WANT TO GIVE YOU A STORY
ABOUT HOW I HELPED MY FRIENDS
AND OLDER PATIENTS AND PARENTS.
I ALWAYS EMPOWER THEM TO BRING
QUESTIONS TO THEIR PHYSICIANS.
GET ENGAGED ON THE MEDICATIONS
AND WHY THEY ARE TAKING THEM
AND HOW THEY ARE SUPPOSED TO
TAKE IT AND WHY IT'S IMPORTANT.
I USUALLY COME WITH A LIST OF
QUESTIONS SO THAT THEY CAN BE
IN CONTROL AND EMPOWER THEM AND
BE PART OF THE PROCESS.
WE KNOW FROM LITERATURE AND
FROM OUR OWN EXPERIENCE THAT
MANY PATIENTS WHEN THEY ARE
ENGAGED AND THEY UNDERSTAND THE
IMPORTANCE THEY WILL MORE LIKELY
FOLLOW THE DIRECTIONS.
THE OTHER ITEMS THAT I ALWAYS
TALK ABOUT IS PILL BURDEN.
LOOK AT HOW MANY PILLS YOU
TAKE.
TAKE.
TAKE. TALK TO YOUR PROVIDER TO ASK
THEM IS THERE A SIMPLER WAY.
CAN I COMBINE A POLL. CAN I
TAKE IT ONCE A WEEK OR ONCE A
DAY INSTEAD OF THREE TIMES
BECAUSE THERE ARE SO MANY
DIFFERENT OPTIONS OUT THERE.
>> THEN IT IS EASY TO THINK WHY
AM I TAKING ALL OF THIS.
>> IF HE CAN GO FROM 9 TO 6
THAT'S A LITTLE BIT EASIER TO
DEAL.
DEAL.
DEAL. THE
DEAL. THE THIRD ONE IS SIDE EFFECTS.
AS MANY MEDICATIONS HAVE
DIFFERENT SIDE EFFECTS AND THEY
METABOLIZED DIFFERENTLY. WE ASK
THAT YOU COME TO US IF YOU HAVE
A SIDE EFFECT BECAUSE MOST OF
THE TIME IT CAN GIVE YOU A
DIFFERENT MEDICATION AND YOU
WILL NOT HAVE THE SIDE EFFECTS.
>> CAN WE TALK TO A DOCTOR OR
PHARMACIST ABOUT THAT?
>> THAT IS EASY.
>> LET'S TALK ABOUT THESE
TERRIBLE STORIES AND TRYING TO
MAKE THEM LAST LONGER BECAUSE
THE CO-PAY IS SO EXTREME.
WE HAVE NOT SEEMED TO GET
ANYWHERE. EXPLAIN HOW THAT
HAPPENS.
HAPPENS.
HAPPENS. >> THERE ARE ISSUES AND YOU
HAVE GOOD COMMUNICATION WITH
YOUR PROVIDER.
YOUR PROVIDER. IF YOU GO TO THE PHARMACY THAT
YOU ARE HONEST ABOUT THAT.
SECONDLY PEOPLE LIKE MYSELF
SOMETIMES HELP COME UP WITH
ALTERNATIVES.
ALTERNATIVES. >> CAN YOU GIVE ME AN EXAMPLE?
>> DISCOUNT CARDS AND PILL
SPLITTING.
SPLITTING. THERE ARE NUMEROUS WAYS OUT
THERE.
THERE.
THERE. THERE ARE SOME ASSISTANT
PROGRAMS AND WE CAN HELP YOU
FIND SOME OF THOSE RESOURCES.
>> THAT IS SO IMPORTANT.
YOU REALLY DO NEED TO ASK
QUESTIONS ABOUT THAT.
IT IS EMBARRASSING SOMETIMES
FOR PEOPLE THAT HAVE COST
ISSUES.
ISSUES.
ISSUES. YOU GUYS ARE FINE WITH TALKING
ABOUT THIS.
ABOUT THIS. >> ABSOLUTELY AND YOUR DAUGHTER
WOULD BE ALSO.
>> THE BIG ISSUE OF KEEPING IT
ORGANIZED.
ORGANIZED. >> YOU CAN GET A SMART PHONE
APP THAT CAN HELP NOW WITH
REMINDERS FOR MEDICATIONS.
>> OF COURSE, THERE'S THE
PLASTIC PILL CONTAINERS THAT
CAN BE USED AS WELL
>> WHAT ABOUT THE SERVICES THAT
INDIVIDUALLY PACKAGED YOUR DAYS
MEDICATIONS.
MEDICATIONS. >> THERE ARE SERVICES LIKE THAT.
DOES ARE HELPFUL FOR SOME
PEOPLE.
PEOPLE.
PEOPLE. >> FOR SOME PEOPLE THAT IS
REALLY HELPFUL.
REALLY HELPFUL. >> WHAT WOULD YOU SAY THERE ARE
SOME PEOPLE THAT JUST DON'T DO
WHAT THEY SAY ABOUT FINISHING
THE ANTIBIOTICS.
THE ANTIBIOTICS. TALK TO US ABOUT THE KIND OF
NONCOMPLIANCE THAT HAPPENS
BECAUSE WE ARE BUSY AND WE
THINK WE ARE DONE WITH THAT.
>> IT IS IMPORTANT TO FOLLOW
THE DOCTOR'S INSTRUCTIONS.
IF YOU ARE NOT GOING TO TAKE IT
THAT NEEDS TO BE OPEN
COMMUNICATION ABOUT THAT.
>> SO YOU CAN BE AWARE OF
POTENTIAL COMPLICATIONS YOU
MIGHT HAVE.
MIGHT HAVE. >> IS SOMEBODY LOOKING AT ALL
OF THE THINGS THAT YOU ARE
TAKING AND ASSESSING THAT AT
TIMES.
TIMES.
TIMES. >>
TIMES. >> THERE ARE THINGS THAT WE
ALWAYS RECOMMEND.
ALWAYS RECOMMEND. KEEP A LIST YOURSELF.
NOT A ABOUT DOCTOR TALKS TO ALL
THE DOCTORS.
THE DOCTORS. SO YOU AND YOUR HEALTH INSURANCE
THEY MAY NOT KNOW UNLESS YOU
LET THEM KNOW. SOMETIMES
DOCTORS DO NOT TALK.
THAT'S JUST BECAUSE THEY ARE
NOT CONNECTED YET.
THEY ALWAYS SAY DO A MEDICATION
RECONCILIATION WITH YOUR DOG AT
EACH VISIT AND MAKE SURE THAT
YOU HAVE THE CORRECT LIST WITH
YOU SO THAT EVERYBODY KNOWS IN
YOUR HEALTHCARE TEAM WHAT YOU
ARE TAKING.
ARE TAKING. >> THANK YOU VERY MUCH.
HOPEFULLY PEOPLE CAN TAKE
SOMEBODY WITH THEM AS WELL IF
THEY ARE CONFUSED.
>> THANK YOU VERY MUCH.