Question

1. Communication barriers and cultural differences may cause noncompliance with drug therapy. How can the allied health professional be sure that those from other cultures comply with medication therapy?

2. Compare the scientific-biomedical, holistic, and magicoreligious paradigms of health and illness. How can the allied health professional work with those of different cultures to promote understanding of medicinal treatment?

3. What variables (weight, height, and so on) affect drug dosage and actions? What does the allied health professional need to do to ensure correct dosage?

Answer 1

Adherence to therapies is a primary determinant of treatment success.Medication non adherence in patients leads to substantial worsening of disease,death and increased health care costs.health care professionals such as physicians,pharmacists and nurses have significant role in their daily practice to improve patient medication adherence

TO ASSESS COMPLY WITH MEDICATION THERAPY

direct observed therapy

measurment of the level of drug or its metabolite in blood or urine

detection or measurment of a biological marker added to the drug formation ,in the blood

indirect methods include,

patient questionnaires ,patient self reports ,pill counts, assessment of patient clinical response , measurment of physiologic markers

PATIENT SELF REPORT IS THE SIMPLEST WAY OF MEASURING COMPLY WITH MEDICATION

In the pressence of communication barrier -Assessment of clinical response is better way for assessing medication comply

QUESTION 2

Paradigms are world views that arise from epistemologies ,which in turn,are generated by the motivations that control them.Post modern or holistic thoughts hopes to preserve the virtues of the modern worldview while placing its mechanistic and reductionistic assumptions with those that are more organic in nature .,while scientific and biomedical model of health focus on purely biological factors and exclude psychological ,environmental,and social influences .it is considered to be the leading modern way for health care professionals to diagnose and treat a condition in most western countriesAccording to biomedical model ,health constitutes the freedom from disease ,pain or defect making the normal human condition healthy. Whereas in magico-religious paradigm the world is an arena in which supernatural forces dominate and causative agent of disease has been attributed to a variety of natural and super natural phenomena .Many latino,african american,and middle eastern cultures are grounded in the magico religious paradgim.

TO PROMOTE UNDERSTANDING OF TREATMENT CONSIDER THAT

the provider has been asked to help ,diagnose ,counsel,treat,and often to certify the patient as ''sick'' in a socially approved fashion

2 the provider need to organise any type of discussions related to treatment in a fashion that will optimally relevent to the patients compliants and situation.

3 the provider need to molds patient response and findings into recognisable , manageable pattern

4]encourage patient to ventilate their concerns  

5)the nurse need to educate about importance of other culture to reduce cultural disparities

6)assess and solve all communicational barriers

FACTORS AFFECTING DRUG ACTION

BODY SIZE,pregnancy , lactation,, age, genrtic factors , disease states like kidney and liver

route of drug administration

environmental factors

tolerance and resistance

TO ENSURE CORRECT DOSAGE

-UNDERSTAND THE UNIT OF MEASURMENTS FOR MEDICATION for example,nanograms and micrograms

- double checking-use two equipment to measure dosage

making slips in calculations that result in the wrong dose or rate of medicine being administered