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Adherence in Patients On Dialysis: Strategies for Success - Download article and take CE posttest
Jean Kammerer, Glenn Garry, Marguerite Hartigan,
Barbara Carter, and Linda Erlich
Adherence
is a major problem in patients with chronic kidney disease. Patients
can be nonadherent with different aspects of their treatment, which
includes medications, treatment regimens, and dietary and fluid
restrictions. Although many lessons have been learned from adherence
research, the evidence of how to modify adherence is somewhat mixed. To
minimize nonadherence, interventions need to focus on both patient
factors and the extent to which relationships and system problems
compromise the patient’s ability to adhere to medication and treatment
plans. There continues to be a tendency to focus on the patient as the
reason for problems with adherence, ignoring other factors such as the
patient-health care provider relationships and the health care system
that surrounds the patient. These latter factors can have a
considerable effect on adherence. The nurse can develop a strong
relationship of support with the patient, identify barriers, and offer
strategies to help patients improve adherence.
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| Jean K. Kammerer, BSN, RN, CNN, is
Senior Manager, Nephrology Medical Communications, Amgen, Inc.,
Thousand Oaks, CA. She is a member of ANNA’s Chumash Chapter. For
more information on this article, contact the author at jeankam
merer@gmail.com.
Glenn Garry, BS, is
Senior Marketing Manager for Amgen, Inc., retail and specialty pharmacy
adherence programs for Sensipar®, Thousand Oaks, CA.
Marguerite Hartigan, MSN, RN, is
Nephrology Nurse Practitioner and Senior Manager, Aranesp® Medical
Communications, Amgen, Inc., Thousand Oaks, CA. She is a member of
ANNA’s Chumash Chapter.
Barbara Carter, MEd, BSN, RN, CNN, is
Clinical Educator, NxStage Medical, Inc., and was Senior Manager,
Nephrology Medical Affairs, Amgen, Inc., Thousand Oaks, CA at the time
this article was prepared. She is a member of ANNA’s Chumash Chapter.
Linda Erlich MS, RN, is Clinical Consultant and Educator in Nephrology, Rancho Santa Fe, CA.
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