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Similaire à Directly Observed Therapy And Maximizing Adherence
Similaire à Directly Observed Therapy And Maximizing Adherence (20)
Directly Observed Therapy And Maximizing Adherence
- 1. Alisha Blair, Nurse Consultant Heartland National TB Center December 10 th , 2009 Directly Observed Therapy and Maximizing Adherence
- 44. “ DOT succeeds for one reason … DOT makes the health care system, not the patient, responsible for achieving a cure ”
- 45. Special Thanks Dawn Farrell, RN, San Antonio Jane Moore, RN, Wisconsin
Notes de l'éditeur
- DOT is method devised to ensure TB patients are taking their medications as directed and that they essentially complete an adequate course of TB treatment with little to no interruptions
- This method of medication administration is proven to be effective in treating TB patients and is associated with better treatment outcomes We can ensure patients are getting the recommended doses and can furthermore reduce the frequency of the development of drug resistance and treatment failure or relapse so this explains Why DOT is so important in the treatment of Tuberculosis
- So when we are giving DOT there are a couple of very important things to remember DOT is not dropping medications off at the patient’s door-step Neither is it allowing patients to self administer medications And we should never entrust a patient’s family member to administer medications in lieu of the DOT worker
- Again, this is a re-cap of the information presented on the previous slide, however; I would like to touch on the last bullet point Medical professionals should not be allowed to self administer TB medications. They are to patients and a DOT workers must go out and witness the ingestion of those medications
- Now with DOT there are advantages and disadvantages as noted here Advantages are…..
- Traditional example of disease treatment: treatment is offered, but it is up to the patient to take it. This is not the case with DOT The treatment of TB is different; responsibility for achieving a cure is placed upon the treating physician and the public health case management team. We are responsible for ensuring the patient is treated appropriately and taking medications as directed In essence, we “ meaning public health” must achieve the cure.