Medication Nonadherence or Self-care? Understanding the Medication Decision-Making Process and Experiences of Older Adults With Heart Failure

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Medication regimen complexity in ambulatory older adults with heart failure

PURPOSE Heart failure prevalence is increasing in older adults, and polypharmacy is a major problem in this population. We compared medication regimen complexity using the validated patient-level Medication Regimen Complexity Index (pMRCI) tool in "young-old" (60-74 years) versus "old-old" (75-89 years) patients with heart failure. We also compared pMRCI between patients with ischemic cardiomyo...

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Predictors of objectively measured medication nonadherence in adults with heart failure.

BACKGROUND Medication nonadherence rates are high. The factors predicting nonadherence in heart failure remain unclear. METHODS AND RESULTS A sample of 202 adults with heart failure was enrolled from the northeastern United States and followed for 6 months. Specific aims were to describe the types of objectively measured medication adherence (eg, taking, timing, dosing, drug holidays) and to ...

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Self-Care Among Older Adults With Heart Failure

Background: It is estimated that 5.7 million Americans are living with heart failure (HF) today. Despite the fact that HF is one of the most common reasons people aged 65 years and older are admitted into the hospital, few studies describe the self-care in this older adult population. Purpose: The purpose of the study was to review the current literature on self-care in this population to bette...

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Medication Management: The Macrocognitive Workflow of Older Adults With Heart Failure

BACKGROUND Older adults with chronic disease struggle to manage complex medication regimens. Health information technology has the potential to improve medication management, but only if it is based on a thorough understanding of the complexity of medication management workflow as it occurs in natural settings. Prior research reveals that patient work related to medication management is complex...

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Medication nonadherence and psychiatry

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ژورنال

عنوان ژورنال: Journal of Cardiovascular Nursing

سال: 2019

ISSN: 1550-5049,0889-4655

DOI: 10.1097/jcn.0000000000000616