Non-Compliance for heart transplant

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Perry Steele

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Patient Compliance for Transplant Caregivers

A huge factor in having a successful, long-living transplant is compliance. Patient compliance with transplants can dictate whether a transplant will survive. Bad compliance could even prevent someone from receiving a transplant. There are many different factors that go into a successful transplant: medication compliance, compliance with nutrition, doctors appointments, insurance, finances, etc. You may wonder how you can help with the patient's compliance. You may also feel stress due to monitoring the compliance of the patient in addition to providing so much other care.

In 1980 Beck and colleagues completed a study about medication compliance in pediatric renal transplant patients. The study found that initially 26 percent of participants were non-compliant with their medication regimen post-transplant, and after extensive counseling and education 19 percent remained non-compliant with their medication regimen. Factors they found associated with non-compliance were adolescence, female sex, and family instability. Though this study was completed over 30 years ago, it still shows that with family stability, transplant medication compliance may improve.

A different study completed in 1999 by Dew and colleagues found that after heart transplants, focusing on patients' psychosocial status improved medication compliance which will further improve physical health outcomes. This study helps show that by working with the patient and family post-transplant to ensure their psychosocial status is stable may assist in prolonging their life. This can be done in many ways, including counseling for mental health illnesses, assistance with insurance and financial issues, and even assisting in family issues.

Tonight we'll discuss "Non-Compliance for heart transplant.The Anthony Stokes issue.Is it race or not meeting the requirements.Call in now.

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