Medication management in older adults: a critique of concordance

British Journal of Nursing : BJN
Austyn Snowden

Abstract

This article shows that the terms compliance, adherence and concordance are used interchangeably in the medication management literature. As such, it is argued that nurses should focus on those interventions that are demonstrably effective in enhancing medication management for the older adult rather than attempt to make sense of a meaningless ideal. In this article the concepts of concordance, compliance and adherence are first critiqued and it is then argued that all the terms remain valid for practical purposes. That is, a literature search of all the terms is required to comprehensively discuss medication management. Focus then switches to factors that have been shown to be beneficial as well as detrimental to medication management in older adults. While many factors appear to correlate with good and bad management of medication the conclusion is that individual, tailored approaches are most effective. For the purpose of this article, the term 'older adult' refers to those over 65 years where not otherwise specified.

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Citations

Jun 3, 2011·BMC Pregnancy and Childbirth·Austyn SnowdenCaroline Hollins Martin
Feb 4, 2009·International Journal of Nursing Practice·Elaine Lehane, Geraldine McCarthy
Nov 6, 2012·Journal of Clinical Nursing·Austyn Snowden, Glenn Marland
Sep 14, 2011·Pharmacoepidemiology and Drug Safety·Bo Hovstadius, Göran Petersson
Apr 11, 2012·British Journal of Clinical Pharmacology·Bernard VrijensUNKNOWN ABC Project Team
Aug 14, 2012·Journal of Clinical Nursing·Maria A HenriquesJosé Cabrita
Nov 11, 2011·Journal of Psychiatric and Mental Health Nursing·G MarlandM McCaig
Apr 18, 2013·Journal of Advanced Nursing·Austyn SnowdenAllan Donnell
Jun 13, 2015·Journal of Medical Internet Research·John LaugesenYufei Yuan
Jul 22, 2014·British Journal of Nursing : BJN·John McKinnon
Nov 8, 2012·British Journal of Nursing : BJN·Steve Hemingway, Austyn Snowden
Nov 20, 2012·Journal of Nutrition in Gerontology and Geriatrics·Roschelle Heuberger

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