Health education: an effective implement for improving adherence to treatment and clinical outcomes
Keywords:Intervenção Educativa, Medicamento. Adesão ao Tratamento Medicamentoso, Seguimento Farmacoterapêutico.
Objectives: This case report aims to discuss the effectiveness of the performed educational intervention on the correct use of prescribed drugs.
Methods: The pharmacotherapeutic follow-up was conducted according to Dáder Method through interviews and analysis of medical records. The educational intervention was performed after literature review and analysis of collected data from medical records and with the hypomagnesemia patient (magnesium serum level 0.84 mEq/L, reference values: 1.4 - 2.3 mEq/L).
Results: During the interview were identified, sequentially, two drug-related problems (DRPs) related to the magnesium supplement: 1. Irregular intake of the supplement, ranging from taking the medication excessively and not taking it, 2. Probable error in the dose of the compounded formulation. To solve the DRPs, were performed educational interventions to the patient about the importance of follow the prescription correctly. Therefore, regarding the first DRP, the patient was informed that taking excessively the magnesium supplement before hospitalization could be the cause of diarrhea she had been having, and related to the second DRP, the patient was oriented that to exist equivalence between the dose prescribed and the compounded, the dose to be taken would have to be adjusted. After those interventions, magnesium serum levels were normalized in the next admission to hospital after 15 days (1.58 mEq/L), as well as in subsequent hospitalizations.
Conclusions: The educational intervention was effective in improving patient's adherence in relation to the magnesium supplementation, which started to be used according to the prescription, with magnesium serum levels normalization.
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