Identifying the Need to Better Mediate Patient Health Behaviors in Order to Reduce Negative Outcomes: A Retrospective Case Report
Type of Presentation
Poster Session
Start Date
4-12-2019 4:00 PM
End Date
4-12-2019 6:00 PM
Abstract
Health care costs are rising to unprecedented levels. One way to address this rise in healthcare spending would be to reduce medical costs associated with lack of adherence to medical recommendations. Patients with low adherence tend to over-utilize the healthcare system and have a greater risk for hospitalization, leading to increased overall healthcare spending. Lack of adherence to medical recommendations is associated with poor communication and poor health literacy. Physical therapists can address these factors by building a collaborative relationship with the patient and the patient’s family and providing both patient and family education in order to improve adherence.
This retrospective case report examined the impact of patient education provided to a Caucasian male admitted to the acute rehabilitation unit (ARU) following cardiac myopathy secondary to coronary artery bypass graft x 3 (CABG x 3). The patient had multiple potentially avoidable co-morbidities associated with complications arising from diabetes-mellitus type 2, suggesting a possible history of medical non-adherence. While in the ARU, the patient received physical therapy interventions. While he initially made functional gains, the patient declined in function in the couple days leading to self-discharge.
Additionally, the case report will outline a strategy plan which relates how to better target and address lack of adherence to medical recommendations within the hospital setting for patients with a documented history of medical non-adherence. This plan includes strategies such as motivational interviewing, health coaching, and goal-setting which can be used in addition to specific, client-centered patient education as a way to further enhance adherence. Finally, discharge recommendations for ways to continue to facilitate medical adherence upon return home are suggested.
Faculty / Staff Sponsor
Robbie O'Shea
Identifying the Need to Better Mediate Patient Health Behaviors in Order to Reduce Negative Outcomes: A Retrospective Case Report
Health care costs are rising to unprecedented levels. One way to address this rise in healthcare spending would be to reduce medical costs associated with lack of adherence to medical recommendations. Patients with low adherence tend to over-utilize the healthcare system and have a greater risk for hospitalization, leading to increased overall healthcare spending. Lack of adherence to medical recommendations is associated with poor communication and poor health literacy. Physical therapists can address these factors by building a collaborative relationship with the patient and the patient’s family and providing both patient and family education in order to improve adherence.
This retrospective case report examined the impact of patient education provided to a Caucasian male admitted to the acute rehabilitation unit (ARU) following cardiac myopathy secondary to coronary artery bypass graft x 3 (CABG x 3). The patient had multiple potentially avoidable co-morbidities associated with complications arising from diabetes-mellitus type 2, suggesting a possible history of medical non-adherence. While in the ARU, the patient received physical therapy interventions. While he initially made functional gains, the patient declined in function in the couple days leading to self-discharge.
Additionally, the case report will outline a strategy plan which relates how to better target and address lack of adherence to medical recommendations within the hospital setting for patients with a documented history of medical non-adherence. This plan includes strategies such as motivational interviewing, health coaching, and goal-setting which can be used in addition to specific, client-centered patient education as a way to further enhance adherence. Finally, discharge recommendations for ways to continue to facilitate medical adherence upon return home are suggested.