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adherence

How closely a client follows a treatment plan they have agreed to, such as taking medicines as prescribed.

ad-HEER-uns noun

What it means

The extent to which a person takes medicines, follows a diet, goes to appointments and makes other changes agreed on with the care team. It has largely replaced the older word "compliance," which suggests simply obeying orders. Cost, side effects, complicated schedules, forgetfulness, beliefs and poor understanding all reduce adherence.

For the nurse

Ask without judging how the client really takes their medicines, and why doses are missed. Simplify the schedule when possible, use pill organizers and reminders, and use teach-back to check understanding.

At a glance

Spanishadherencia terapéutica
Also writtenadherent

Related terms

self-care

The things people do for themselves to look after their own health and daily needs.

relapse

The return of a disease or its symptoms after a period of improvement, or a return to substance use after a time without it.

medication reconciliation

Comparing a client's full list of current medicines with new orders at each change in care, to find and fix differences.

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