Adherence, Compliance

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Adherence, Compliance
Mac McDougle
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OrThe War on Apathy

• Mac McDougle

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Disclosure of Financial Relationships

• This speaker has no significant financial
  relationships with commercial entities to
  disclose.

This slide set has been peer-reviewed to ensure
that there are no conflicts of interest
represented in the presentation.
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Adhere

• To stay firm in supporting or approving adhere
  to a plan

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Adherence

• The act of adhering specifically an attachment
  to a person or cause devotion and support

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Comply

• To act in accordance

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Compliance

• Giving into a request, wish or demand

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What is the Plan?

• Take the meds
• Keep medical and psychosocial appointments
• Participate in overall wellness

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Whos responsible?

• Practitioner
• Front office
• Case manager
• Adherence personnel
• Planning Committees (CAB)

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Whos responsible?

• PLWH/A

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How do we measure the Plan?

• T Cells
• Viral Load
• Resistance
• Missed Appointments
• General Health

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Whos responsible?

• Practitioner
• Front office
• Case manager
• Adherence personnel
• Planning Committees (CAB)

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Adherence

• The act of adhering specifically an attachment
  to a person or cause devotion and support

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Where does the Devotion, Attachment and
Supportcome from?
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• Medical School or Secondary Education
• DHHS Guidelines
• Experience
• Compassion

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Whos responsible?

• PLWH/A

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Adherence

• The act of adhering specifically an attachment
  to a person or cause devotion and support

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Where does the Devotion, Attachment and
Supportcome from?
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W.A.R.

• Willingness
• Ability
• Readiness

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Ready

• lt 350 T-Cells
• gt 100K Viral Load
• Symptomatic

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Ability

• Mental capacity
• Adequate storage
• Privacy issues
• Poverty

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Willingness

• Favorable consent
• The power of choice and deliberate action

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Apathy War

• Its an Inside Job
• No way to demand Devotion, Attachment or Support

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Is there nothing we can do?

• Clinical D.O.T.
• Funding
• Encourage Involvement
• Cultural Understanding
• Personal Level
• Trust
• Medical/Psychosocial Case Management

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You can force adherence.

• A. True
• B. False

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Respect for an individual is the root of Cultural
Understanding.

• A. True
• B. False