Episode Transcript
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Speaker 1 (00:00):
Are your patients
struggling with medication
compliance?
As pharmacists, we pour ourhearts into helping patients
improve their health, yet manycontinue to face challenges
following their prescribedtreatment plans.
Why is this?
In this episode, I share how,after years of frustration with
non-compliant patients, I had anawakening.
I realized that medicationcompliance is rarely the
(00:21):
patient's fault alone.
By taking a personalized,empathetic approach, we can
uncover the deeper reasonsbehind their struggles and
provide the support they trulyneed.
You'll discover that, with theright knowledge and tools,
patients can be willingparticipants in their own health
care, and that compliance isn'tabout strict rules.
It's about meeting patientswhere they are with compassion.
(00:43):
Are you ready to gainstrategies for overcoming
non-compliance and fosteringlong-term health improvements?
Join me in today's episode.
Welcome to Pivoting Pharmacywith Nutrogenomics.
Part of the Pharmacy PodcastNetwork, a must-have resource
for pharmacist entrepreneursseeking to enhance patient care
(01:04):
while enjoying career and life.
Join us as we pivot intoNutrogenomics, using pharmacy
and nutrition for truepatient-focused care.
Explore how to improve chronicconditions rather than just
manage them.
Celebrate entrepreneurialtriumphs and receive priceless
advice.
Align your values with a careerthat profoundly impacts
(01:26):
patients.
Together, we'll raise thescript on health and pivot into
a brighter future.
A few years ago, I faced achallenge as a pharmacist, one
I'm sure you face as well.
I was frustrated, feeling as ifI was pouring my heart and soul
(01:47):
into helping my patients, yetthey continue to struggle with
compliance.
They just wouldn't take theirmedications.
I remember one patient inparticular, a middle-aged woman
with a complex medical history.
I spent my time discussing hermedication regimen, reviewing
when to take them, what theywere for, side effects to watch
(02:11):
out for, but she couldn't seemto find the motivation to follow
through with actually takingthem.
However, something shifted whenI began to truly listen to her,
not just as a patient, but as afellow human being, with her
own unique life experiences,dreams and challenges.
(02:31):
The more we talked, the moreshe opened up about her deeper
struggles, which went beyond hermedical condition.
It was then that I realized Ineeded to shift my approach.
I needed to be moreunderstanding, more
compassionate and morepersonalized in my care.
As I embraced this change, Ifound myself connecting with her
(02:56):
on a deeper level, and hercompliance began to improve over
time.
It was as if she had beenwaiting for someone to truly
hear her story and consider heras a whole person, not just her
symptoms.
That experience opened my eyes,showing me the power of an
intentional and personalizedapproach to pharmacy.
(03:18):
Since then, I have continued toevolve in my practice, always
striving to remember that everypatient carries their own unique
story, hopes and dreams withinthem.
It's our privilege and duty aspharmacists to help them unlock
their potential for betterhealth.
So let's dive into the heart ofour episode today and explore
(03:39):
why medication non-complianceisn't the patient's fault.
As pharmacists, we're often ina challenging position.
Patients turn to us for helpand we do our best to provide it
.
We give knowledgeable advice onmedications and how to manage
their chronic conditions.
We provide appropriateprescriptions and we spend time
(04:01):
educating them about theirhealth conditions.
However, it can be incrediblyfrustrating when patients don't
follow the plan We've carefullystructured and discussed with
them.
This leads to a commonperception that non-compliance
is entirely the patient's fault.
But let's question this belief.
(04:21):
Is it really that simple?
First, let's consider the termnon-compliance.
It conveys the idea that apatient is passively refusing to
follow instructions, whichpaints a one-sided picture.
In reality, the road to improvehealth is rarely as linear as.
Take advice, use medication,get better.
Patients come to us with anintricate web of life
(04:44):
circumstances, health literacylevels and personal beliefs
about medications that deeplyimpact their ability and
willingness to follow medicaladvice.
Moreover, health informationcan be complex and even the most
diligent patients may struggleto fully understand or remember
(05:05):
precise medication instructions.
When we pile on the pressurefor them to strictly adhere to
their medication regimenswithout taking into account
their personal challenges, itcan often lead to feelings of
inadequacy, guilt or frustrationfor the patient.
In addition, other externalfactors, such as financial
constraints, complex medicalregimens, a lack of social and
(05:29):
emotional support, can hindercompliance.
While these issues may be outof a pharmacist's direct control
, understanding these challengesand displaying empathy can go a
long way in building abeneficial pharmacist-patient
relationship, which can, in turn, improve medication compliance.
So, yes, we as pharmacistsprovide advice and medications,
(05:50):
but fostering compliance is amore complex process.
Shifting the belief aboutnoncompliance being solely the
patient's fault towards a moreempathetic and understanding
view offers a more beneficialapproach for both patient
outcomes and pharmacist morale.
By taking a holistic,individualized approach to each
patient, we can start to tacklethe roots of noncompliance
(06:12):
rather than blame patients fortheir struggles.
In doing so, we have thepotential to fundamentally
enhance the health narrative forcountless individuals.
Just as we want to find theroot cause of our patients'
conditions.
We need to examine what'sbehind the deeply rooted belief
that is the patient's fault.
(06:33):
The healthcare model we'veinherited and been trained in
has many merits, but it also hasan unfortunate weakness it's
often overly simplistic.
This entrenched belief thatgood health is just a matter of
taking the right medicine at theright time implies that
patients should be able tofollow prescriptions perfectly
and achieve expected outcomes.
(06:54):
This mindset, however, doesn'ttake into account the complex
nature of human beings and thenew risk factors that influence
our health.
Some of the reasons we continueto make the mistakes may
include our traditionalhealthcare education.
As healthcare professionals,our education may not always
emphasize the importance ofpatients' unique contexts.
(07:16):
Focusing more on specificmedical knowledge and guidelines
that don't necessarily applyuniversally, we may be more
prone to blaming the patientsfor their noncompliance due to
time constraints.
Pharmacists, like allhealthcare providers, often face
time limitations when dealingwith patients.
These time constraints can leadto hastily made assessments and
(07:38):
an inability to get to knowyour patient more holistically.
Then we need to consider thelack of interdisciplinary
collaboration.
Siloed healthcare assistancecan limit collaboration among
healthcare professionals.
Due to this separation, wemight not always be aware of the
additional support our patientsreceive or need from other
(07:59):
healthcare providers.
And then there's this illusionof control.
As healthcare professionals, wewant to provide solutions and
help our patients.
By believing the narrative thatgood health is simply about
taking the right medication atthe right time, we may
inadvertently seek to maintaincontrol over situations that in
reality are much morecomplicated.
(08:20):
And then there's culturalfactors Societal expectations
can put pressure on healthcareproviders to deliver quick fixes
, resulting in an overemphasison medications as a sole
solution, rather than addressingthe root causes of health
issues, such as lifestylefactors or socioeconomic
conditions.
The cause of having this blamementality is cruel.
(08:44):
Our patients are labeled asdifficult.
They feel unheard,misunderstood and often give up
on their pursuit of betterhealth.
But the truth is we are onlyunderstanding half of their
story if we don't put ourselvesin their shoes.
Recognizing why we're makingthis mistake is a crucial first
step, shifting our perspectiveand embracing a more
(09:04):
comprehensive approach topatient care.
By addressing these underlyingfactors, we can begin to foster
a more empathetic understandingand effective healthcare model
that recognizes the complexityand individuality of each
patient's journey.
That's why today we'readvocating for change, a new way
.
A new way is aboutunderstanding our patient's
(09:24):
beliefs, their lifestyles, theirchallenges, their fears.
It's about exploring thepossibilities of personalized
healthcare that respects andinteracts with our patient's
individual needs, not justprescribed them.
When it comes to improvingpatient outcomes and fostering
long-term health, personalizedcare stands out as a
transformative approach.
This method is effective forseveral reasons.
(09:47):
First, there is a holisticunderstanding.
This takes into account notonly the patient's symptoms, but
their lifestyle, theirenvironment and social factors.
Then emotional support we knowthat a patient's emotional
well-being plays a crucial rolein their overall health.
Personalized care acknowledgesthat emotions matter, and by
(10:10):
taking the time to createmeaningful relationships with
our patients, we can addressconcerns, fears, anxieties that
may be hindering a patient'scompliance.
Personalized care is alsoeffective because it places a
patient at the center of theirhealth journey, actively
involving them in thedecision-making process.
This not only fosters a senseof ownership and responsibility,
(10:34):
but also empowers them with theknowledge and tools they need
to make informed decisions abouttheir health.
In turn, this increasesmotivation and adherence to
treatment plans.
Along that note, in my healthcoaching programs I don't call
my patients patients.
I tell them that they're myclients for this exact reason,
(10:54):
because when someone feels thatthey are a patient, they feel
that it is your responsibilityas a healthcare professional to
help them get better.
But when they see themselves asa client, that's a role in
which they are takenaccountability for their actions
, for their goals, what theywant their health to be.
(11:16):
That's a position where theyare empowered to make those
choices and guide their ownpersonal health journey.
Then there's a focus onprevention when we look at
personalized care.
So, instead of merely treatingsymptoms or managing chronic
conditions, personalized careplaces a strong emphasis on
(11:40):
prevention and proactive healthmanagement.
By addressing root causes andaddressing patients' lifestyles,
we can help them achievelong-term health improvements
that may reduce their relianceon medications.
And finally, personalized carerecognizes that patients' needs,
preferences and circumstancescan change over time.
(12:00):
A flexible, adaptable approachallows for ongoing assessment
and modification of thetreatment plan, ensuring it
remains relevant and effectivefor patients' evolving health
needs.
All this, when combined withneutral genomics, is golden.
Personalized care enhanced withneutral genomics provides a
holistically tailored approachthat empowers patients with
(12:20):
genetic insights, supportingemotionally aware care and
emphasizing prevention, whichleads to effective interventions
, increased patient satisfactionand improved long-term health
outcomes.
Let me relate a transformativejourney of one of our clients
who was in our insightfulpharmacist led health coaching
(12:41):
program.
Let's just call her Sam.
Sam had hypertension and was onmultiple medications.
She was non-compliant due tofears triggered by reading about
potential adverse drug effectsand also thinking that she was
allergic to one of them.
She felt overwhelmed by hermultiple medications and the
prospects of lifelong dependenceon them.
In our program, we took anon-traditional approach and
(13:04):
personalized her health goalsbased on her metrogenomics
report.
Using our expertise aspharmacists, we spent time
educating her on her medications, explaining their role in
managing her hypertension andaddressing her fears about the
adverse side effects.
Sam had hydrochlorothiazideallergy and was prescribed a
thiazim hydrochloride.
(13:24):
Because of the hydrochloridecomponents, she was not taking
her blood pressure medication,thinking it was the same as
hydrochlorothiazide.
Her non-compliance was due to alack of understanding of what
her medication really was, butshe never reached out to her
(13:47):
doctor or pharmacist to get anexplanation.
She actually got mad at herdoctor and switched
cardiologists.
Once we discovered that thiswas, the issue was to why she
wasn't taking her diltiazim.
We were able to educate her ona difference between these
medications and assure her thatdiltiazim was not similar to the
medication she was allergic to.
(14:09):
Through her neutrogenomictesting, we were able to provide
essential insights into herunique genetic profile.
For example, she had geneticpolymorphisms, or SNPs, like the
MTHFR that we mentioned in aprevious episode and, as a
reminder, this can significantlyaffect the body's metabolism of
specific nutrients like folateand, as a result, had
(14:32):
implications for hercardiovascular health.
Based on these insights, wewere able to guide her through
the tailored dietary andlifestyle modifications that
were formulated in herneutrogenomics report.
Now, fully understanding hermedications and being empowered
by her genetic insights, sambecame compliant with the
medications prescribed by herdoctor and willingly adopted the
(14:56):
suggested dietary and lifestylemodifications.
Over time, with thesepersonalized approaches, her
hypertension was so well managedthat one of her medications was
successfully discontinuedDeprescribing success at its
finest.
Sam's experience is a testamentto what our episode revolves
(15:17):
around.
It's not often medicationnoncompliance that is a
patient's fault.
Rather, it's the approach wetake to manage their health, and
her story illustrates thatthere is not a one-size-fits-all
in healthcare.
It is by appreciating eachpatient's uniqueness and
implementing personalized,comprehensive strategies that
include neutrogenomic insightsthat we can guide patients
(15:38):
toward improved health,fostering a sense of involvement
and validation as healthcareprofessionals.
Our aim should always be tomake sure our patients feel seen
, heard and active participantsin their healthcare journey.
So remember, the next time youencounter a noncompliant patient
, consider it as an opportunityto delve deeper, explore their
unique narratives and provide amore personalized and empathetic
(16:01):
form of care, turning the tidefrom noncompliance to active
participation.
In doing so, we're not justtreating diseases, but we're
caring for individuals.
Well, that is all I have foryou today.
Thank you once again for joiningme on Pivoting Pharmacy with
Neutrogenomics, and if you wantto connect with me personally,
you want to hang out with me.
(16:21):
I'm on Instagram and LinkedIn.
You can find me at Dr TamarLawful.
Drop me a message and shareyour thoughts about patient
compliance and noncompliance.
I would love to hear yourexperiences and your thoughts.
If you're ready to become thatpharmacist who makes a different
, that pharmacist who isstarting to see your patient as
a whole and really be involvedin patient care, I welcome you
(16:42):
to explore the razor scriptblueprint program.
This comprehensive program willguide you on incorporating
neutral genomics, personalizedhealth coaching and a
patient-centric approach intoyour pharmacy practice.
Discover more and apply atwwwraisescriptcom.
Thank you for joining me ontoday's episode of Pivoting
(17:02):
Pharmacy with Neutral Genomics.
Now, if this episode spoke toyou, it would mean the world for
you to share it with a friend,and if you love the show.
You've been listening and youhaven't let me know how this
show is impacting you.
I would love to hear from you.
All you have to do is scrolldown in your Apple app, tap the
five stars and write a quickreview Just one sentence to let
(17:22):
me know how this show isimpacting you.
It's a fantastic way to addvalue and nurture the
relationship with yourcolleagues in your community,
because we are all in thistogether to elevate health care
for our patients.
Next week on the show, I'mgoing to share why fixating on
the cost of genetic testingrepresents a key
misunderstanding many encounterwhen considering neutral genomic
(17:44):
testing.
By navigating past thisroadblock, we can unlock the
door to personalized wellnessstrategies designed with your
unique genetic makeup in mind.
This episode next week isspecifically designed for
patients, so join us next weekand, until then, always remember
in your journey as a healthcareprofessional, always raise the
(18:04):
script on health, becausetogether we can bring health
care to higher levels.