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Madison Tullos Ms. Hollingsworth Senior Project 20 Oct.

2012 Help Before It Is Too Late Almost every job in America requires people to interact with one another. A nursing career comes with a vast amount of problems. So many problems become noticed because when two people try to work together, they usually will not agree on at least one thing. Nursing attracts people because people want to help take care of the needy, but most employees do not understand the problems that are in the field of nursing until they have already committed themselves. While obtaining a job in the nursing field, problems such as noncompliant patients, abuse of prescription drugs, and insurance arise, but the most severe is insurance because of the decreasing value of coverage. Noncompliant patients are a problem because they do not adhere to the guidelines set by the people caring for them and their health. Noncompliant patients make the job harder for the nurses and doctors because they are unaware of what may happen to the patient. Patients do not try to change their noncompliant ways, and they cause work for nurses to be miserable. In his article “Patients Believe in Adherence But Don’t Act on It,” author Alaric DeArment states that “[t]he reasons why nonadherence is such a crisis remain unchanged: Patients who don’t take their drugs as prescribed face higher risks of complications” (DeArment 50). Nurses worry about patients who do not take their medicine because they can enter the doctor’s office at any time needing help. Nurses try to encourage the patient to follow all guidelines set by the nursing staff.

Tullos 2 Noncompliant patients work best when the doctor encourages them to talk about their problems, and the doctor can tell them information about their risks. The best way to deal with noncompliant patients is to discuss the illness with the patient and allow him or her to feel more involved. Doctors think it is important for the patient to have input on the situation and a trustworthy person to deliberate with about their options. In the article “Dealing with Noncompliance,” the author explains that the nurse should “[f]ind out how much he already knows about his condition—and how he views it” (Jacobs). Attempting to keep the patient involved will make the doctor visits much easier on the nurse, doctor, and the patient because the patient will be more willing to accept what can happen to him or her. Explaining to the patient every detail, in depth, will encourage the patient to talk about what happens outside of the doctors’ office and the patient will not be as resistant to unfortunate updates. Many noncompliant members abuse the insurance plan they have by taking unnecessary amounts of prescription drugs. Abuse of prescription drugs remains a problem in the United States, not only because the member’s health declines, but also because plan cost rises. Every year billions of dollars get wasted by addicts who use medications when they do not need them. In the article “Are You Controlling Fraud and Abuse in Your Prescription Drug Program,” the author state that “[t]his issue contributes to the growth of plan cost and, even more importantly, to the decline of member health (Malhotra and Brandle 26). The rise of plan cost and decline of member health show that drug abuse can cause serious problems because most members cannot afford to pay any more than they already have to pay for insurance and the ensuing decrease in member health overcrowds the medical field with patients who now cannot afford healthcare. Drug abuse not only causes problems for the family, the society, and even the government, but it also causes a viscous cycle of problems for the patient.

Tullos 3 Member health decline and growth in plan cost has risen in the past few years; now nurses, doctors, and pharmacists say that circumstances have changed that now allow abusers a chance to change. Since abuse of prescription drugs has become such a common problem, pharmacies need to address the problem. Doctors and nurses should get together with pharmacists to discuss the usage of the medicine and how many times the medicine was refilled. Malhotra and Brandle explain “The most effective strategy for detecting fraudulent and abusive utilization of prescription drugs starts with identifying unusual utilization patterns” (28). By checking for unusual utilization patterns, pharmacies can keep a threshold on how much medicine is received by a patient. Because many individuals abuse the drugs given to them, doctors now have more advanced techniques and programs to put a halt on substance abuse. Over the past few years, insurance has become a major problem in the healthcare field because of the rising cost and the loopholes in the plans people already have. Families of all economic statuses now face the problem of having to purchase health insurance to help keep their families safe. In the article “Gaps in Health Insurance: An All-American Problem” the author states, “Gaps in health insurance coverage—a problem that has long afflicted lowerincome families—is increasingly becoming an all-American problem” (Collins et al.). Not only do lower-income families struggle now, but so do most other families. The rising price of insurance makes the purchase almost impossible for people these days. Although insurance has become a leading problem in the field of nursing, many solutions have been found to help fix this major problem. Certain problems with insurance are usually inevitable, but some companies work to improve every detail in their plan that could help users. Researchers try to continue to find solutions and improve the ones that have already been found. The authors of the article “Gaps in Health Insurance: An All-American Problem” emphasize the

Tullos 4 fact that “[r]eal solutions that build on group forms of coverage already in place, including employer plans, Medicare, Medicaid, the State Children’s Health Insurance Program, and state and federal employee benefits, will help to fill insurance gaps with meaningful, affordable coverage that helps link families and providers” (Collins et. al.). These plans have helped people afford the insurance that they need to keep themselves and their relatives safe and healthy. Insurance programs, such as the ones listed above, were created to help people that work to provide for their families but need additional help. Doctors notice there are solutions to these problems, and they work every day to limit the problems doctors and patients have. The solutions do not always fix the problem right away, but as long as the problem is addressed, it is sure to improve. Insurance companies try to help lower the cost of insurance plans so families can afford them, but insurance companies also do not want noncompliant patients abusing their ability to provide certain benefits and medicines. Nurses stick to their job no matter if solutions are found to these problems or not.

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Tullos 5 Works Cited DeArment, Alaric. Drug Store News. 5/21/2012, Vol. 34 Issue 7, p50-56. 3p. Jacobs, Jane. “Dealing With Noncompliance.” Nursing 24.6 (1994): 53. Academic Search Premier. Web. 18 Oct. 2012. Malhotra, Ritu; Brandle, Sean M. Benefits Magazine. July 2011. Vol. 48 Issue 7, p. 26-29. 4p Collins, S. R., K. Davis, M. M. Doty, J. L. Kriss, and A. L. Halmgren, Gaps in Health Insurance: An All American Problem, The Commonwealth Fund, April 2006