Adherence to medication is one of the most intriguing and complex behaviours

demonstrated by patients. Non-adherence to a therapeutic regimen may result

in negative outcomes for patients and may be compounded in populations with
multiple morbidities which require multiple drug therapy. Such a population is
exemplified by the elderly. However, non-adherence may not be more prevalent
in older patients and there is no consensus in the literature that age is a
predictor of poor adherence. Indeed, older patients may deliberately choose not
to adhere to medication (intentional non-adherence) to avoid adverse effects.
Furthermore, many of the studies on adherence lack commonality in terms of
how adherence is measured, the definition of an older patient and the range of
disease states which have been examined. Adherence may also be affected by
access to medications which may be restricted by the use of formularies or
insurance programmes. However, non-adherence may represent a greater risk
in older people resulting in poor disease control which may be compounded
with multiple morbidity and polypharmacy.

A range of strategies have been implemented to try and improve adherence in

this patient population. The use of forgiving drugs (those which have a
prescribed dosage interval that is 50% or less the duration of drug action) may
facilitate occasional lapses in drug-taking. Drug holidays (deliberate, supervised
non-adherence for a fixed period of time) have been used in Parkinsons disease
to reduce adverse effects. Once-daily scheduling of drug administration may
offer a pragmatic approach to optimising drug therapy in some patients; this
may be supplemented through the use of compliance aids. What is increasingly
apparent, however, is that the role of the patient (irrespective of age) is critical
in decision-making about medication, together with communication between
patients and healthcare professionals. This has been articulated through the
concept of concordance which has been described as a therapeutic alliance
between the patient and healthcare professional. In addition, interventions
employed to improve adherence must be multifaceted, and together with
practical approaches (reducing unnecessary drugs and simplifying dosage
regimens), the patient perspective must be considered. Good adherence should
be seen as a means of achieving a satisfactory therapeutic result and not as an
end in itself.

Abstract
High blood pressure is a global health concern which is mainly managed by taking anti-hypertensive
medications. Although medication is available to control high blood pressure, adhering to treatment is a
major problem among hypertensive patients. The purpose of the study was to assess the predisposing,
enabling and reinforcing factors to medication adherence among hypertensive patients in Gweru urban
aged 40-70 years. A descriptive cross sectional study was used with a sample size of 110 conveniently
sampled hypertensive patients. We used an interviewer administered questionnaire designed using phase
4 of the PRECEDE model. The modal age was 70 years and mean age was 58 years (SD=10.29). There
were 61.8% females and 38.2% males. Variables associated with medication adherence were: age
(P=0.0059), marital status (P=0.015), average monthly income (P=0.0002), support group (P=0.027) and
knowledge (P=0.0058). Providing information to patients with high blood pressure and having a good
patient-provider relationship improves medication adherence. There is need to focus on the predisposing,
enabling and reinforcing factors of medication adherence since demographic and socio-economic factors
may be more difficult to change.
Ive been tagged by to do the 20 facts about me challenge

1. My complete name is Rica Villados .

2. I love to play Table Tennis.

3. DIRECTIONER <3

4. Wattpad Addict.

5. Girlish-Boyish(but definitely not a Bi!)

6. Family oriented person .I value my family the most.

7. I once tried to write a story but failed. I think I dont have the talent like my
favourite authors or maybe its not yet the right time.

8. Peoples expectation/first impression of me: suplada,maldita,maarte.

9. I dont mind doing things alone like going to public places, eating at a fast foods
or restaurants, doing my groceries or watching at the theatre.

10. Obsessive compulsive with my things

11. I stare at people when theyre not looking; its so much fun to see the real
human behaviour when they think nobody is watching,

12. Consistent honor student during my preschool, elementary and high school
days.

13. I am deeply fascinated with the sky, sunsets, beaches and the Eiffel tower.

14. Ive always wonder how would it feel to have an older brother or sister. Actually I
had one but he passed away before I was even born.

15. I love listening to other peoples stories. Im a good listener!

16. Im lazyholic.i can spend a whole day only on my bed.

17. Tolerant (or at least always tries to be) in most aspects of social life.

18. 16. Currently pursuing BS Nursing at UNP.

19. Harry Styles,Zayn Malik,Niall Horan,Channing Tatum,Austin Mahone, and Taylor

Lautner are my celebrity male crushes.i have a girl crush on Taylor Swift.

20. In a never ending love affair with FOODS,MUSIC and BOOKS.

21. STUBBORN AND A RULE BREAKER!

Done,Now I m tagging

Incesz Jessa GleezetteBueno Neelsel Pam Rocelyn Jhuna Bryan James Earl Christian
Jenalyn Charise Kaye Norja Zhane Mel .I guess that it's almost been like weeks since
i was tagged,i'm sorry i had been so busyvin Caira Ella Athena Trixie Lu