A report on the development and evaluation of a slide/tape program entitled medicine and illness: the cause or the cure

Carr, Harry Ian (1985) A report on the development and evaluation of a slide/tape program entitled medicine and illness: the cause or the cure. Masters thesis, Memorial University of Newfoundland.

[English] PDF - Accepted Version Available under License - The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. Download (26MB)

Abstract

Drug non-compliance, particularly among the elderly, has become a major concern with all professionals within the health care system. Many of the medical problems experienced by the elderly can be linked directly to drug non-compliance. Rather than drugs being an aid to recovery after illness or a stabilizer in the treatment of long term medical problems, they are frequently a prolonging factor, if not the primary factor in the cause of illness. Many of the elderly are multi-prescription and over-the-counter drug users. They are also recurring users of hospital beds. The reason for entry into hospital by the elderly is often the result of drug non-compliance. It is maintained by health professionals that information and education on drug use aimed directly at the elderly could reduce the number of elderly admitted to hospital because of drug non-compliance. Information and education programs would also enable the elderly to cut down on their drug consumption at home, resulting in a better state of health. At St. Clare's Mercy Hospital School of Nursing attempts were being made to eliminate the problem of drug non-compliance through pre-service training of student nurses and through cooperative efforts with other health professionals connected with the hospital. Because of the complexity of the problem, heavy workload, and constraints of time, the teaching staff at the school of nursing were unable to thoroughly review the problem, and design, develop and implement a program appropriate for use by all health professionals associated directly with the elderly and their problem of drug non-compliance. As a solution to the problem an information program in the form of a slide tape presentation was developed. The terminal objective was to solve the problem of drug non-compliance and the elderly. Through implementation of this program the elderly were encouraged to inform and discuss their drug taking habits with their doctor, pharmacist and public health nurse, to ensure an awareness of good drug compliance. The slide tape presentation was produced in accordance with an instructional development model that consisted of four major steps. These steps included defining the problem, designing the presentation, evaluating the presentation, and developing a dissemination plan.

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