Prescription Drug Compliance Among Homeless Term Paper

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¶ … Health care [...] prescription compliance among the homeless. Health care for the homeless is perhaps one of the biggest challenges for the healthcare professional. The homeless in America face many problems, and healthcare is only one of them. It is difficult for most homeless people to fill and use prescription drugs for health problems for a number of reasons, from cost to the ability to self-administer drugs they may not understand or want. The problems of homeless noncompliance with prescription medications must be addressed to avoid a crisis in homeless health care. Most homeless people do not have health care coverage, and so even basic prescription medications for health problems may be out of their reach. If they do attempt to receive health care at all it is usually through a county facility such as a clinic or a free clinic. If their conditions require prescription drugs, often they cannot afford to fill the prescriptions. If they do fill the prescriptions, they may forget to take them, or have difficulties understanding when to take them. One study indicated that...

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The study said, "29.7% were currently taking medication for a health problem. Another 27.6% admitted to not taking a medication that was prescribed. Unfilled prescriptions ranged from antihypertensives and tuberculosis medications to analgesics and anti-inflammatory treatments" (Clarke, Williams & Percy, 1995, p. 108). Many people believe that most homeless people have mental health problems, but recent surveys indicate this is not the case. Many homeless people are homeless as a result of domestic violence, unemployment, drug addiction, poverty, or lack of affordable housing (Editors, 2004). Thus, many of these people may require ongoing medications that they simply cannot afford or obtain.
In addition to the cost of prescriptions, there are other factors that figure into noncompliance in prescription use by the homeless. Some homeless people are depressed and unhappy with their lives, and so, they see no reason to prolong them with prescription drugs. A homeless expert notes,…

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References

Boucher, L.A. (1995). Medication: Overview and issues. In Old and homeless -- Double-jeopardy: An overview of current practice and policies, Rich, D.W. & Mullins, L.C. (Eds.) (pp. 53-63). Westport, CT: Auburn House.

Clarke, P.N., Williams, C.A., & Percy, M.A. (1995). Health and life problems of homeless men and women in the southeast. Journal of community health nursing, 12(2), 101-110.

Editors. (2004). Health care for the homeless. Retrieved from the American Medical Student Association web site: http://www.amsa.org/programs/gpit/homeless.cfm 27 Dec. 2004.


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