Please describe to me how it has been for you to manage patient medication adherence? |
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• Engaging with and training caregivers |
• Counseling on advantage of medication |
• Offered counseling around spiritual issues that conflict with medication adherence (ex. witchcraft as cause of disease) |
• Frequent home visits |
• Alerted other healthcare providers when adherence is in question |
• Developed a network of supporters for medication adherence (CHV, Neighbor, Caregiver, Doctor) |
Please describe to me what changes have occurred in your patient care practice since you have completed this training? |
• Incorporated counseling of patients and caregivers; counteracting misinformation address patients who feel they are a burden or have feelings of hopelessness |
• Counseling led to improved CHV-patient relationship with more open discussion of illness by patient |
• Instructed patients on use of technology to improve self-care (clock and phone alarms for medication reminders) |
• Improved social life: counsel patients on use of technology to decrease social isolation |
• Improved personal hygiene habits along with education of patients and caregivers |
• Counseling on benefits of insurance coverage |
What part of the training was new to you? |
• Interpreting symptoms |
• Improved communication skills with patients and family |
• Dressing changes, catheter care, bedsore prevention, massage |
• Early cancer treatment (? cure) is possible |
• The importance of spiritual care, engaging community spiritual leaders in patient care |
• Making referrals to nearest healthcare facility |
• COVID-19 transmission and prevention |
How did the training change your practice? |
• Improved attentive listening and patients |
• Improved interpersonal relationships with patients |
• Offering support in accessing healthcare |
• Recommended cost-effective alternatives to current interventions |
• Embraced support networks in the community |
How did you cope while seeing the very sick patients? |
• Training improved understanding of palliative care |
• Apply the new skills helped CHV develop courage and hope |
• CHV grew closer to the patient and family based on the new skills |
• Encouraged patient interactions with local spiritual leaders |
• Have the support of palliative care doctors and nurses helped CHV cope with ill patients |
How do you think the community benefits from your training? |
• Patient attitude change from viewing sickness as witchcraft |
• Exhibiting new skills changed the view of CHVs, some community members began to refer to CHV as “doctor” |
• Improved community trust and confidentiality |
• training of caregivers allowed them to help a family member and others in the community |
• Increased awareness that caring can be done in the community, not just the hospital |
• Engaged the community in assisting patients and families |