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Grand Canyon University Pillbox in Hypertensive Patient Case Study

Grand Canyon University

Question Description

Can you help me understand this Health & Medical question?

Construct a case report (2,500-3,000 words/approximately 10-12 pages)

Introduction and Problem Statement

Brief Literature Review

Description of the Case, Situation, or Conditions Explained From a Theoretical Perspective.

Detailed Explanation of the Synthesized Literature Findings

Case Summary

Identification of a Research Instrument to Evaluate the Proposed Solution Along With a Description of How the Instrument Could Be Evaluated

Conclusion

SUBJECT THAT CAN BE USED FOR THE CASE REPORT:

“USING PILLBOX IN MEDICATION COMPLIANCE IN HYPERTENSIVE PATIENTS”

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Running Head: PILLBOX IN HYPERTENSIVE PATIENTS

Pillbox in Hypertensive Patient
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PILLBOX IN HYPERTENSIVE PATIENTS

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Pillbox in Hypertensive Patient
Taking care of ourselves is becoming a challenge, especially for those people who live
alone and are under medication. Modern technology is infiltrating in our lives to address this
challenge and optimize the health needs of patients. Assistive devices are answering the challenge
of complying with medication (Prkacin et al., 2018). An example is a pillbox, which is becoming
a routine component of standard medical care. It is an electronic pill dispense that is developed to
ease the delivery of medicine and improve medication compliance. A pillbox can notify patients
of their scheduled time to take medicine and dispense it in a container. Patients do not have to
remember the medicine that they are supposed to take. Besides, their work is simplified to taking
the pills. Hypertension remains a significant challenge in the global healthcare systems because of
its under-treatment results in premature death. Poor medication and low compliance rate can
increase the risk of heart attack and stroke. The following discussion examines the use of pillbox
in medication compliance for hypertensive patients. The research hypothesizes that pillbox
increases medication compliance for hypertensive patients.
Literature Review
Porter et al. examined the impacts of pillbox in improving systolic blood pressure in
veterans taking three or more antihypertensive medications (2014). The researchers noted that 50%
of hypertensive patients ceased taking medication or treatment a year after being diagnosed. They
identified that the patients are resistant to antihypertensive medications because of their adverse
side effects, poor understanding of the management of the diseases, poor patients' motivation, and
complex drug regimens. Their study aimed to investigate the percentage of patients that meet the
goal of blood pressure by complying with antihypertensive medications. The sample size was sixty

PILLBOX IN HYPERTENSIVE PATIENTS

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respondents that were veteran patients that were taking at least three types of medicine (Porter et
al., 2014). They were offered a two-seven day pillbox under the directions of pharmacists. The
past history of noncompliance and baseline of blood pressure were recorded. The patients attended
two follow-up appointments after the initial encounter at 2 and 4 weeks for the refill of the
pillboxes. The researchers used descriptive statistics, logistic regression, and categorical outcomes
for nominal outcomes. Out of the 60 patients, ten did not complete the appointments all the
appointments while 45 completed all the three appointments (Porter et al., 2014). 31% recorded a
reduction of more than 10mmHg in blood pressure. All the respondents had a compliance rate of
more than 80% to antihypertensive medication using the pillbox during the second and third
appointments. The results concluded that the pillbox was significant in reducing the systolic blood
pressure of the respondents by 10mmHg. It was also found to increase the number of patients that
meet their prescribed goals of blood pressure.
Pillbox improves the outcome of antihypertensive therapy. The tool reminds patients to
take their medicine at the same time of the day to improve consistency. The review of literature
confirms that the use of pillbox has been found to have direct impacts on improving the compliance
of hypertensive patients to medication. This, in turn, results in a significant reduction in blood
pressure baseline. It is the foundation for minimizing the risks that are associated with the disease,
such as coronary heart disease and stroke. A reduction in BP also improves morbidity outcomes
by minimizing these diseases. Therefore, the use of pillbox in hypertensive patients increases the
treatment outcomes and helps patients meet their prescribed blood pressure goals.
Ellis et al. conducted a study on pillbox intervention fidelity to examine the aspects of
intervention design, delivery, receipt, and enactment in targeted behaviors (2018). The study
involves five multidisciplinary databases that were reviewed for controlled trial testing on

PILLBOX IN HYPERTENSIVE PATIENTS

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CASIMIR (26305)
University of Virginia

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