Conclusion

The success of treatments relies on both nurses and parents, carers and patients working together. As nurses, we need to explore the extent to which patients follow advice about treatments and medications. This means discussion and exploration with patients using open questioning as this is more likely to lead to admission about potential difficulties with adherence. Education is vital to explain pathomechanisms and medication. The patient’s level of knowledge about the disorder needs to be assessed so that gaps can be filled in. Treatment rationale and ramifications of non-adherence need to be discussed and instructions simplified, adjusted or interpreted if necessary (Popovich and McAlhany, 2007) to ensure understanding. Adherence is likely to be better when the patient believes the medication is safe. The tailoring of management to meet individual needs and the simplification of treatment regimens to make them realistic and achievable are also essential. Niggermann (2005) also suggests the use of reminders or practical tips such as the use of calendars and tick boxes to reduce medication omissions. The importance of follow-up which is appropriate and negotiated with the patient will also enhance the relationship of trust which Popovich and McAlhany (2007) suggest improves the level of adherence. The first step towards a successful outcome in the management of all these infections and infestations is accurate diagnosis but this must be coupled with adherence to management to prevent the risk of further spread and achieve positive outcomes. Education is therefore key.