Sarafino and Smith (2014) define adherence as the extent to which a patient’s
behaviour coincides with medical or health advice. At some stage in their lives most
people will be non-adherent with their medical advice, whether this is intentional or
non-intentional. For some groups in the community, the issue of adherence is
complicated further due to the cognitive and developmental needs of the patient.
This is particularly true of adolescents with Type I diabetes. The treatment goal for
Type I diabetes is the maintenance of blood glucose levels as close to the normal
range as possible to minimise the risk of additional and often severe health
complications. The treatment regimen is complex and demanding, involving daily
blood glucose monitoring, insulin injections, diet modification and exercise (Steed,
Cooke, & Newman, 2003).
Adolescence is a time of rapid change and development. Research has consistently
demonstrated a marked decline in blood glucose control during this period. While
the physiological changes during adolescence may be influential, changes in
adherence to treatment is considered equally important (Sarafino & Smith, 2014).
Discuss five factors that might reduce adherence to the treatment regimen for
diabetes during adolescence.
Format Mini-essay.
Referencing Use one or more reference sources.
Referencing is required.
Use APA formatting.
Word count 500 words (+10% leeway).
Includes in-text citations, excludes reference list entries.
Material exceeding the word count will not be marked.

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