( ! Patient forgetfulness is just...)Patients Not Complying With Their Dermatologic Problem,Health

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Patient forgetfulness is just one part of the problem, he said. Sometimes, patients consider treatment the worst part of the disease. For example, scalp psoriasis may seem resistant to treatment, he said. Actually, psoriasis treatments probably work better on the scalp than on other areas of the skin, if patients would just apply the medication.

Rather than having patients continually try new treatments for scalp psoriasis, he suggests having patients try the treatment for three to four days.

It is much easier to be compliant for three or four days than for eight weeks, Feldman said. After that, patients will know they have a treatment that works and will use it as needed to keep their scalp psoriasis under control.

He said that when prescribing medications, physicians need to consider which form is most likely to be used. Many patients prefer pills over creams and ointments, he said. Another option is physician-administered treatments, such as injections, that will assure adherence.

Feldman says doctors shouldnt be surprised by poor adherence to using creams and ointments in the home environment, especially involving pediatric patients.

Those of us who are parents will recognize how difficult it is to apply sunscreen or other topical agents to our own children, he said. In addition to considering the form of therapy that patients are most likely to use, Feldman said the patient-physician relationship is an important part of the equation.

He said research shows that if patients are satisfied with their physician visit three days afterwards, they are more likely to report an improvement in their condition a month later.

Patients who are more satisfied with their visit are more trusting of their doctor, worry less about adverse effects and use their medication more regularly, he said.

Media Contacts: Karen Richardson, krchrdsn@wfubmc.edu; S
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