Description of Book

In this pioneering book - the first of its kind devoted to the delicate interface between clinical interviewing and medication adherence - Shawn Christopher Shea, MD takes the reader on a compelling and imminently practical exploration of how our words powerfully impact on whether or not patients are interested in taking medications and staying on them. Written for physicians, nurses, physician assistants, case managers, and clinical pharmacists, Dr. Shea describes and illustrates over forty specific interviewing techniques, that are equally of use for medications for all disease states from hypertension, diabetes, and CHF to bipolar disorder and schizophrenia.

Readers will be glad to know that Shea continues his tradition of writing with an eloquent, feisty, and concise style as seen in his previous highly acclaimed books on clinical interviewing and philosophy, which have been translated into languages as diverse as French, Spanish, Greek, Croatian, and Chinese. The interviewing tips - illustrated with their exact phrasings and all of their clinical nuances - were culled by Shea from the input of the thousands of front-line clinicians who have attended his popular workshop, "From Medication Nonadherence to Medication Interest" which has been presented throughout the United States and Canada at over 200 locations.

Shea takes the reader into an engaging exploration of exactly how patients both intellectually and emotionally decide whether or not to take a medication and ultimately to stay on it. With numerous case examples he shows how to use a simplifying conceptual framework called the "Choice Triad" to better understand how patients navigate the complicated decisions related to taking a medication. He then uses this framework to seamlessly interweave the use of the various interviewing techniques described in the book providing clinicians a framework for creatively choosing which techniques they feel will work best with each individual patient. The book also shows how the patient's final decisions may be impacted by input from the sometimes confusing barrage of opinions provided by friends, family and cultural grapevines such as television and the web. A standout favorite with medical and nursing students in their "Introduction to Clinical Skills" courses, it is equally appreciated by experienced clinicians with decades of experience who are in search of the art of medicine where as Dr. Shea writes, "our science is always at its best, when it is held in the hands of compassion."

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