The Patient Factor

Management of chronic diseases demands informed and active participation of patient. An intelligent and educated patient with some faith in a selected medical specialist is usually better placed for good therapeutic outcome. An intelligent patient can easily analyze own symptoms and express them to doctor. Patients must provide true and correct information to their doctor. Anxious, depressed, forgetful, timid or violent patients with chronic physical disease are usually difficult to treat. Therapy is likely to be unsuccessful in patients who keep on experimenting with dosages of their prescribed drugs. They must follow prescribed treatment religiously and inform new developments correctly. Trust in physician increases chances of adherence to treatment plan. A good doctor-patient relationship can only be built upon trust. Patients must also understand and accept limitations of present therapy in chronically damaged joints and other organs and define expectations accordingly. Finally, adequate resources to fund cost of therapy are absolutely essential.

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