In a patient with a diagnosed chronic disease who presents with acute symptoms, diagnose: acute complications of the chronic disease acute exacerbations of the disease
Regularly reassess adherence (compliance) to the treatment plan (including medications)
In patients with chronic disease
a) Actively inquire about pain.
b) Treat appropriately by: titrating medication to the patient's pain, taking into account other treatments and conditions, considering non-pharmacologic treatment and adjuvant therapies
Patients with chronic disease, actively inquire about: the psychological impact of diagnosis and treatment, functional impairment, underlying depression or risk of suicide or underlying substance abuse.
Given a non-compliant patient, explore the reasons why, with a view to improving future adherence to the treatment plan.
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