Biggest Barriers & Communication with patientThe biggest barrier for this patient seems to be adherence. He is somewhat unwilling to take his medications most likely because itdoesn't fully understand the goal of his treatment. I would let the patient know that his medications are going to help him leave much more comfortably and cut down on his hospital visits if he is able to take them regularly. He will be able to enjoy live with fewer symptoms if we can control his chronic conditions.Medications and Disease StatesLosartan/hypertension Simvastatin/hyperlipidemia Proventil/SOB Ranitidine/GERD Spironolactone/CHF Prednisone/SOB Potassium/CHF Norco/chest pain Appropriateness, Safety, Efficacy and AdherenceAdherence is the most important problem that is currently facing this patient as he has not been using his CPAP machine and is notcurrently taking his medications as directed. I would not want to make any changes to his current regimen until I could see the outcomes associated with proper adherence. Many of his current complaints maybe resolved through proper adherence. One
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