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What patient education should I provide regarding the management of Addison's disease and the importance of medication adherence?
Answer
Educate patients with Addison's disease on the importance of lifelong glucocorticoid replacement therapy, which is essential and life-saving during adrenal crisis 1.
Inform them about the need to take their medication regularly and as prescribed to prevent adrenal crisis and manage symptoms effectively 1.
Advise patients to carry an NHS Steroid Emergency Card or steroid treatment cards, and to be aware of how to access emergency medical help if needed 1.
Provide training on how to use emergency management kits, including intramuscular hydrocortisone injections, and ensure they understand when and how to administer these in an emergency 1.
Reinforce the importance of maintaining a good supply of medication, especially when travelling or moving, and checking expiry dates regularly 1.
Discuss sick-day rules with patients, emphasizing the need to increase glucocorticoid doses during periods of physiological or psychological stress, illness, or injury, and to seek medical advice when unwell 1.
Encourage patients to inform healthcare providers about their condition during pregnancy and to follow specific guidance on dose adjustments during pregnancy and stress 1.
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