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Yonder: Medication adherence, Twitter, head and neck cancer, and knitting.

Medication adherence. Although having a myocardial infarction (MI) can mean going from drug free to polypharmacy overnight, the counselling focus is often on cardiac rehabilitation, nutritional advice, and lifestyle change rather than the significant new medication burden. Recognising that patients often discontinue their medications after having a MI, raising their risk of further cardiac events by doing so, a research team from Israel recently explored the adherence behaviours of such patients.1 Although ‘inner self-determination’ was considered important by participants, family members and healthcare professionals were felt to play an important role in strengthening this. The authors suggest that interventions targeting this group should be longer term, more comprehensive, better tailored to individual patient circumstances, and based on mutually agreed plans of care negotiated individually with patients.