Indeed, interaction with the patient on this point would demonstrate a very poor inhalant technique, a factor which the physician failed to consider before increasing the patient's dosage. Additionally, the physician failed to check concordance with respect to the patient's history of medicine use. This might have revealed some shortcoming in the subject's own methods of self-administering medication, including inconsistent usage and occasionally skipped doses. A useful instrument for checking concordance is that provided by the Devon City Council (2010), which offers a line of questioning concerning the habits and patterns of the subject's medicine usage. By prescribing and increasing dosage with both inhalants and an antibiotic without conducting this check of concordance, the physician failed to take all proper steps in validating the particular medication approach selected.

Yet more problematic would be the prescription of this treatment course without a more thorough examination of the subject's health environment. Specifically,...
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