Technique-related:
(1) novice-related issues
(2) errors in site selection and preparation
(3) manual dexterity required
(4) scheduling doses
Emotional:
(1) fear, phobia or anxiety
(2) avoidance and denial
(3) disgust and poor self-image
(4) depression
Reactions:
(1) autonomic reactions (palpitations, hyperventilation, flushing) associated with panic or phobic reaction
(2) medication side-effects, especially when starting a new drug
(3) allergic reactions
A person can often become capable in performing self-injection with:
(1) proper training (many patients are not properly instructed on how to give self-injections)
(2) practice and experience
(3) positive feedback
(4) interventions to allay fears and other emotional responses (relaxation techniques, cognitive tools, antidepressants)
(5) emphasize the benefits such as greater independence
(6) adjustments in drug regimen and/or dose
(7) interventions to address physical reactions (allergy, fever, nausea)
(8) by keeping an accurate daily record
