Noncompliance
Noncompliance
Age:
Hospital Number:
OBJECTIVES
INTERVENTIONS
RATIONALE
EVALUATION
Subjecti ve:
Noncomplia nce
Short term
After 2 days of intervention, the patient and her SOs will be able to: Develop trust with the health care team. Understand the cause of disease and the possible complications if left untreated. Understand fully the treatment regimen, adjusting to the patients desires whenever possible.
Independent: Develop a therapeutic relationship with the patient and family. Remove disincentives to compliance Compliance increases when there is a trusting relationship and a consistent caregiver.
Objectiv e:
Actions such as recommending lower levels of activity, or suggesting medications that do not cause side effects that are unacceptable by the patient can improve compliance. Information enables the patient to better take
Formulate a system with the health care team that rewards successful compliance and removes disincentives to treatment.
Long term
After 7 days of intervention, the patient will comply with all of her meds and at least 90% of all behavioral and lifestyle changes.
Tailor the information in terms of what the patient feels is the cause of her health problem and her concerns about therapy. Develop with the patient a system of rewards that follow successful compliance.
control in selecting and implementing required changes in behavior Adult learning is problem oriented. Focus should be on strategies that reduce barriers to treatment and enhance desired outcome.
Collaborative Simplify therapy. Suggest long-acting forms of medications and eliminate unnecessar y medication. Teach significant
Compliance increases when therapy is short and includes as few treatments as possible.
others to eliminate disincentive s and increase rewards to the patient for compliance. Provide social support through the patients family.
Nagging is never effective in promoting change. Incorporating rewards for positive accomplishments is more effective.
Family may assist the patient in gaining greater understanding of the benefits of treatment.