Patient Disengagement

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

If an individual expresses that they want to discontinue their medication and becomes non-compliant with their medication then it is my role to identify the risk they are currently posing and update their risk assessment; inform their CMHT and let the citizen know of the consequences to them not taking their medication and reiterate that it is their choice, as long as they have all the information to make a decision (wise or unwise). It is important to emphasise that not all individuals understand information the same way, therefore I have found that the use of internet, booklets, music, audio recordings, talking group therapy and pictures can be applied to explain a situation to a resident if they are unsure of particular consequences to their health.

Zirah Ahmed P4- Explain two theories of ageing IS/12- Discuss 2 major theories of ageing in relation to the development of the individual D2- Evaluate the influence of 2 major theories of ageing on health and social care provision.

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

Some of the factors that patients do not adhere to when their healthcare provider tells them too is due to patients being too busy. Often times life is very busy as we all know this but forgetting to take of yourself can have detrimental effects to your health. Some people think they can get better on their own without the help of a doctor so they feel like they will be fine or able to handle any health complication on their own. Another reason is that often people do not understand or they forget what the doctor is telling them about their prescribed treatment regimens and other patients decide to simply not follow it. As stated in the article by Sklar, Min Sen Oh & & Chuen Li, 2008 “Poor communication with healthcare providers was also likely to cause a negative effect on patient’s compliance (Bartlett et al 1984; Apter et al 1998)”. Miscommunication between a doctor and patient is at the root of most adherence problems. Often times patients leave their doctors office not knowing or having the slightest clue to what they should be doing. Instead of asking for help or clarity they just leave. Communication needs to be clear and effective for both the patient and the doctor. Non-adherence is wide spread when it comes to patients not adhering to what professionals tell them. Many patients will have significant risks because they forget,

In the first hour of today’s lecture, Dr. Schommer introduced today’ topic by an interesting exercise. Actually my English is not that fluent, so I know how difficult it is for a foreigner to understand Americans thoroughly. Regarding patient experience, health care providers should make medication and therapy decisions with the patients equally, and, what is more important is to consistent of the decisions and follow up.

In this study, the purpose was to deal with the absence of control that patients felt over their own bodies during the lengthy stay in their hospitals. The objective was to give participants the decision- making to improve their own lives as well as their conditions prior to their deaths. For this investigation, two trials were assessed: an observational trial and an experimental intervention. In the observational trial, researchers were responsible for measuring the level of concern of physician toward their patient, whereas for the experimental intervention, patients were chosen to be given a Support therapy that would help increase the level of interaction between them and their doctors. The results of the observation trial show that physicians were unable to care for its patients efficiently. For example, they were quick to assigned their patients to conditions that they did not agreed upon or that it aided their state of suffering. Interestingly, the experiment show that physicians were still unable to satisfy the needs of their patients, even after receiving the Support therapy group. This is interesting because a Support intervention should heighten the communication between physician and its patients. However, for this study, a lack of communication was present throughout the

Another topic that is underlined throughout the book was Andie’s non-adherence to her insulin shot and other medications. Throughout the book, Andie has demonstrated many incidences of non-adherence. Andie does not use her needles properly and has intentionally miss insulin shots to lose weight. The reason behind her behavior can be explained by the “Health Belief Model” in the Adherence and Behavior section of PHRM 826 Patient Centered Care. For patients to take action, they need to have high perceived threat from not taking the action. Threat is influenced by severity of non-adherence and susceptibility of those severities. For Andie, she definitely has high perceived severity from knowledge of possible complications of diabetes from

The second issue I would address is how unruly patients are turned away. While it is understandable that some patients are just really difficult to work with this does not mean you should go the easy route and turn them away. I believe it would be my duty to try to treat this patient who seemed aggressive and difficult to work with. We should never leave a patient behind just because they are difficult to work with. It is too easy to just kick the patient out of your private clinic and move onto the next patient. Having the experience of working with dramatic students at a community college some of which were unruly themselves. I know it takes a great deal of patience to help these people. It was extremely satisfying for me when I turned a

There are daily instances of patient noncompliance in the medical field. One of the most common occurrences of challenges can be found in diabetes management. It is a diligent nurse who is educated on the latest research regarding certain persuasive strategies to help assist patients in their struggle to make a health change. The rational-empirical, normative-reeducated and the power-coercive approaches are just three tools a nurse can use to formulate a patient centered plan which can help guide a patient into taking action. The case of Sam’s compliance is a perfect example where these strategies can be utilized. Each approach has its own unique application which the nurse can use to extrapolate a plan to increase Sam’s acceptance in following a prescribed blood glucose monitoring and insulin administration. By using these strategies in her approach to Sam, it places the willingness to make a decision in Sam’s court without forcing the issue or causing undue pressure to change, which is honoring and respecting his wishes.

Patients center approach mutuality: encourage patients to participate actively using shared decision- making approach that can enhance the successful of the program through listening skills and open questions, such as what do you think the best method that better suits your situation to quit? So, common understanding between patient and provider can be developed to help the patient to develop control over the behavior. Also, active listening would help the provider in assessing role of context social economic, and environmental factors that might hinder the patients from quitting

When referring to M.M.’s treatment regime, adherence is an area where continued encouragement is needed. M.M. has a medication schedule that is PRN except for the three days leading up to her treatment. During those three days a steroid and antiemetic are given prophylactically to decrease side effects. However, because of the complexity of her treatment plan she does not take them because she is not nauseous or in pain. This has led to postponement of treatments and continued reiteration on her treatment plan, which she seems to support fully. M.M.’s adherence issue I feel is attributed to the complexity of her situation. According to Richards (2014) noncompliance can be related to many issues some of which including knowledge, side effects, lifestyle and even motivation (p.221). It is important to avoid pressuring, guilt tripping, or coercing a patient into following a treatment plan. Sometimes continued reeducation can be a form of coercing a patient so I must be cautious and considerate in my approach (Richards, 2014, p. 221). Most of my education is patient led therefore they decide what they would like to discuss. Medications just happen to be a common

Before she passed away a couple years ago, my grandmother exhibited characteristics of the disengagement theory. According to the textbook, this sociological theory suggests aging adults become more self-aware and feel more balanced as they choose to separate from relationships and society. My grandmother was a homemaker from Hong Kong and initially immigrated to San Francisco before settling in Dallas. Despite her lack of English language skills, she was able to immerse in San Francisco with foreigners of the same culture. She regularly engaged in tea parties and mahjong. As she aged, she started to withdraw from such activities and spent more time at home on the patio. Most of her relationships was with family. Her circle of friends were

As a health care provider medication compliance among diabetic patients has been a challenge. Barriers to compliance poses life threatens and poor quality life improvement. Some barriers to compliance: side effects, cultural beliefs, and socioeconomic status. Despite of time consuming in diabetic education; patients will find an excuse for medication non-compliance. Most common patients complain from oral medications is upset stomach, diarrhea, nausea and sometimes emesis. House remedies: some of these patient’s belief that herbals will cure their diabetes. In regards to insulin; some of them express needle phobia. In socioeconomic status is lack of health coverage.

Collaboration and Socialization of Health Care Professionals to Improve Clinical and Pharmaceutical Patient is about how health care professionals are planning on working and improving the pharmaceutical care of patients and their idea to improve the patients care in a clinical setting. The whole idea is brought about by Nazir T, who is a member of the Molecular Biology Research group of the University of Sargodha in Pakistan. The article states that, “health is an integral part of human life, and therefore an interactive working is potentially desired to improve the public health.” (Nazir T) The main point of the article is that the pharmaceutical companies and the people in charge (drug experts) should be giving the patients counseling, and prescription reviews. The article states that companies should do this because the patients deserve to know all of the relevant information that is being given to them and that the patient is given full awareness of what they are receiving or what they could receive.