If the client ignores the doctor's advice, does not follow the doctor's instructions, refuses to participate in recommended health improvement activities, they will Non-compliant . Does your nursing assistant know how to handle clients that may not comply or comply with your care plan? Here is the basic information to know your CNA.
What does it mean if the client is non-compliant?
Asking the client not to comply with your treatment plan can be very frustrating. It seems like you are doing a lot of work for anything! Clients who do not obey the instructions of a doctor gradually replace this term with a term, but are considered "non-compliant" "Non-compliance"
why? In the dictionary, "Do not submit" This term seems a little troubling for modern society. Our goal is to I want Follow orders for your own happiness ... but they should not feel that they have to be blind To obey In all situations!
On the other hand, Agreement Between the client and the medical team, suggested that the recommended action is effective, valuable, and is necessary for optimal health condition.
By reconfiguring compliance issues into one of compliance, you can see that the solutions are in compromise, understanding and mutual agreement on common goals.
However, until the agreement occurs, problems related to compliance or violation are serious and even death. Here are some facts:
- Approximately 70% of hospital hospital admission in the United States and 23% of nursing home for hometown hospital are direct results of violation. As a result, compliance violations become the most expensive "disease classification".
- In Europe, a violation is issuing about 200,000 deaths every year.
- One study reported that "many people with chronic health conditions Do not take medicine Compliance violations could cost 300 billion dollars annually to medical systems. "
What about patient rights?
One of the most fundamental patient rights is 'right to participate'. This means that all patients / clients / residents right Into:
- I will decide about my care.
- Please change their mind about health care treatment and service.
- Refuse care (after being taught what happens if rejected).
- Please include advance notice including necessity of living and / or power of attorney of health management, if necessary.
- In addition to this right, patients responsibility Into:
- Ask them for more information if they do not understand something.
- I will go to the schedule of all scheduled doctors.
- Please follow the care plan for helping them to create.
- Provide copies of living willingness or other prior guidance to your work place.
For your daily care, it is important to balance Your client's rights ~When your I would like to obey the plan of care . The seven tips for doing this are as follows.
- If you wish, you can refuse to care for your clients, but please document the situation and / or let your manager know.
- Please remember that there is a rule on payment for long-term care that the client keeps refusing to the client's medical insurance. For example, if you are a Medicare insurance customer's home health nurse, Medicare may refuse to pay for your service on a daily basis if you refuse to help personal care.
- Respect prior instructions. For example, if your client is instructing you not to resuscitate, please be aware of what to do if you stop breathing during care.
- The habit of explaining what you are going to do, Before You do it. Your client is ready and just knows what's going on. For example, explaining to Mr. Wilson, he explains that he intends to help change positions in bedridden conditions. Before You take down his blanket and seat!
- Keep in mind that all adults have the right to choose where and how they want to live, even if their environment is unsafe or unhealthy. For example, Mr. Brown lives in a house without electricity. You may feel it. Mr. Brown will be healthier if he can cool the food, but he has lived in his house for 20 years and I believe there is no reason to change now.
- Please do not threaten your clients, let them agree. For example, saying is wrong, If I can not take a bath right now, I can not watch TV this afternoon. "
- Even if you know that the client will be better, please do not pay attention to the client. For example, you can not let the client eat lunch, even if you are worried that he is losing too much weight. (But record the fact that the client refused to eat.)
Why some clients are noncompliant
There are many reasons why your client does not follow the treatment plan. In some cases, combination The reason. Below are some of the most common causes for not keeping care plans.
Misconception . Healthcare workers can talk about their languages and easily confuse non-medical personnel. Clients may not follow orders because the order is not clearly described or makes sense.
Inability . Occasionally treatment for your clients may simply be physically impossible. To make matters worse, some clients Admit They can not perform specific tasks.
depression . There is a grieving process that occurs when a client is given a serious and / or life changing diagnosis. Sometimes, this sorrow may cause clients to become depressed and hinder reasonable decision-making.
cost. Even with insurance, for your clients, the cost of some treatments and medicines may be too high.
Past experience . If you do not have treatment or medication experience, clients may violate compliance. In addition, if the past experience of a loved one is negative, you can also ignore or refuse the advice of the doctor.
Lack of control. If you need to rely on others to complete the basic work of life, the client may be vulnerable and feel helpless. It connects physicians and nurses with their feelings of helplessness and does not always ask for questions about client treatment. If you feel that the client does not manage your own environment or treatment plan, you may not want to join.
Lack of knowledge . Doctors and nurses are obliged to explain disease and its treatment in a way that fulfills individual needs. However, information is not always conveyed effectively. Language, cultural differences, stress and education levels all can hinder the client's understanding of the disease process.
Modified state of mind . A client with a changed mental state may sometimes appear to be non-compliant. However, this situation is different from all other situations, as it is not considered a deliberate violation. In other words, there is no responsibility to judge that the client is not necessarily complicated. This simply means that explaining the situation to the client will not work!
Remember...
I do not want anyone to order around or tell me what to do! Including the client in the care plan increases the chances of actually succeeding.
Every client has the right. This includes the right to care for you and the right to refuse treatment.
Changing is difficult! It is not enough to tell the client that we have to make changes. They must be motivated to make changes in their time.
Eliminate barriers to compliance, such as cost, access to medical care, physical compliance ability, and urge clients to start execution.
By providing emotional support, praising every effort, and working on mutually agreed goals, we give you the strength and confidence you need to achieve optimal health.
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