Advanced Patient Care – Outpatient

Advanced Patient Care – Outpatient

Often, in our daily practice of healthcare as nurses, we always encounter non-compliant patients who do not follow the simple instructions given to them. Handling such patients is always frustrating and challenging as this always leads to delays in problem resolution. Healthcare professionals should always strive for a better understanding of these patients and their perception of the treatment, determination of the impact of treatment on the life of the patient, and patient education regarding the continuity of the treatment (Cortellini et al., 2019). The plan to help these patients, including Alma Faulkenberger, includes the elevation of the caregiver’s attitude toward the patients. Nurses should work with the patients from a biopsychosocial approach rather than rely heavily on the traditional biomedical approach by accepting patients holistically as entitled partners. Emphasis should be placed on the consistency of treatment and follow-up programs, including family members in patients’ education programs, and simplifying the treatment regime for the patient. Finally, nurses should give a logical explanation of the treatment approach or intervention (Settineri et al.,2019).

The suitable approach to education for the non-compliant patient is through patient empowerment on what and why. In this approach, the practitioner explains to the patient detailed information about the diseases and the possible choice of treatment. This is a fundamental approach in healthcare as it allows the patient to make their own decision based on their own needs and expectations. This, therefore, will make the patient take responsibility and accept the consequences (Yeh et al., 2018).

References

Cortellini, S., Favril, C., De Nutte, M., Teughels, W., & Quirynen, M. (2019). Patient compliance as a risk factor for the outcome of implant treatment. Periodontology 2000, 81(1), 209-225. https://onlinelibrary.wiley.com/doi/abs/10.1111/prd.12293

Settineri, S., Frisone, F., Merlo, E. M., Geraci, D., & Martino, G. (2019). Compliance, adherence, concordance, empowerment, and self-management: five words to manifest relational maladjustment in diabetes. Journal of multidisciplinary healthcare, 12, 299. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc6499139/

Yeh, M. Y., Wu, S. C., & Tung, T. H. (2018). The relation between patient education, patient empowerment, and patient satisfaction: A cross-sectional-comparison study. Applied Nursing Research, 39, 11-17. https://www.sciencedirect.com/science/article/pii/S0897189717303427

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Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The healthcare professional who will assist in her procedure enters the room and calls “Alma.” There is no reply, so the professional retreats to the work area. Fifteen minutes later, the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass, and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.”

Using the topic 1 material, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case.