[mariedoreen]

Originally Posted by RN4NICU

Who won't let you use the word noncompliant? I truly hope that there is a better rationale than "it is too negative"!

That is a dangerous limitation to put on you. Documentation of noncompliance is what protects nurses legally. It shows that we are doing we are supposed to do, but that the patients (or "clients" ) are cooperating. That shifts the legal responsibility for any negative outcome from the nurses back to the patient, which is where it belongs if the patient is noncompliant with the plan of care. I would look into having that side of things addressed. It is not a good precedent to set. The chart is a legal document - not a newspaper article. The focus should be on documenting what is actually happening, not keeping up appearances. If student nurses are being taught otherwise, they will graduate and enter the profession not knowing how to (or realizing that they should) protect themselves, legally. That is just unacceptable.

There's supposed to be another word for it, because non-compliant is not considered PC anymore. Our instructors can't remember what this other word is however...

[michelle95]

Ineffective therapeutic management or something like that is used for "noncompliance". I'll have to look up in my notes what my teacher said.

Yeah.

[sara610]

Klone,

Cheer up! I thought they were funny too!

Last semester, our instructor told us she wanted us to be creative with our NANDAs, so I used the "Disturbed Energy Field"...I got the star for being creative that day! (between you and me, I didn't really understand it then, and I don't think I do now, but it was fun working out interventions and evaluations for it! )

[Claver]

In home care we use nursing diagnoses on our oasis and plans of care. However, since in the DD field nursing diagnoses are not used. I often wonder why are they called by such long boring names - we can not use medical terms - so constipation becomes "ineffective bowel evacuation "YIPES!!!!!

[HappyNurse2005]

I often wonder why are they called by such long boring names - we can not use medical terms - so constipation becomes "ineffective bowel evacuation "YIPES!!!!!

But Constipation is a nursing diagnosis, according to my Ackley/Ladwig book. Unless you are just using constipation as a random example, I dont understand why you couldn't say it.

In regards to using medical words, we were told we couldn't use a medical dx as the r/t part, but could use it as the secondary to. For ex : "risk for infection r/t hyperglycemia secondary to diabetes mellitus"

[helpinghands]

We were also told not to use the term "compliant" because it sounded to negative. The new pc term we were told to use is "does not adhere"

[Marie_LPN, RN]

"Does not adhere" sounds like a Band-Aid that isn't sticky anymore.

[Fiona59]

I hate the term "client". I always think it makes us sound like high class call girls.


As in "I had a six bed assignment last night with five clients".

[Marie_LPN, RN]

I hear 'client', i think of Hair Club for Men.

"And i'm not only the club president, but i'm also a client!"

[RN4NICU]

Originally Posted by helpinghands

We were also told not to use the term "compliant" because it sounded to negative. The new pc term we were told to use is "does not adhere"

Nothing like nursing texts and instructors to make too big a deal over semantics. Does not adhere and noncompliant mean the exact same thing - the patient is not doing what he/she is supposed to do. Actually, I think "does not adhere" just makes the nurse sound like he/she doesn't know the term "noncompliant". And I agree with Marie, it sounds like a cheap-o bandaid, not a patient.