Quote from Neats
Client is receptive to teaching and can verbalize, and demonstrate instruction back to you when being taught about diabetes control, (this is where I think non compliance).
If the client is as stated above, then I don't see a cognitive problem necessarily. Unless once you teach him, he actually forgets how and why
to perform what you taught... such as with a memory deficit (for example). Since the patient can demonstrate, then it isn't a psychomotor skill issue. If the how and why are there, then Deficient Knowledge
no longer fits as a primary but more of a related to (Carpenito, 2002). Therefore I would agree with a knowledge deficit, but I would put it as a r/t factor.
Ineffective Therapeutic Regimen Management r/t lack of knowledge of diabetes mellitus, management, and signs and symptoms of complications AEB inability to manage disease process and multiple DKA admissions.
This leads me to thinking that at times it is splitting hairs. You can present your patient to 3 different nurses and you will get 3 different diagnoses. I have seen this happen many times with nurses. They go 'round and 'round. The kicker is that they almost always agree with the interventions. So I don't get stuck on word play as long as our actions are where they should be.
I just wanted to explain my rationale for my initial post.