NONCOMPLIANCE, why be at the big H? in the first place? - page 3
I was discussing with fellow coworkers the unwillingness of patients at my hospital to get with the program: COPDers with pneumonia receiving a breathing treatment followed by a dose of morphine... Read More
Feb 2, '07Specialty: ED, PACU, OB, Education ; Joined: Sep '06; Posts: 43; Likes: 8It's called patient's rights and responsibilities. They seem to forget there is a second part to that phrase. We point out to them that they have those responsibilities and they have freedom of choice. But if their freedom of choice clashes with the best treatment plan for them, then they are invited to exercise their freedom of choice elsewhere.
I too am a fan of license to reproduce.
I am also a believer in theories such as survival of the fittest and natural selection.
Feb 2, '07Occupation: RN Specialty: 20 year(s) of experience in Critical care ; From: US ; Joined: Jan '02; Posts: 807; Likes: 669Arwen brings up a point, if the patient is, for whatever reason, near the end of live I see no reason to push treatment on them. Let them enjoy what time they have left.
BUT, if they aren't and the have been taught and taught and taught, yet are still doing the very things that cause their problem, I don't want to see them. Yes, they have the right to decline treatment (not a big fan of saying refused treatment), but if they are doing so, don't bother to come in.
You do have the right to kill yourself slowly by not following medical advice, but don't take up the valuable time that I can use to treat the patients that really want the help.
If you really need to smoke that badly, stay at home and do it there.
Feb 2, '07Occupation: RN Specialty: * Cardiology * Oncology * Medsurge RN ; Joined: Dec '06; Posts: 1,220; Likes: 855[mouse]Quote from Arwen_U[/mouse]If my pt is 80, diabetic, eats like crap & doesn't want to check her sugar, I really don't care. Is it really a good use of my time to get in her face & preach? Nah. A 45-yo, OTOH, who eats crap, smokes, & has an A1C of 12, well, that bugs me.
I totally agree, lifestyle choices made by an elder are probably so ingrown, like a toenail LOL that the idea of convincing them to change is futile. And, I would like to add that this to me involves the aspect of respecting my elders...too often we in this field don't...by stating "Grandma, or Grandpa, or Hun" and not their name when addressing them and taking away their dignity.
Feb 2, '07Joined: Nov '06; Posts: 20,715; Likes: 23,951Quote from tvccrnIf you really need to smoke that badly, stay at home and do it there.
Amen to that.
What really gets my goat is the women in preterm labor who are on bedrest (that's a joke) who go downstairs 7 times a day to smoke & wonder why they're still contracting.
Feb 2, '07Occupation: ER Nurse Specialty: 7 year(s) of experience in Med/Surge, ER ; Joined: Jan '07; Posts: 136; Likes: 9I work in the ED, and I feel that if you are well enough to smoke, then you are well enough to go home!! That goes for on the floors as well.
Feb 4, '07Joined: Feb '04; Posts: 842; Likes: 576The facility that I work at has a smoking area for patients. I have ALWAYS been of the mind-set that "if you can put on your robe, push your IV pole and trudge your butt out in freezing temps to the smoking area...you don't need to be here!" Then the lungers that come back in wheezing and say they need a treatment! ARRGH!
Feb 4, '07Occupation: Medical Imaging RN~Special Procedures CT Specialty: 33 year(s) of experience in OB, M/S, HH, Medical Imaging RN ; Joined: Aug '04; Posts: 6,708; Likes: 1,449At the HH company that I work for, we discharge for non-compliance. We feel as though if harm comes to the patient due to their non-compliance, and we were aware of it, then we may be held liable in some way. The risk is too great for the agency. I wonder why insurance companies continue to pay for repeat hospitalizations due to non-compliance. i.e. COPD exacerbation. If they audited the chart and saw that the pt was going out to smoke....HELLO! it seems to me it's kinda like they're defrauding the insurance company. No wonder our healthcare is so outrageously high!