No insurance diagnosis

[2theBeauxn]

Quick question:

I have a pt who waited 2 days to go to the hospital because he has no insurance. Is there a nursing diagnosis for a pt with no health insurance?

[VickyRN, MSN, DNP, RN]

Just off the top of my head...

Ineffective Therapeutic Regimen

Noncompliance r/t lack of financial support secondary to no medical insurance AEB delay in seeking treatment

[DolceVita, ADN, BSN, RN]

I actually would not use word like noncompliance in this case. Also, as there is no regimen actually in place to manage prior to seeking health care it doesn't quite fit.

I like:

Ineffective health maintenance r/t impairment of personal support systems AEB insufficient resources (financial).

It sounds a bit less like a comment on the person's motives. But Vicky teaches this stuff.

[caliotter3]

Well, whatever it is, I am guilty of it. When I did not have insurance I avoided medical care until it was almost too late. I needed surgery and knew it and did not have the money to pay out of pocket. I suspect there are a lot more people like me.

[DolceVita, ADN, BSN, RN]

I did too. It resulted in a crippling bill of over 350K. Had I insurance I could and would have gone in days before. I might still have needed hospital for IV ABX but not a month in ICU.

Sheesh.

[mammac5]

We've learned to use "non-adherance" rather than "non-compliance" since it's supposed to sound less punitive or some such!

[2theBeauxn]

Thanks for your help! It seems the more I think about these nursing diagnoses more they don't make sense. I tend to overanalyze every diagnosis till it no longer fits!