Noncompliance diagnosis

Published

I'm having a hard time with the aeb part of the diagnosis...

Background: Diabetic patient with a stage III ulcer on one foot and 3 stage II lesions on another that looks fairly new....

Diagnosis: Noncompliance r/t increasing disease-related symptoms despite adherence to advised regimen aeb three stage II lesions on left foot

I already have an impaired tissue integrity for the stage III on the right foot and a risk for injury but i need one more that is not a risk

Thank you for any help

Up Vote Up Vote ×
Specializes in OR, Nursing Professional Development.

You may want to revisit the definition of noncompliance. If the patient is adhering to the advised regimen, how does it meet the definition?

Up Vote Up Vote ×
Specializes in LTC.

If pt is adhering to regimen they are by definition compliant.

Up Vote Up Vote ×

Thats what it says in the NANDA related factor verbatim

Up Vote Up Vote ×
Specializes in OR, Nursing Professional Development.
Thats what it says in the NANDA related factor verbatim

Is that from the book actually published by NANDA? Because if a patient is following the prescribed regimen, they are by definition compliant. The issue is that the prescribed regimen isn't doing what they need.

Up Vote Up Vote ×
Specializes in Complex pedi to LTC/SA & now a manager.

The definition of noncompliance does not match your diagnosis

Behavior of person and/or caregiver that fails to coincide with a health- promoting or therapeutic plan agreed on by the person (and/or family and/or community) and healthcare professional. In the presence of an agreed-upon, health-promoting, or therapeutic plan, the person's or caregiver's behavior is fully or partly nonadherent and may lead to clinically ineffective or partially effective outcomes.

It is not in spite of following the treatment/plan of care.

Defining Characteristics

Development-related complication

Exacerbation of symptoms

Failure to meet outcomes Missing of appointments Nonadherence behavior

Related to (individual)

Insufficient motivation Insufficient skills to perform regimen

Insufficient social support Spiritual values incongruent

with plan

Values incongruent with plan

Cultural incongruence Expectations incongruent with

developmental phase

Health beliefs incongruent with plan

Insufficient knowledge about the regimen

Up Vote Up Vote ×
Specializes in Hospice, Palliative Care.

Are you 100% certain it is non compliance vs. a lack of education, support systems, etc.?

Up Vote Up Vote ×
I'm having a hard time with the aeb part of the diagnosis...

Background: Diabetic patient with a stage III ulcer on one foot and 3 stage II lesions on another that looks fairly new....

Diagnosis: Noncompliance r/t increasing disease-related symptoms despite adherence to advised regimen aeb three stage II lesions on left foot

I already have an impaired tissue integrity for the stage III on the right foot and a risk for injury but i need one more that is not a risk

Thank you for any help

JustBeachyNurse has nailed it. :waving:: She obviously has the current NANDA-I 2015-2017. (p. 150) This is the only resource that anybody can rely on for accurate and uptodate nursing dx. Those handbooks are always a few years behind because it takes at lest 2-3 yrs to write and publish them.

There is no related factor for noncompliance that is increasing disease-related symptoms despite adherence.

Related to in nsg dx means caused by, not happening at the same time as.

Check https://allnurses.com/general-nursing-student/care-plan-books-901616.html and later posts by the same poster.

Up Vote Up Vote ×
Specializes in Complex pedi to LTC/SA & now a manager.
Thats what it says in the NANDA related factor verbatim

No it does not in the current edition. Post your assessment and I will point you in the direction of the better nursing diagnosis but actually applies to assess your assessment

Up Vote Up Vote ×
+ Join the Discussion