Nursing Dx confusion

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"Noncompliance r/t medication"

Does this sound like an appropriate nursing diagnosis to you?

It's for a psych patient... the noncompliance part is right but what about the related to? My instructor is insisting I use this but "r/t medication" doesn't sound right to me. His present episode involves noncompliance with therapy and meds. She said the therapy wasn't important... it was the lack of meds that got him admitted. It may be true but it seems kind of generalizing to me...

I had "non-compliance r/t barriers to communication secondary to developmental delay, autism and ADHD" and got a big fat "NO THAT'S WRONG"

Thoughts?

To me "r/t medication" is as wrong as saying "r/t surgery" it should be something like "compromised skin integrity secondary to surgery"? Or is it not necessary to word it like that?

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Doesn't your program require that you purchasing a nursing diagnosis book?

Amazon.com: Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 9e (9780323071505): Betty J. Ackley, Gail B. Ladwig: Books

I don't really understand what's wrong with the patient. I don't think I've ever used "noncompliance" as a priority nursing diagnosis.

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yes, I have that book and a few others. Noncompliance doesn't list "medication" as a related factor.

It's not my priority dx... the priority dx is related to homocidal ideation. The noncompliance is my secondary dx. I don't want to say too much since this is a real patient.

My question/confusion is the "related to" I had written a dx based on a careplan book and my instructor wanted me to change it to "related to medication" and in all of my previous courses, this would have been unacceptable.

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R/T = why

So I agree with you that r/t medication doesn't make sense and is unacceptable. I would ask your instructor for additional clarification. If he/she can not provide it to you then just give them what they want and then speak to another instructor, one that you trust and have a good relationship with, to see what the deal is.

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Maybe Deficient knowledge r/t cognitive limitation (secondary to autism) aeb patients noncompliance with drug therapy?

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Specializes in ED/ICU/TELEMETRY/LTC.

How about this?

Somnolence r/t medication noncompliance due to develomental delay.

:)

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Specializes in Emergency, Telemetry, Transplant.

Noncompliance r/t pt's belief that medication will not help him AMB pt's refusal to take medication, pt statements. Just a thought... Either way, just saying "r/t medications" is way too vague. Did your instructor offer information/suggestions other than "no, that's wrong"? If she didn't, shame on her.

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Noncompliance r/t pt's belief that medication will not help him AMB pt's refusal to take medication, pt statements. Just a thought... Either way, just saying "r/t medications" is way too vague. Did your instructor offer information/suggestions other than "no, that's wrong"? If she didn't, shame on her.

No, she didn't. I KNOW r/t medication is wrong but that's what she wants, maybe because 30 years ago when she was in nursing school that was acceptable. So like another poster suggested, I'll just give her what she wants, pass the class, and keep in the back of my mind the right way to do it. This instructor is a um, a very strong personality and I know trying to gain clarification or reason with her isn't going to get me anywhere but on her poop list.

Anyway, thanks for the replies, I really just wanted confirmation that "r/t medication" wasn't proper form.

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