I'm trying to come up with a nursing dx for a patient with osteoarthritis who has refused physical therapy treatment. Reason: pt stated that she don't think it helps
Which would be a great nursing dx:
Ineffective management of therapeutic regimen r/t lack of understanding of the implications of not following the prescribed treatment plan.
or
Ineffective health maintenance r/t lack of understanding the benefits of physical therapy AEB non-copliance with the prescribed treatment.
or
Ineffective management of therapeutic regimen r/t lack of understanding of the implications of not following the prescribed treatment plan AEB non-compliance and patient states "I don't think it helps."
Ineffective management of therapeutic regimen r/t lack of understanding of the implications of not following the prescribed treatment plan AEB non-compliance and patient states "I don't think it helps."
Is more like;
Noncompliance r/t lack of knowledge AEB pt. refusing physical therapy and reports "I don't think it helps."
I am thinking is a possibility. As GrnTea pointed out Ineffective management of therapeutic regimen isn't a NANDA
As Ineffective self maintenance or risk of ineffective self maintenance are closely related to noncompliance, but as I understand it is more related to unhealthy behaviors like smoking or high fat diet. Where as noncompliance is going against medical advice. They can correct me if I am wrong.
I don't see anything there that says anything about lack of compliance being a defining characteristic (BTW, we don't us that word anymore-- we use "adherence," as it is the patient's choice whether to adhere to a medical or nursing plan of care, not to chose to comply with "orders.")
I don't see this in my nursing diagnosis book, is it something fairly new?
Yes. "Deficient knowledge related to the regimen behavior" is a related factor for the nursing diagnosis of "Noncompliance." (Note that the definition for the diagnosis uses the word "adherent" very explicitly.)
Defining characteristics do include "Behavior indicative of failure to adhere."
Hooray! Somebody's reading! :flwrhrts:
"Compliance" vs. "adherence" has been around for years. Think about the difference and see how it affects your outlook on patient care-- nursing plan of care that takes into account patient characteristics and needs vs. medical plan of care that treats a condition.
RLtinker, LPN
282 Posts
Is more like;
Noncompliance r/t lack of knowledge AEB pt. refusing physical therapy and reports "I don't think it helps."
I am thinking is a possibility. As GrnTea pointed out Ineffective management of therapeutic regimen isn't a NANDA
As Ineffective self maintenance or risk of ineffective self maintenance are closely related to noncompliance, but as I understand it is more related to unhealthy behaviors like smoking or high fat diet. Where as noncompliance is going against medical advice. They can correct me if I am wrong.
I don't see this in my nursing diagnosis book, is it something fairly new?