Tackling non compliance patients

[babyjoyce78]

Dear all,

Anybody know how to tackle non compliance patient with psychiatirc disturbances, in terms of non educational strategies and educational interventions?

PLease gimme some suggestions.

Thanks

[RN92]

It will take a team of people...You, a psychiatrist, his family and a social worker to be actively involved in assisting his treatment - and follow up. That said, sometimes, you have to realize that theres only so much you can do with non-compliant pts. They have to take some responsibilty (unless he's totally incompetent). You wont be able to help everybody - all you can do is try.

[mattsmom81]

It can sure be frustrating, particularly when you have a paranoid suspicious patient who has major health and psych issues but does not trust the healthcare providers, nor does the family want to intervene legally. Or the patient won't listen to family so they give up.Often neighbors will be the ones raising concerns through police or adult protective services. When I get them in the hospital, frequently as soon as they are better/able to leave they go AMA, and unless there are cut and dried legalities I usually must let them leave. While occasionally we may be able to reach out through the system, many times we cannot, and will see many as repeat 'frequent flyers' utilizing the system in emergencies then back to their lifestyles as usual. We can only do what we can do.

[babyjoyce78]

HI there!

Thanks for your reply.

But, can you give me an example of an educational intervention for these types of patients?

Thanks!

It can sure be frustrating, particularly when you have a paranoid suspicious patient who has major health and psych issues but does not trust the healthcare providers, nor does the family want to intervene legally. Or the patient won't listen to family so they give up.Often neighbors will be the ones raising concerns through police or adult protective services. When I get them in the hospital, frequently as soon as they are better/able to leave they go AMA, and unless there are cut and dried legalities I usually must let them leave. While occasionally we may be able to reach out through the system, many times we cannot, and will see many as repeat 'frequent flyers' utilizing the system in emergencies then back to their lifestyles as usual. We can only do what we can do.