NURSING CARE PROCESS Nursing Diagnosis Cues Noncompliance r/t deficient knowledge relevant to regimen behavior Subjective: Objective:

Analysis 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-on healthpromoting or therapeutic plan, persons or caregivers behavior is fully or partially nonadherent and may lead to clinically ineffective or partially ineffective outcomes (NANDA p.473)

Goals & Objectives Goal: After 1 week of nursing intervention, the client will be able to verbalize accurate knowledge of condition and understanding of treatment regimen. Objectives: After 8 hours of demonstration, the client will be able to verbalize commitment to mutually agreed upon goals and treatment plans as evidenced by:

Nursing Interventions

Rationale

Evaluation

Wala ako mailagay Listen to/active listen to clients chief complaints, comments. Helps to identify clients thinking about the treatment regimen Dito din

Dev elop therapeutic nurseclient relationship.

Develops trust, provide atmosphere in which client/SO

can freely express views/concerns. Adherence assessment is most successful when conducted in a positive, non judgmental atmosphere

Identify factors that interfere with taking medications o r lead to lack of adherence ( e.g., depression, low literacy, lack of support, lack of belief in treatment efficacy.)

Forgetfulness is the most common reason giv en for not complying with the treatment plan.

Determine who manages the medication regimen and whether individual knows what the medications are and why are they prescribed

Helps the patient or SO/s to know the importance of medication.

Explore client involvement in or lack of mutual goal setting.

Client will be more likely to follow-through on goals he participated in developing.

Review treatment strategies. Identify which interventions in the plan of care are most important in meeting therapeutic goals and which are least amenable to compliance involve family and friends in health planning conferences.

Sets priorities and encourages problem solving areas of conflict Family members need to understand that care is planned to focus on what is most important to the patient. This enables the patient to maintain a sense of autonomy.