Plan to Help Patient Be Compliant with a Procedure Post-Treatment Medication and Approach to Patient Education
The ultimate goal of every medical therapy and procedure is to produce defined results in the individuals involved. These desirable outcomes are part of the goals of illness or diagnosis and management. Despite the efforts of healthcare experts, if a patient is uncooperative, the outcomes may not be achieved (Papadakis et al., 2019).
This shortfall may have substantial and negative consequences in terms of illness management. Therapeutic compliance encompasses not just medication compliance but also diagnostic procedure food, exercise, and lifestyle modifications.
In Alma’s case, the nurse needs to approach the patient humbly, introduce himself to create a rapport, and let the patient introduce themselves in a manner they want their mane to be pronounced. Secondly, the nurse should be concerned that the patient did not respond and go to the nurse when called twice.
It is evident that Alma does not know what to expect during the procedure, and so the nurse needs to explain the procedure to the patient, why they are doing it and what they intend to achieve (Papadakis et al., 2019). Since invasive procedures do cause pain and the patient is anxious, the nurse needs to ease anxiety and give prophylaxis pain medication like tramadol to reduce pain.
It is important that the patient, who is elderly, be accompanied by a caretaker because the patient is at risk of dementia and will not follow all instructions on taking medication after the procedure. The nurse must ensure that Alma has signed informed consent to the procedure and, lastly, reassure the patient.
To help Alma comply with post-treatment medication, follow up with the patient after treatment by sending prescription reminders via SMS, email, or scheduling appointments for chronic care management services (Kini & Ho, 2018). Schedule follow-up sessions to discuss drug adherence as well.
The approach the nurse would take to patient education, in this case, is to make use of local pharmacists who may not only educate patients and assist them in navigating low-cost but also remind the nurse to call patients who do not renew their prescriptions, assisting providers in addressing compliance issues before they escalate out of hand.
The nurse also needs to recognize the patient’s medication-taking habits while discussing the negative consequences. Patients who experience adverse effects are less likely to discontinue the medicine if they are aware of the potential adverse effects ahead of time (Kini & Ho, 2018). The nurse should discuss these side effects with patients and explain ways to avoid an unfavorable medication reaction.
References
Kini, V., & Ho, P. M. (2018). Interventions to improve medication adherence: a review: a review. JAMA: The Journal of the American Medical Association, 320(23), 2461–2473. https://doi.org/10.1001/jama.2018.19271
Papadakis, M., Meiwandi, A., & Grzybowski, A. (2019). The WHO safer surgery checklist time out procedure revisited: strategies to optimize compliance and safety. International Journal of Surgery (London, England), 69, 19–22. https://doi.org/10.1016/j.ijsu.2019.07.006
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Using Collaboration to Assist Patient Compliance
In health care, diverse professions collaborate to achieve a common objective, and skill mixing is essential regularly. Interdisciplinary team differences can be a hurdle while connections are still being established. The alternative is to demonstrate that the competencies of the integrated health care team supplement nurses and the primary care workforce, ultimately contributing to superior patient care (Keshmiri et al., 2020).
One of the key ways that might be used to improve patient compliance is collaboration across various professions. Teamwork in a hospital context should occur between the nurse and physicians, psychiatrists, and counselors. Collaboration may also include other people, such as patient caregivers.
In Alma’s case, a psychologist needs to be contacted to advise the patient on the importance of the procedure and allay any anxiety (Keshmiri et al., 2020). A psychiatrist might be needed to assess and evaluate for dementia. A psychologist is required to find the root cause of patient cooperation and solve them as well as possible causes of medication non-adherence.
Inter-professional collaboration can adopt a patient-centered approach to change patient behavior by detecting and absorbing patients’ clinical and personal needs. Determining what is vital to that patient in terms of clinically what they need to understand, what they truly want to comprehend psychologically, and how to effectively communicate that knowledge to the specific patient, is part of inter-professional collaboration.
Competent patient-centered inter-professional cooperation understands the level at which a patient interaction must be pitched for the patient to obtain confidence and respect (Kvarnström et al., 2018). Recognizing and setting appropriate limits is critical for health care professionals, and the ability to do so regularly and consistently is a crucial aspect of patient-centered inter-professional teamwork (Kvarnström et al., 2018). This informs the patient about the risks and consequences of refusing a procedure or medication.
References
Keshmiri, F., Rezai, M., & Tavakoli, N. (2020). The effect of interprofessional education on healthcare providers’ intentions to engage in interprofessional shared decision-making: Perspectives from the theory of planned behavior. Journal of Evaluation in Clinical Practice, 26(4), 1153–1161. https://doi.org/10.1111/jep.13379
Kvarnström, K., Airaksinen, M., & Liira, H. (2018). Barriers and facilitators to medication adherence: a qualitative study with general practitioners. BMJ Open, 8(1), e015332. https://doi.org/10.1136/bmjopen-2016-015332