Noncompliance in Patients

Paper Summary:

The paper explores the ethics of the practice of terminating patients for lack of compliance to prescribed medical treatments. The paper also researches the ramifications of this practice for the patient and for the medical practice. The paper then looks at the alternatives to dismissing a patient and discusses the steps that can be taken by the nurse practitioner to help avoid this unfortunate event.

Outline:
Factors Affecting Patient Noncompliance
Legal Ramifications of Discontinuation of Treatment
Conclusion

From the Paper:

"Advanced Practice Nursing represents a partnership between the patient and service provider. Many times the success of the treatment plan depends on the patient taking responsibility for compliance with certain prescribed actions. Examples of these actions include taking prescribed medication as directed, following a certain diet, or following an exercise regimen. If a patient does not follow the treatment plan, it can jeopardize the outcome of the treatment. Many physicians and other medical practitioners now view patient noncompliance as a breach of the relationship."

Sample of Sources Used:

• Barber, N., Parsons, J., Clifford, S., Darracott, R., & Horne, R. (2004). Patients' problems with new medication for chronic conditions. Quality and Safety in Healthcare. 13(3): 172 - 175.
• Chatterjee, J. (2006). From compliance to concordance in diabetes. Journal of Medical Ethics. 32(9): 507 - 510.
• Chisholm, M., Lance, C. & Mulloy, L. (2005). Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. American Journal of Health- System Pharmacy. 62 (17): 1775 - 1781.
• Eastern, J. "Dismissing Patients Properly." 1 Jun 2006. OB/GYN News. Accessed 11 Sept. 2008. http://findarticles.com/p/articles/mi_m0CYD/is_/ai_n26906768.
• Gehi, A., Haas, D., Pipkin, S. & Whooley, M. (2005). Depression and Medication Adherence in Outpatients with Coronary Heart Disease: Findings from the Heart and Soul Study. Archives of Internal Medicine. 165(21): 2508 - 2513.

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