Noncompliance
Noncompliance
(_) Exercise (_) Follow-up Care (_) Medication (_) Other
| (_) Chronic illness (_) Fatigue (_) Depression (_) Non supportive family (_) Inadequate/incomplete instructions (_) Denial of Dx | (_) Side effects of therapy/med (_) Impaired ability to perform tasks (_) Expensive therapy (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major: (Must be present) | (_) Verbalization of non-compliance or non-participation or confusion about thrapy and/or (_) Direct observation of behavior indicating non-compliance |
| Minor: (May be present) | (_) Missed appointments (_) Partially used or unused medications (_) Progression of disease process. (_) Persistance of symptoms |
| Date & Sign. | Plan and Outcome [Check those that apply] | Target Date: | Nursing Interventions [Check those that apply] | Date Achieved: |
| The patient will: (_) Demonstrate compliance with:
(_) Other: | (_) Assess patient's:
(_) Allow patient and s/o to verbalize feelings about situation/ (_) Adapt regime to patient's level of comprehension. (_) Involve patient - s/o in planning compliance. (_) Emphasize positive aspects of compliance. (_) Instruct patient - s/o about meds:
(_) Set goals with patient. (_) Consult with:
(_) Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
Friday, May 16, 2008
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Labels:
care plan
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This entry was posted on Friday, May 16, 2008
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