- Actual
- Risk for (Potential)
Related To: [Check those that apply]
- Complexity of health care
- Complexity of therapeutic regimen
- Decisional conflicts
- Economic difficulties
- Excessive demands made on individual or family
- Family conflict
- Family patterns of health care
- Inadequate number and types of cues to action
- Knowledge deficit of prescribed regimen
- Perceived seriousness
- Perceived susceptibility
- Perceived barriers
- Social support deficits
- Perceived powerlessness
As evidenced by: [Check those that apply]
- Choices of daily living ineffective for meeting the goals of treatment or prescription program
- Increased illness
- Verbalized desire to manage illness
- Verbalized difficulty with prescribed regimen
- Verbalization by patient that he or she did not follow prescribed regimen
Patient’s Diagnosis: –
Date:-
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- describes intention to follow prescribed regimen.
- describes or demonstrates required competencies.
- identifies appropriate resources.
- Others
Note: you need to indicate time frame/target as objective must be measurable.
| Nursing Interventions | Scientific Rationale |
|---|---|
| Assess for related factors that may negatively affect success with following regimen. | Knowledge of causative factors provides direction for subsequent intervention. This may range from financial constraints to physical limitations. |
| Assess patient's individual perceptions of their health problems. | According to the Health Belief Model, patient's perceived susceptibility to and perceived seriousness and threat of disease affect his or her compliance with the program. |
| Assess patient's confidence in his or her ability to perform desired behavior. | According to the self-efficacy theory, positive conviction that one can successfully execute a behavior is correlated with performance and successful outcome. |
| Assess patient's ability to learn or remember the desired health-related activity. | Cognitive impairments need to be identified so an appropriate alternative plan can be devised. |
| Include patient in planning the treatment regimen. | Patients who become co-managers of their care have a greater stake in achieving a positive outcome. |
| Inform patient of the benefits of adherence to prescribed regimen. | Increased knowledge fosters compliance. |
| Simplify the regimen. Suggest long-acting forms of medications and eliminate unnecessary medication. | The more often patients have to take medications during the day, the greater the risk of not following through. |
| Eliminate unnecessary clinic visits. | The physical demands of traveling to an appointment, the financial costs incurred, the negative feelings of being talked down to" by health care providers can cause patients to avoid follow-ups when they are required." |
| Develop with patient a system of rewards that follow successful follow-through. | Rewards may consist of verbal praise, monetary rewards, special privileges (earlier office appointment, free parking), or telephone calls. |
| Use a variety of teaching methods. | Different people learn in different ways. |
| Introduce complicated therapy one step at a time. | Allows learner to concentrate more completely on one topic at a time. |
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