Dealing With A Non Compliant Patient Essay

Dealing With A Non Compliant Patient Essay

Length: 2318 words (6.6 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

Dealing with a non compliant patient

Context and description
This report will outline a personal reflection that occurred during the hospital placement in October. A 78-year-old male patient, a local GP, with a medical history of type II diabete mellitus for thirty years and severe peripheral neuropathy presented at the high-risk foot clinic for a weekly routine treatment. He wears a pair of darco boots and presented with neuroischemic ulcers on both feet. As this patient was allocated for student to treat for the day, and I obtained the patient’s permission before the treatment began.

Left hallux was deteriorated further from last week’s pictures, which required an aspiration from the lesion to investigate further whether this lesion is infected again. Left fourth and fifth inter-digital ulcerations were not improved, and right dorsum of second digit’s ulcerated wound was epithelised. Saline flushed and mildly debride the lesions with blacks file and mosquito forceps. Wound dressed with bactroban, baitain and mefix on left hallux, and baitain with mefix on other lesions. Felt deflection provided to the ulceration lesion of right first MTPJ, and added felt pad on MLA to support further on his arch.

Personal reflection and analysis
At first I was excited for treating this patient as he is currently a medical practitioner and has been with the complicated issues for such a long period, and I was expecting to obtain a valuable learning experience from his fascinating story and experience. However he looked very tired and was not willing to share his thought much with anyone else. He was not looking after himself well such as not regularly checking his BGL. All this appearance surprised me as I had thought of him, a medical pract...


... middle of paper ...


...o improve this area of communication skill, which is not limited in this one case. Stille et al. (2011) reported that more engaging with ‘SBAR’ tool can improve effectiveness and efficiency for the care in physicians’ community and team communications in coordination of timely, safe, high quality care to patients. “Without effective and timely communication between physicians, both the quality of care and the patient experience can suffer” (O’Mally & Reschovsky, 2011).

Conclusion
- I have to evaluate the patient’s circumstance quicker but carefully.
- Practice more in effective ways of communication skills and techniques.
- Time is money.
- Practice and improve quick thinking and act faster.
- Over-reacting is better than under-reacting, especially in urgent case like this one.
- Provide a simple but clear instruction to other practitioners as well as to patients


Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Essay on A New Patient Bill Of Rights

- Studies have shown that non-compliance causes 125,000 deaths annually in the US, leads to 10 to 25 percent of hospital and nursing home admissions, and is becoming an international epidemic (Smith, 1989). The healthcare field is very familiar with attempting to deliver ethically and medically appropriate care to patients who are either actively or passively interfering with or refusing to cooperate with their treatments or plans of care (NET, 2001). By dealing with these patients healthcare professionals are having to deal with high demands of services and the patients will only seek services on their own terms....   [tags: Health care provider, Health care, Patient]

Better Essays
1432 words (4.1 pages)

Essay about Adminestering Medication to Non-Compliant Patients

- ... Relevant theory The most relevant theory in this situation is the preservation of integrity for the patient and in my practice. In order to preserve integrity and social justice I want to attain a respectful nurse-patient relationship. The nurse-patient relationship in high acuity as written in Module 1 BCIT High Acuity course “is one of the central aspects of high acuity nursing practice” (Bungay, 2005, p. 40). I feel confident this theory is the central aspect of all nursing practice. All patients, including the one I’m referring to in this journal, has her own unique beliefs, history, and experience....   [tags: healthcare professionals and practices]

Better Essays
937 words (2.7 pages)

The Importance Of Empathy Throughout Nursing Practice Essay

- Introduction The aim of this paper will be to demonstrate a further understanding following the meaning of empathy throughout nursing practice. Patient situation With my clinical placement being in the cardiology unit at Hamilton General I have been exposed to a variety of acute circumstances that required continuous critical thinking skills. Thus, with periods of such high demand and acute care situations it becomes undoubtedly difficult at times to acknowledge the patient as a whole and understand their story....   [tags: Psychology, Emotion, Health care, Patient]

Better Essays
703 words (2 pages)

Who Is An Accountable Care Organization? Essays

- I currently have several advocacy interests that have evolved from my current role as an Accountable Care Organization (ACO) administrator and also as a patient. I am most passionate about informed consent, and helping nurses and physicians understand the patient’s perspective, and how personal bias can unintentionally happen when presenting treatment options. I have had some unfortunate events in my life that have led to treatments including many new biological medications, and some surgeries so I have firsthand experience of being presented with situations of informed consent....   [tags: Patient, Surgery, Physician, Informed consent]

Better Essays
774 words (2.2 pages)

Patient Centric Healthcare : When Dealing With Healthcare Essay

- Patient-Centric Healthcare When dealing with healthcare, many individuals forget to focus on the patient’s welfare, actually, many people in this community forget that as health care professionals, one is actually working to help the patients. The responsibility of every aspect of any healthcare professional is to support the idea of improving the quality of health care services. The writer believes that the industry of health care, with its growing popularity, have attracted investors who do not care about patient care....   [tags: Health care, Health care provider, Healthcare]

Better Essays
1852 words (5.3 pages)

Essay Health Of The Patient And The Family Dealing With The Chronic Illness

- Chronic illness can consist of a single or multiple illnesses that last over a period of time (Kaakinen, Coehlo, Steele, Tabacco, & Hansen, 2015). For this assignment, I will choose a chronic illness that could affect a patient in my nursing practice. I will discuss three ways I could promote the health of the patient and the family dealing with the chronic illness. I will end this discussion with a conclusion. I chose to discuss a chronic illness that has actually affected my family, rather than an illness that could affect a patient of mine....   [tags: Medicine, Illness, Health care, Cancer]

Better Essays
802 words (2.3 pages)

Dealing With Death On A Regular Basis Essay

- Dealing with death on a regular basis can take a toll on a person. Being a hospice nurse will never be easy and is certainly not for the faint of heart. A hospice nurse watches patient’s health decline, often times very rapidly, and many times sit by the patient’s side as they pass away. It can be exhausting both emotionally and physically. You need to have a big heart and a strong will to help those in need for the occupation. Sara Schmidt certainly never saw herself in the profession, but discovered that she has a true love for helping people....   [tags: Patient, Hospital, Old age]

Better Essays
1794 words (5.1 pages)

Hipaa Compliant Xamarin Mhealth App Development Essay

- HIPAA Compliant Xamarin mHealth App Development HIPAA Compliant Xamarin mHealth App Development Any device that stores, receives or transmits protected health information or PHIs between covered entities and their business associates is subject to HIPAA security and privacy rules. This rule also applies to the apps that run on these devices and connect to covered entities. The term mHealth, which is also called m-health or mobile health, refers to the practices of medicine, psychological treatments, counseling and ensuring public health....   [tags: Health care]

Better Essays
1406 words (4 pages)

Is Hipaa Compliant Messaging? Essay

- HIPAA Compliant Messaging Everyday new technologies are being developed to make it easy to communicate, do a job or travel among other things. In healthcare, transformative solutions have been created to enhance information gathering,, treatment, communication and research. The benefits offered by these solutions have given medical providers fresh way of practicing medicine and new tools to do their work. Some of the biggest impacts technology has had on healthcare are evident in the following areas: • Internet as an information resource - the number of people using the internet to search variety of information including those related to health has been rising steadily since early 2000’s....   [tags: Health care, Medicine, Health care provider]

Better Essays
863 words (2.5 pages)

Osha Complacent Or Compliant? Essay example

- OSHA Complacent or Compliant. Dr. Scott Harrington was recently asked about sterilization and drug procedures in his two offices, he simply replied, ‘My staff takes care of that; I don’t.’ According to OSHA, not knowing is simply not an acceptable answer (Baker). Don’t be confused or complacent when complying with OSHA regulations” (Baker). The mission of Occupational Safety and Health Administration (OSHA) is to ensure a safe and healthy workplace for American Workers (Baker). The goal of OSHA is to help employers protect themselves as well as their employees from work related injuries, illnesses, or deaths....   [tags: Occupational safety and health, Protection]

Better Essays
733 words (2.1 pages)