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This involves the patient in a formal commitment and gives the patient a sense of personal control.
In the presence of an agreed-on, health-promoting or therapeutic plan, person’s or caregiver’s behavior is fully or partially nonadherent and may lead to clinically ineffective or partially ineffective outcomes DEFINING CHARACTERISTICS • Behavior indicative of failure to progress • Complications or evidence of exacerbation of signs and symptoms • Failure to keep appointments and adhere to treatment regimen • Objective indications (e.g., laboratory tests, physiologic markers) RELATED FACTORS Health system Individual • Access to, convenience of care • Cultural/spiritual values • Client–provider relationships • Developmental and personal • Individual health coverage abilities • Provider communication skills, • Health beliefs credibility; continuity; teaching skills; reimbursement • Knowledge of regimen • Motivational forces Healthcare plan Network • Complexity, intensity • Involvement of members in • Cost, ﬁnancial ﬂexibility, and health plan duration of plan • Social value regarding plan ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.) • Behavior • Knowledge • Beliefs/values • Roles/responsibilities • Coping • Self-perception • Emotional status EXPECTED OUTCOMES The patient will • Identify factors that inﬂuence noncompliance.Control over patient’s actions is legitimate only when dangerous to self or others. Use support systems to reinforce negotiated behaviors.Support from the family and friends help foster compliance.Instruct family and nursing personnel to observe the position of the affected body part frequently; to remove food or drainage from the face if unnoticed by patient; and to place the arm or leg in the proper position as often as necessary.These measures help avoid injury and maintain dignity.