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The nursing diagnosis Noncompliance is defined as behavior of person and/or caregiver that fails to coincide with a health-promoting or therapeutic plan agreed on by the person (and/or family and/or community) and health care professional. In the presence of an agreed-on health-promoting or therapeutic plan, a person’s or caregiver’s behavior is fully or partially nonadherent and may lead to clinically ineffective outcomes. Learn about the nursing interventions, care plan goals, assessment, and related factors for Noncompliance nursing diagnosis. NOTE: As of 2018, the nursing diagnosis Noncompliance is retired from the current taxonomy. According to the NANDA-I, the diagnosis “was quite old with a last revision in 1998. It is no longer consistent with the majority of current research in the area, which has its focus on the concept of adherence rather than compliance.” Compliance is defined as the extent to which a person’s behavior (in terms of taking medications, following specific regimens, or dealing with lifestyle modification) coincides with medical or health advice. Whereas noncompliance is literally defined as the patient’s failure to comply with the prescribed treatment regimen for his/her full recovery from such illness or disease. Patient education has been determined to actually improve compliance with medication across a broad range of conditions and extent of diseases. However, patient knowledge alone does not guarantee compliance. A patient must be well prepared and well informed about the management of their condition, instructions from their physician, and potential side effects of any treatments. The more clearly a disease is apprehended, the more likely it is that an individual will be complacent with their care and comply to necessary treatment regimens. Factors associated with noncompliance include past history of noncompliance, stressful lifestyles and environment, socioeconomic status, contrary cultural or religious beliefs and values, lack of social support, lack of financial resources, and compromised emotional state. Lack of compliance is linked with unsatisfactory clinical outcomes, increased hospitalizations, lower quality of life, and higher overall healthcare costs. Nursing Assessment for NoncomplianceNursing assessment tips and cues for noncompliance:
Nursing Interventions for NoncomplianceThe following are the therapeutic nursing interventions for Noncompliance nursing diagnosis:
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See alsoOther recommended site resources for this nursing care plan: References and SourcesThe following are the recommended sources for Noncompliance nursing diagnosis:
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