By: Docasaurus
I understand your post and agree with it. Coming to a “common ground” is something that is taught in many medical schools these days and I would hope that all (most?) of the current graduates will...
View ArticleBy: aek
This is a terrific post. Two things come to mind: I find the veterinarian/client relationship serves as a beneficial model of health management partnership. The vet succinctly addresses the options for...
View ArticleBy: elmo
Honestly, this is little more than wordsmithing. If you want to give me a more “politically correct” term for not taking ones meds as prescribed or following treatment recommendations I will use it....
View ArticleBy: Kevin
I agree with above posters. If non-compliant, non-adherent, etc. are too pejorative, please tell me the politically-correct term and I’ll use it. Perhaps we should just describe the behaviors w/o...
View ArticleBy: aek
In reply to Kevin. Thought-provoking comment, Kevin. What is it we are evaluating? Patient self-efficacy? Self health management? I like the notion of simply describing the patient’s actions w/...
View ArticleBy: Kevin
In reply to aek. As a psychiatrist, I’ve had my share of practice with documentation of treatment compliance. Being a military psychiatrist, I do a lot of clinical writing that is read by those outside...
View ArticleBy: Kevin
In reply to aek. As far as what we’re addressing. I think some of it is medico-legal, i.e. that the treatment alternatives were explained, that he/she understood, and if treatments are refused...
View ArticleBy: WarmSocks
In reply to Docasaurus. I’m curious, what verb would you apply to a person who, having made a plan and agreed to follow it, then doesn’t follow it? I appreciate that adhere, comply, are verbs that can...
View ArticleBy: WarmSocks
In reply to elmo. I’m not a big fan of political correctness. In patients’ charts, it’s probably important to document when they say that they’re not taking medication as prescribed. Go ahead and use a...
View ArticleBy: WarmSocks
In reply to Kevin. “patient has elected to not take medications as prescribed for xzy reason,” In charting, that could work, although I, personally, wouldn’t want to write/type all that out when one...
View ArticleBy: Steven Reznick MD
In most patient – physician visits I have seen in my 30 plus years of practice the physician identifies a problem and tries to explain it to the patient in lay terms. The physician then outlines the...
View ArticleBy: Emily Gibson
I document that a patient “chooses to defer my recommendation” –it is not a judgment on my part about “compliance” but rather my documentation that the patient has made a choice about his/her treatment...
View ArticleBy: WarmSocks
In reply to Steven Reznick MD. I think there’s more than one issue here. You’re looking at whether or not patients follow-through on your recommendations after they’ve said in the office that they’re...
View ArticleBy: Diora
In reply to Kevin. if a patient is not compliant (there’s that word again) with treatment, then why does he/she even come to the appointments in the first place? I know one of the answers probably lies...
View ArticleBy: Kevin
In reply to Emily Gibson. I like using “elect” instead, as it–to me, at least–seems very neutral. I also use “forgo” a lot, in lieu of “refuses.” E.g. “The patient has elected to forgo treatment at...
View ArticleBy: Carolyn Thomas
In reply to Diora. Statins are an excellent example, Diora, of why patients may be reluctant to “comply”. Statins are the true darlings of the pharmaceutical industry, especially for “primary...
View ArticleBy: Jackie
I have a high deductable AND I am a seasonal construction worker. I don’t go to a Dr. unless absolutely necessary. Here’s the problem with “patient compliance.” (loathesome term) My NP says I have high...
View ArticleBy: Steven Reznick MD
In reply to Jackie. The medical practitioner is advising based on the information he/she needs to control your blood pressure. If you show a pattern of control they will space out your visits. There...
View ArticleBy: anonymous
In reply to elmo. I have seen the “noncompliance” code on the superbills my old group used. I have checked it a few times thinking that it gives the insurer justification for a longer appointment (i.e....
View ArticleBy: anonymous
In reply to Diora. Diora, if you were my patient, I would NOT have labeled you noncompliant (or whatever word you want to use). You had a legitimate and logical reason not to take statins and you said...
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