The whole concept of adherence and compliance implies that the patient/client has the resources necessary and that they are making a concious decision to not follow the established medical regimen. This is often not the case and the negative spin does not open doors to identifying the real reasons individuals and families do not follow these plans. The nursing focus described in previous comments would facilitate a more appropriate approach with a commitment to working with individuals and families where they are to achieve the highest level of health possible. The need to advocate for and identify supportive community structures to allow for optimal choices is critical to the success of the medical treatment plan.
The comments above sound very relevant. In addition, it seems as if a nursing perspective would be very helpful in the dialogue about "compliance". There has been excellent nursing research on the issue, notably from Jackie Dunbar Jacob at Pitt, a RWJ Nurse Executive Fellow. Furthermore, the nursing social policy statement commits nurses to helping people reach their highest levels of well-being. That commitment provides a great foundation for partnership opportunities where nurses help patients or consumers follow a "medical" regimen which hopefully is part of a larger plan for health.
This whole notion of "adhering to treatment regimens" could benefit from viewing it from an experience perspective. Start with the langaguge above. Who amoung us really wants to be told how to live our lives in langauge that does not reflect any sense of how people feel. We all respond to each moment of our experiences emotionally first. Do the people precribing the "treatment regimens" know and understand the patient's core feeling needs in this process to be able to align the experience emotionally? For example, the 5 feelings that open us to healing are: comfortable, understood, connected, strengthened and renewed. Create a treatment plan experience grounded on 2 or 3 of those feelings. Just by aiming for "comfortable" at every step of the way for language, attitudes, processes (business and clinical) changes how the patients feels. Ask patients what will help them be comfortable. Observe reactions. This approch empowers everyone to make adjustments to the experience in the moment - in ways that are relevant and meaningful for each individual. This approach also creates emotional connection.
The whole concept of adherence and compliance implies that the patient/client has the resources necessary and that they are making a concious decision to not follow the established medical regimen. This is often not the case and the negative spin does not open doors to identifying the real reasons individuals and families do not follow these plans. The nursing focus described in previous comments would facilitate a more appropriate approach with a commitment to working with individuals and families where they are to achieve the highest level of health possible. The need to advocate for and identify supportive community structures to allow for optimal choices is critical to the success of the medical treatment plan.
The comments above sound very relevant. In addition, it seems as if a nursing perspective would be very helpful in the dialogue about "compliance". There has been excellent nursing research on the issue, notably from Jackie Dunbar Jacob at Pitt, a RWJ Nurse Executive Fellow. Furthermore, the nursing social policy statement commits nurses to helping people reach their highest levels of well-being. That commitment provides a great foundation for partnership opportunities where nurses help patients or consumers follow a "medical" regimen which hopefully is part of a larger plan for health.
This whole notion of "adhering to treatment regimens" could benefit from viewing it from an experience perspective. Start with the langaguge above. Who amoung us really wants to be told how to live our lives in langauge that does not reflect any sense of how people feel. We all respond to each moment of our experiences emotionally first. Do the people precribing the "treatment regimens" know and understand the patient's core feeling needs in this process to be able to align the experience emotionally? For example, the 5 feelings that open us to healing are: comfortable, understood, connected, strengthened and renewed. Create a treatment plan experience grounded on 2 or 3 of those feelings. Just by aiming for "comfortable" at every step of the way for language, attitudes, processes (business and clinical) changes how the patients feels. Ask patients what will help them be comfortable. Observe reactions. This approch empowers everyone to make adjustments to the experience in the moment - in ways that are relevant and meaningful for each individual. This approach also creates emotional connection.