00079 Breach of treatment (specify)

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00079 Breach of treatment

This 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 as its focus the concept of adherence rather than compliance.

Definition of the NANDA label

Degree to which the performance of a person or caregiver does not coincide with a therapeutic or health maintenance plan previously agreed between the affected person (the family or the community) and a health professional. When a treatment, health promotion or maintenance plan has been agreed, the behavior of the person or caregiver may be to respect it totally or partially or not comply with it at all, which can lead to effective, partially effective clinical results or ineffective.

Defining characteristics

• Objective tests (physiological measures, detection of physiological markers).
• Failure to attend arranged visits.
• Behavior indicative of non-compliance with treatment (by direct observation or by statements by the affected person or their family and friends).
• Evidence of development of complications.
• Evidence of exacerbation of symptoms.
• Lack of progress.

Related factors

Support structures:

• Member involvement in the health plan.
• Social assessment of the health plan.
• Perception of the beliefs of significant others.

Individual factors:

• Ideas about health, cultural influences, spiritual values.
• Personal and developmental skills.
• Individual value systems.
• Knowledge and skills relevant to the proposed regime.
• Motivational forces.

Health care plan:

• Duration.
• Significant people.
• Cost.
• Intensity.
• Complexity.

Health systems:

• Satisfaction of care and credibility of the caregiver.
• Access and convenience of care.
• Financial flexibility of the health plan.
• Reimbursement to the caregiver for teaching and monitoring.
• Continuity and follow-up of the caregiver.
• Individual health coverage.
• Caregiver communication, relationship and teaching skills.

NOC

• Compliance behavior.
• Behavior of obedience.
• Symptom control.

NIC

• Agreement with the patient.
• Help in modifying oneself.
• Establishment of common objectives.
• Health system guides.
• Health education.
• Facilitate self-responsibility.
• Energy management.
• Nutrition management.

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