ANGELES UNIVERSITY FOUNDATION

COLLEGE OF NURSING
NAME OF STUDENT: Rey Ann M. Pangilinan
YEAR/SECTION II-G
GROUP NO. 26
DATE: 05/17/2021
ASSESSMENT NURSING DIAGNOSIS SCIENTIFIC
EXPLANATION
Subjective: Risk for noncompliance Rheumatic fever
Parents reported that with prophylactic drug necessitates prophylactic
the boy refused to take therapy related to treatment to avoid
antibiotics burden of lifelong recurrence of the infection,
therapy which may require long-term
Objective: care. The patient may be too
Further review of the overwhelmed by the burden
patient’s history of of lifelong therapy because
present illness he was discharged with
revealed instructions to continue
noncompliance with taking his medications for
previously prescribed the next 10 years. As a
treatment result, the patient may not
adhere with the prescribed
treatment regimen,
preventing him from fully
recovering from the disease
or illness. There may be
underlying reasons why a
patient refuses to take
prescribed medications,
which must be thoroughly
investigated in order to
properly address the
problem and assist the
patient in adhering to drug
therapy.
NURSING CARE PLAN
PATIENTS PSEUDONAME: Anton
DIAGNOSIS: Risk for noncompliance with prophylactic drug therapy
AGE AND SEX:
OBJECTIVES INTERVENTIONS RATIONALE EXPECTED OUTCOME
Short term: Independent: Short term:
After 3 hours of nursing After 3 hours of nursing
interventions: 1. Establish trust and rapport 1. Developing a therapeutic interventions:
 The patient will with the child relationship with the patient  The patient shall
develop trust with encourages expression of be able to develop
the nurse patient’s feelings and trust with the nurse
 The patient will thoughts  The patient shall
express his express his
thoughts or the 2. Assess the child’s 2. Each patient's perspective thoughts or the
reason for his understanding of his and reasons for refusal of reason for his
noncompliance condition and the medical treatment differ. noncompliance
with the drug significance of health care This method will serve as a with the drug
therapy basis for future care therapy prescribed.
prescribed. planning.  The patient shall
 The patient will be able to gain an
gain an 3. Examine the patient's 3. According to the Health understanding of
understanding of viewpoint and willingness Belief Model, a patient's the benefits of
the benefits of to follow the treatment perceived susceptibility to complying with his
complying with his plan and severity of disease, as drug regimen and
drug regimen and well as perceived benefits the complications
the complications from sticking to a treatment that may occur
that may occur plan, all influence
compliance.
Long term: Long term:
After 2 days of nursing 4. Assess the factors that the 4. This enables the corrective After 2 days of nursing
interventions, the patient patient believes are plan to be tailored to the interventions, the patient
will demonstrate hindering compliance. individual. shall be able to
willingness to adhere to demonstrate willingness to
the prophylactic drug 5. Evaluate the patient's 5. To address reasons that adhere to the prophylactic
therapy insight, worries, or might interfere with the drug therapy
misconceptions about the ability of the patient to
medication regimen. comply

6. Instruct the mother to keep 6. The patient's significant

an eye on the patient until others can provide
 the patient's compliance
improves.
7. Encourage the mother to
establish a reward system
with the patient based on
successful compliance.
8. Using simple words,
explain to the patient the
benefits of sticking to the
medication regimen and
the potential complications
that could arise if he
continues to refuse to take
his medications.
Dependent:
1. Discuss with the physician
to see if the timing of the
medication regimen can be
adjusted to fit the patient's
lifestyle and activities.
Interdependent:
1. Explore community
resources available, or provide
social support through the
child’s family and self-help
groups
supervision as needed that
can be tapered as
appropriate.
7. Rewards provides positive
reinforcements for
compliant behavior.
8. This raises awareness of
the importance of following
through with the treatment
plan. It increases the
likelihood of treatment
compliance.
1. Patients who are involved in
the planning of their care are
more likely to stick to the
regimen because it gives them
a sense of control.
1. Such groups may assist the
patient in better understanding
the advantages of treatment
adherence.