Compliance or Collaboration? the Meaning for the Patient
Moore, Katherine N.
Nursing Ethics. 1995 Mar; 2(1): 71-77.
Noncompliance exasperates health care professionals, leaves them worrying about the effective outcome of medical care, and results in noncompliant patients being labelled as 'difficult' or 'troublesome'. It is suggested that professionals who label a patient as noncompliant are following convenient paternalistic principles rather than considering the impact of a prescribed regimen on an individual patient. In this paper, the author considers autonomy and respect to be foremost in patient care. Further, compliance does not necessarily indicate that both professional and patient have developed a collaborative understanding relationship. Noncompliance is described as a lack of recognition by the health care professional of the meaning of the regimen to the patient. Treatment interventions will be most successful when the patient participates in the prescription. Without acknowledgement of the patient as an equal partner, and listening to his or her narrative, care will be, at best, paternalistic.
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Moore, Katherine N. (1995-03)
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Code of Ethics: To Keep the Visual Welfare of the Patient Uppermost at All Times; to Promote in Every Possible Way, in Collaboration With This Association, Better Care of the Visual Needs of Mankind; to Enhance Continuously Their Educational And Technical Proficiency to the End That Their Patients Shall Receive the Benefits of All Acknowledged Improvements in Visual Care; That No Person Shall Lack for Visual Care, Regardless of His Financial Status; to Advise the Patient Whenever Consultation With an Optometric Colleague or Reference for Other Professional Care Seems Advisable; to Hold in Professional Confidence All Information Concerning a Patient and to Use Such Data Only for the Benefit of the Patient; to Conduct Themselves as Exemplary Citizens; to Maintain Their Offices and Their Practices in Keeping With Professional Standards; to Promote and Maintain Cordial and Unselfish Relationships With Members of Their Own Profession and of Other Professions for the Exchange of Information To the Advantage of Mank Foster, George E.; Bailey R. Norman; Werner, D. Leonard; Roth, Michael S.; Sterling, John; Classe, John G.; Haffner, Alden N.; Creasey, Larry; Walls, Lesley L.; Marenco, Marc (1994-06)