Clinical Challenges - Dismissing The Non-compliant Patient

Post an explanation that defines the legal implications for standard of care, the key components of a malpractice policy in regard to the case study. Additionally you will explain the collaborative agreements and rules for your state (COLORADO) in regard to your NP practice and the case study you select.



Dismissing the non-compliant patient.

Gwen, a 52 year old Caucasian LPN, recently joined your practice as a new patient. She currently has a BMI of 32, B/P of 142/88. Pulse is 89, Respiratory rate is 22, Pulse Ox is 96% on Room Air. She is taking Lisinopril 10mg po daily (when she can remember), Metformin 1000mg po BID and refuses lab work. Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap smear were “years ago.”



Consider strategies and treatment options that would be most effective for these patient scenarios to improve compliance and health outcomes.



Reflect on how to approach the non-compliant patient and the importance of a separate preventive care visit.



https://www(dot)ahrq(dot)gov/gam/index.html



Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.



Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.



Watson, E. (2014). Nursing Malpractice: Costs, Trends and Issues. Journal of Legal Nurse Consulting, 25(1), 26-31.