Patient Involvement in the Plan of Care/Adherence


Patient Involvement in the Plan of Care/Adherence

Patient’s quick recovery requires them to be involved in their plan of care process. This is through change of behavior in form of living healthy lifestyles, transforming their self conviction and improving their self-confidence (Paradis, 2010). Also, there is need for patients to acquire sufficient advice, improve on their diet as well as adhere to medical instructions. Even though not all hospitals agree that shortage of nurses affects patients care. It is the patients responsibility to take medicine to recover quickly (Martin, 2004).

Patient adherence to medication necessitates nurse intervention. The nurse needs to assist the patient to focus on their strengths, to encourage them through a series of appointments and to support them to change their behavior (Paradis, 2010). The nurses need to monitor the progress of the patients (Paul, 2008). In addition, the physicians must aim at enabling the patient understands the advantages of finishing the doses given and enlighten them on the repercussion of not finishing the medicines (Martin, 2004). On the other hand, some healthcare providers oppose the concept of the need for nurse intervention to improve patient’s safety. According to the healthcare providers who disagree on the need for nurse intervention to ensure patient involvement in plan of care, they believe that if physicians detect a disease early, then the safety of the patients would be influenced (Buerhaus, 2007).

It is logical that patients need to be involved in their plan of care. This is because health care providers cannot know specific personal problems that may hinder a person to adhere to medicine unless there is open communication. From the articles, it is known that medical experts need to come up with techniques that will help patients to manage hardships as they undergo treatment. What is not known is which method can be the most effective (Paradis, 2010).

In summary, the reviews contribute greatly in stressing the need of patients been involved in their plan of care. The way forward would involve open communication and teamwork between the health personnel and the patients, intensive follow up and patient education. This would address the status of the patient to ascertain positive results for patients through their course of care.


Buerhaus et. al., (2007). Impact of nurse shortage in hospital patient care: The comparative perspectives. Health Affairs. 26(3). 853-862.

Martin, L. Williams, S. Haskard, K. Dimatteo, M., (2005). Therapeutics in Clinical Risk Management. Dove Medical Press. 1(3) 189 –199.

Paradis, et. al., (2010). The value of motivational nursing intervention based on stages of change on self-care in heart failure patients. J cardiovasc nursing. 25(2):130-41.

Paul, S., (2008). Education for Patients with Heart Failure: What Can Work and What Is the Evidence. American Association of Critical-Care Nurses. 28(6). 66-82.



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