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In health care you will encounter difficult patients like Alma. Communication is key when it comes to adhering to Almas concerns and issues she has with her medical treatment. For Alma to be able to collaborate with the health care staff communication and the way they approach Alma can make a difference. “Health professionals who take time to explain elements of treatment in an informative and nonthreatening manner encourage patient participation and enhance the likelihood of adherence with recommendations” (Favlo, 2011, p.60). As health care professionals sometimes, we might not know what patients are going through, they might be scared, having a rough day, or just confused about their treatment plan. Being able to communicate with Alma or any difficult patient we must gather information and get tot the root of the problem. Implementing a plan of care with the patient takes collaboration with them and involving an interdisciplinary team to help set goals and treatment plans the patient will be ale to achieve and follow. Having respect for the patient and taking the time to listen can show trust to the patient and be able to have them cooperate.

 Falvo, D.R. (2011), Effective patient education: A guide to increased adherence guide

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Collaboration between health care providers, such as nurses, physicians, pharmacists, and therapists, can help ensure adherence to recommended treatments. We each acquire a special set of skills and knowledge that, when implemented correctly, can be passed onto our patients and enhance their health outcomes.

Regarding Alma’s situation, I would begin by formulating a plan that actively involved the patient in the treatment, education, and continuing care. Ensuring patient compliance involves many aspects, including building a strong rapport with each patient under your care. This can be accomplished by instilling the “empowerment approach” that Rothenberg outlines in his article How to Facilitate Better Patient Compliance. “This theory states that when we give patients all the necessary information, they can make the best decision for themselves based on their own needs, circumstances, and expectations. In this regard, patients accept responsibilities and experience their own consequences” (Rothenberg, 2003).

One area of importance in encouraging compliance is ensuring a full assessment of the patient has been performed. This includes any personal or lifestyle information and areas such as “mechanical difficulties (i.e., swallowing pills), impaired mobility, cost (i.e., medications, dressing supplies), fear, pride, religious beliefs, and the patient’s perception of whether he or she is feeling better, worse, or feels there is a lack of progress” (Rothenberg, 2003).



Falvo, D. (2011). Effective Patient Education: A Guide To Increased Adherence. Retrieved from

Morley, L., & Cashell, A. (2017). Collaboration in Health Care. Journal of Medical Imaging and Radiation Sciences, 48, 207-216. Retrieved from

Rothenberg, G. M. (2003, June 03). How To Facilitate Better Patient Compliance. Retrieved from