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Noncompliance: Clinical Challenges For The NP

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Clinical Challenges for the NP
“Noncompliance is major health problem accounting for 10% of all hospital stays and causes about 125,000 deaths per year” (Stelmach, 2015). As health care providers we run into troublesome patients all time in our different clinical areas. As a nurse, I have seen and continue to receive long lists of the same non-compliant patients come through our unit because they did not taking their blood pressure medicines and now in hypertensive crisis, or did not show up for hemodialysis now overloaded have to have emergent dialysis, or the diabetics not eating right nor taking their insulin now in DKA needing Endotool (insulin drip) and ventilator support for severe metabolic acidosis. Taking care of noncompliant patients can be frustrating, costly and emotionally draining to the healthcare practitioners. Since the enactment of the Affordable Care Act, physician reimbursement has been redirected to quality of care instead of number of patients seen (Stelmach, 2015). Therefore, physician may feel like the owed to their practice to dismiss the patient who constantly draining their limited resources (Stelmach, 2015).
Legal Implications …show more content…
If any of these four elements are not satisfied, then the malpractice is not

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