Reference no: EM133527803

Case Study: This interaction between Alma and the professional takes a bit of unpacking. Without faulting the professional, I would like to start by addressing some ways they could have either avoided this interaction, or gotten a quicker result. One is to have made eye contact with each patient after announcing "Alma" to see if anyone may have been using body language to either indicate it was them, or indicate they were avoiding the interaction. Before "shouting in her ear", it may have been appropriate to make eye contact and simply say, "what is your name?" "Are you waiting for an appointment?" If the patient was hard of hearing, they would then be able to indicate so, and the professional could then go from there.

Question: Because non-compliance can be both intentional and non-intentional (Barber, 2002), it is important to understand Alma's reasoning for avoiding this interaction. Once Alma is back in the pre-op area, or in a private room, I would try to have a quick, open-ended discussion (Falvo, 2011), with her to try to understand what she may be feeling. It is possible that with such an invasive procedure, that she is trying to forestall treatment in fear of either pain or outcome (Falvo, 2011). After assessing Alma's reservations about the procedure or the visit, I would then go over any questions or anxieties she has moving forward and make sure to remind her of the health benefits of this procedure. It is important to remain approachable, non-judgmental, and sympathetic to her needs. There will be necessary time for education (Falvo, 2011), moving into the procedure, and in addition, set aside extra time post-procedure to go over teaching, and teach back from patient regarding post-treatment medication. Depending on her initial fears, this may dictate the education to follow post-treatment. Does she need pain meds? Does she need to adhere to a new medication regimen in order to slow progression of disease or discomfort? Any of these post-treatment plans will require teachings so that Alma is aware of the benefits, also review the negative implications of ignoring said treatment plan. Assessing Alma's overall demeanor or attitude towards the post-treatment will allow you to shift your teaching