Adherence and Person and Family Centered Care

The American Nurses Association Scope and Standards of Practice and Code of Ethics for Nurses with Interpretive Statements are reviewed as they relate to person centered care.

he impact of chronic illness on patients and families. Factors that impact adherence, motivation, and social determinants of health are visited. Nursing application is emphasized.

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1. Review the ANA Scope and Standards of Practice, noting the emphasis on person centered care.

2. Appraise factors that impact adherence.

3. Consider the impact of individual motivation as it relates to adherence to a plan.

4.. Examine the nurses’s role in motivation and motivational interviewing.

5. Discuss social determinants of health and the impact on adherence.


· Social relationships can either promote health or deter from health.

· Mutual goal setting is very important

· A number of factors impact adherence to a healthcare plan including: complexity of the regimen, cost, patient-provider interaction, social support, socioeconomic status, cognitive factors, health literacy, prior health behaviors, perception of relevance, cultural factors, and individual characteristics.

· Non adherence to a treatment plan also encompasses ethical issues including: rights and responsibilities of both patients and caregivers; paternalism; autonomy; and costs of non adherence to society as a whole.

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