Helping noncompliant patients cheat more effectively
Case Management Monthly, October 1, 2010
Teaching noncompliant patients how to cheat seems counterproductive, but this strategy saved lives in one medical center’s renal patient population.
A large teaching hospital surveyed its renal patients and found that most didn’t adhere to their very restricted diet. Salt was the main culprit. Potassium-rich foods came in a close second, and, unfortunately, street drugs were the third problem.
The case manager assigned to the renal patients worked closely with the nursing director and unit staff to create realistic diet goals.
They tackled the salt problem first. The team created five reduced-salt spice recipes taken from a renal cookbook and conducted a taste test. Each patient rated the spice concoctions from best to worst. Staff and physicians contributed money to buy the highest rated spices and gave them to the patients along with the recipes.
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