Hi Cathleen, rarely Google but felt compelled to reply since we are twitter friends. I am sincerely afraid compliance has in some cases turned to bullying, force tactics, refusing to honor patient's rights, self-determination or choice.
I have some very personal stories of all these things both as a nurse, patient, and calls from friends and community. Some unbelievable and horrifying stuff.
What gives HC implied power and sense of omnipotent control. At times I think Medicine has become Martial Law with the corporations making the decisions and clinicians are simply the puppets.
Are patients only integers on a spreadsheet. Perhaps CMS knows, instead of hiring clinicians they brought in the worlds top mathematicians to determine changes to algorithms to control patient care.
Society tends to rely on systems to make change. Systems simply dehumanize, capitalize and remove compassion and feeling. We need remember compliance best met when the patient educated, part of team and is motivated to change. Force creates contention.
Choice, Respect, Dignity. As a Crisis RN, Going into bizarre crisis situations I found one thing always was able to get the situation under control no matter what type of people dealing with. Professionalism and respect. People will act like we treat them.
Healthcare appears to be having a nervous breakdown at times. Bullying, even blackmail and lies. Don't get me wrong there are a few good people out there.
Here I cannot stress enough patients should self-educate, research and have a strong dose of self-advocacy. I can tell at least three recent stories that it meant life or death.
I am one of #TheWalkingGallery
members, we are known as rebels, changemakers, shakers, and disrupters. We tell true stories and wear them on our backs too. Someone must speak, someone must stand for the good of humanity and the future of our children. Someone must speak for those who can't.
Compliance, Adherence ....and Healthcare needs to lose the word Mandatory.
educate, model, respect, dignity, self-determination and choice instead of force
Why not giving them a sense of responsibility, challenges, goals, let them plan and both the healthcare team and patient affirm success. Appears healthcare would be wise to read some of the old classics, starting with Norman Vincent Peale and others.
Have we in healthcare become taskmasters forcing solutions or are we leaders who through our influence, care, and direction cause people (yes patients are people with hearts, souls and the ability to think). True leaders influence those they come in contact with to want to comply.
When healthcare removes right to self determination, choice and refuses to be honest and deletes the patient and family from the care plan team, when they treat them disrespectfully, act as though they are problems, do not take time, listen or explain. It is not even intelligent to expect that human beings treated this way would want to comply.
We must return compassion, care, respect, honesty, and empathy to the patient care arena or continue to watch problems arise. ______________________________________________________________________
Want my compliance, then first earn my respect. Want me to return surveys with good satisfaction scores, then treat me with empathy and concern, after all if I am a patient I have come to you at less than my best, I am sick hurting and frightened. I may have cancer and be dying or have a sick child, I may have an elderly parent that needs extra attention, or I may need help in a crisis.
I usually will do what you ask, if you explain, and give me a chance and take a minute or two to listen to me explain a thing or two. I wouldn't be here if I didn't want help.
Please let me be part of the team not your subject. Let's work together to then you have me as a compliant life-long patient.
The right to refuse is still a fundamental right of the patient.
Thank you and #MediVisor
for your work. Inspiring change!