Noncompliance in heart transplantation: a role for the advanced practice nurse.
Many organ transplant recipients experience organ rejection because they are noncompliant with the requirements of the health care regimen. The advanced practice nurse is in an ideal position to assess predictors of noncompliance as well as to implement interventions to enhance patient compliance. The purpose of this paper is to present a case study of a young female heart transplant recipient whose death due to organ rejection was related to noncompliance. The role of the advanced practice nurse in reducing noncompliance is identified and relevant nursing interventions are discussed.
Sherry
Daisy C
DC
Department of Cardiology, DuPage Medical Group, Darien, IL, USA. juljohns@uic.edu
Simmons
Barbara
B
Wung
Shu Fen
SF
Zerwic
Julie Johnson
JJ
D000293:Adolescent; D009202:Cardiomyopathies / Q000601:surgery; D002423:Cause of Death; D003266:Continuity of Patient Care; D017809:Fatal Outcome; D005260:Female; D006084:Graft Rejection; D016027:Heart Transplantation / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D009720:Nurse Clinicians / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment; D010348:Patient Care Team; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D011237:Predictive Value of Tests; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery; D018570:Risk Assessment; D012307:Risk Factors; D016312:Treatment Refusal / Q000523:psychology*