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Resistance to care

H W Potts, M F Richie, M J Kaas

    Journal of Gerontological Nursing
    |November 1, 1996
    PubMed
    Summary
    This summary is machine-generated.

    Patient resistance to care, which interferes with daily activities, can lead to serious health issues like malnutrition and dehydration. Interventions require creativity and flexibility due to cognitive changes.

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    Area of Science:

    • Gerontology
    • Nursing Science
    • Patient Care Management

    Background:

    • Patient resistance to care presents a significant challenge in healthcare settings.
    • Interference with Activities of Daily Living (ADLs) impacts patient well-being.
    • Cognitive impairment often underlies resistance to care behaviors.

    Observation:

    • Patient behaviors preventing or interfering with ADLs (bathing, eating, toileting, dressing, grooming) are defined as resisting care.
    • This resistance can lead to severe health consequences.
    • Interventions necessitate adaptability and patience.

    Findings:

    • Significant consequences include malnutrition, skin breakdown, dehydration, constipation, and weight loss.
    • The lability of individuals with cognitive impairment means interventions must be flexible.

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  • A successful strategy one day may not be effective the next.

    • Implications:

    • Effective care strategies must be individualized and adaptable.
    • Addressing resistance to care is crucial for preventing adverse health outcomes.
    • Further research into tailored interventions for cognitively impaired patients is warranted.