If you stay in healthcare long enough, your paths will eventually cross a non-compliant patient, which, for the record, n is not the same thing as non-compliance. patient. Noncompliant patient is defined as: “patient behaviors” that frequently interfere with the effectiveness of treatment for various medical conditions and can result in serious medical consequences. Although noncompliance exists, simply performing medical tasks incorrectly and working overtime can compromise a patient's outcomes. present a significant risk to life; 2) Was at least one treatment plan correctly followed. 3) Did the patient have easy access to the treatment(s)? and 4) Does the patient deviate significantly from most patients with respect to medical advice, treatment, or follow-up care (Kliensinger, Fall 2003, p. 18). Difficulty Complying According to Kaiser Researcher Dr. John Steiner At all times, very few patients are fully capable of complying with all of their doctor's requests and/or recommendations. To illustrate his point, he constructed a file for a theoretical 67-year-old patient suffering from diabetes, hypertension and hypertension. He then drew up a chart of what it would take to "adherence" to all medical recommendations: five prescriptions to fill monthly, travel to and from the pharmacy (assuming he even had insurance), a diet (reduce salt and fat), exercise (three or four times a week), go to doctor's appointments, get blood tests, check blood sugar, and in addition, remember to take the pills every morning then every evening in the evening...... middle of paper ....../11/15/when-the-patient-is-non-compliant/ non-complianceFred Kleinsinger, M. ( spring 2010). Working with noncompliant patients. The Permanent Journal, 14(1): 54-60. Holm, S. (1993). What's wrong with compliance. Journal of Medical Ethics, 19: 108-110. Kliensinger, M. (Fall 2003). To define NCB I use the following. The Permanente Journal, Volume & No. 4.Roslyn Walden, M.-B. (May 17, 2012). Discharge a problem patient. Retrieved from Clinical Advisor: http://www.clinicaladvisor.com/dismiss-a-problem-patient-in-10-safe-steps/article/241629/.The fiduciary relationship. (1993). Retrieved from biotech.law.lsu.edu: http://biotech.law.lsu.edu/Books/lbb/x236.htmValarie Blake, JM (May 2012). When is a patient-doctor relationship established? The Virtual Mentor Volume 14, Number 5:, 403-406. From the Journal of Ethics of the American Medical Association.