Discussion: Negotiations Patient Education

HLT 306V GCU Negotiations Patient Education & Patient Behavior Discussion.

I enjoy discussing compliance and how we as health care providers can influence patient compliance and ultimately their outcomes. I look forward to this week and the many comments in the discussion forum. Tricia Discussion: 


● Explain the concept of patient compliance and why it is important.

● Define patient compliance as it applies to this field.

● Discuss the role health care professionals play in compliance and noncompliance.

● List examples of interventions that could increase compliance.

● Discuss the concept of compliance as collaboration.

● Discuss patient education as it was in the past and as it is today.

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Boston, MA: Jones & Bartlett. ISBN: 9780763766252

URL: http://gcumedia.com/digital-resources/jonesandbartlett/2010/effective-patient-educati on_-a-guide-to-increased-adherence_ebook_4e.php

Related Electronic Resources

American Cancer Society. (2013). Informed consent. Retrieved December 30, 2013, from located at

http://www.cancer.org/treatment/findingandpayingfortreatment/understandingfinancial and legal matters/informed consent

Center for Disease Control and Prevention, Medication Adherence. Educational Module (Released March 27, 2013)


Adults: Age-Specific Care (25:00)

Medical care focused on adults must take into account a wide variety of cultural,physiological, and administrative challenges. The good news is that a patient who has matured and become self-reliant is now ready to act as a partner in his or her own health care decisions. This program explores the requirements of adult care, from the college-level years to retirement and the final phases of life.

 Reminding viewers that the focus now shifts away from growth and into long-term health maintenance, the video offers guidance on the following topics: heart disease, cancer, maternity, childbirth,parenting, child care, aging, diminishing strength and agility, elder and institutional care, Alzheimer’s and dementia, and the need to retain and maximize quality of life. The dilemma of the “sandwich generation” is also discussed. A part of the series

Age-Specific Care: A Guide for Health Care Professionals. (25 minutes)© 2008 http://library.gcu.edu:2048/login?url=http://digital.films.com.library.gcu.edu:2048/Portal Playlists.aspx?aid=12129&xtid=47445

Huber, S. (2001). Questions about religion as a category of diversity in medicine.

American Medical Association. Retrieved July 5, 2007, from http://virtualmentor.ama-assn.org/2001/12/prsp2-0112.html

National Center for Complementary and Alternative Medicine. (2006). The use of complementary and alternative medicine in the United States. National Institutes of Health. Retrieved July 13, 2007, from http://nccam.nih.gov/news/camstats/2007/camsurvey_fs1.htm

Johnson, J. L., Moser, L., & Garwood, C. L. (2013). Health literacy: A primer for pharmacists. American Journal Of Health-System Pharmacy, 70(11), 949-955. doi:10.2146/ajhp120306

http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=tr ue&db=ccm&AN=2012242528&site=ehost-live&scope=site

Pioneer in Aging: Dr. Robert Butler (30:00)

Dr. Robert Butler knows all about aging. Not only is he in his eighties himself, but he’s the man who coined the term “ageism” and pioneered aging as a field of study. In this program, host Alan Rosenberg sits down with the Pulitzer-winning author for a fascinating and inspiring conversation. It is difficult to face aging in this culture, says Butler, because there’s a pervasive mind-set that people should be self-sufficient, no matter what. 

Butler also talks about some of the myths of aging, how attitudes about aging must change, and the dearth of geriatric training in medical school despite the growing population of elderly. Loss, denial, preparing for the future, and aging vitally are other important topics. Distributed by PBS Distribution. (30 minutes)

Item Number: 43604

© 2009

http://library.gcu.edu:2048/login?url=http://digital.films.com.library.gcu.edu:2048/Portal Playlists.aspx?aid=12129 xtid=43604


Carol Cobb

1 posts

 Re: Topic 4 DQ 2

Negotiation is important in health care because it allows the health professional and patient to focus on areas that both parties agree on, and to continue to find solutions for those areas that they don’t agree on. This will improve the likelihood the patient will follow the plan of care. If a point of disagreement is reached, the health professional would be wiser to identify areas of dissension and attempt to find alterations that may still be within the framework of a therapeutic outcome than to be unaware of alterations in treatment the patient may establish independently (Falvo, 2011).

Negotiation also encourages shared participation, shared decision making and shared responsibility to meet health care goals. I find that patients know almost immediately in most cases if they can follow a treatment plan or not. It is important to encourage patients to verbalize any concerns they may have with adherence in a way that demonstrates you are accepting of the response they give even if it doesn’t align with your plan as a provider.

 As a patient, I don’t feel I have always been afforded this consideration from past health care providers. I had one instance in which the physician told me “do what you want then” in a frustrated tone, after I told him I didn’t feel comfortable taking the medication he prescribed. He didn’t even give me a chance to tell him the reason for why I didn’t want to take the medication. Needless to say, I found another provider, one that didn’t waste my time and his by prescribing me a medication that I couldn’t tolerate.

Falvo, D. (2011). Effective patient education: A guide to increasing adherence. Retrieved from: https://viewer.gcu.edu/RQBKXW.


Honorine Teffo Donjio

2 posts

Re: Topic 4 DQ 2

Negotiation as a means of getting patients to adopt healthy lifestyle behaviors is recognized as a useful strategy (Anderson, M. R., Funnell, M.M., 2012). It is safe to say that negotiation is core strategies for helping patients make lifestyle changes to improve their health. Physicians are using negotiations techniques directly with patients which in general improve treatment for the patient. 

This also helps in noting and identifying new drugs and even diseases and sometimes it becomes very important for patients who have chronic diseases or even addiction to sit and negotiate. One may also be informed on awareness campaigns held with in turn pass information to the patient.

 This has been seen to be more effective in most cases since a one on one conversation with the patient may also show the seriousness of such matters like drug abuse, unhealthy living and dieting, proper sanitation etc. This helps in effective diagnosis for the doctor or physician 


Anderson, M. R., Funnell, M.M. (2012). Negotiating behavior changes with patients who have diabetes: negotiation or coercion?: Ethical perspective, 2(1), 41-46.


Donna Bunn

2 posts

Re: Topic 4 DQ 2

 What part does negotiation play in patient education?

Negotiation plays a major role in patient education as caregivers want patients to be satisfied with care received and to be compliant with treatment plans to achieve and maintain wellness (Negotiating and communicating with patients, 2017). Compliance with treatment is essential in patient treatment plans in things that are important in health maintenance such as compliance with smoking cessation.

 An example given in one article stated that patients are more likely to actually quit smoking when doctors negotiate with patients face-to-face (Negotiating and communicating with patients,2017). If the patient believes the person giving the education and their sources to be reputable and credible, they are more likely to comply with instructions.


Negotiating and communicating with patients. (2017, February 2). Retrieved from


Grace Philips

3 posts

Re: Topic 4 DQ 2

What part does negotiation play in patient education?

I think when it comes to patient education, we have to consider each patient as their own person as well as what it will take for them to adhere to life changes, whether they be big or small. Negotiation is an interesting word to use, because you don’t consider education as something that can be negotiated, especially if it is important. 

When I think of negotiating patient education, I think, what can we do or change in the care plan to make the patient more compliant? So for instance, it isn’t really “negotiating” but more or less deciding what is important, and what parts can be changed so that the patient has a safe and effective care plan and discharge. 

We have to be careful how much we alter the original care plan, or how much we do negotiate with the patient, because at the end of the day, health care providers do know more information and too much intervention and changes can actually have the opposite effect. As long as patients are aware of what they need to keep and what they are suggesting is still considered safe, then negotiation does not have to be seen as something necessarily bad.


Jenna Raila

3 posts 

Re: Topic 4 DQ 1

Over the last few years, patients have become more in control of their health care. This includes the knowledge of their illness/disease process, the treatment choices and plan of care. Communication is one of the key changes that has helped patients to become more involved. Previously, the patient-doctor relationship was one where the doctor was in control. It was a relationship in which the physician was the know-all-be-all. With advancements in technology and access to resources, patients have been able to educate themselves and challenge the decisions that physicians make for them.

A shift to informed choice for patients requires physicians to provide easy to understand information about risks, benefits and harm of all options available, eliciting patients and families values and goals, and being impartial to help with making the decision. (Brach, 2019). While we have grown greatly in the last few years by involving our patients and empowering them to make their own health care decisions, we still have a ways to go. “Training clinicians in how to communicate clearly, engage patients and families, and provide complete and neutral explanations is part of the solution.”

(Brach, 2019). Reference:

Brach, C. (2019). Making Informed Consent an Informed Choice. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20190403.965852/full/


Marie-France Mingot

1 posts

Re: Topic 4 DQ 1

Patients having control over their health is very important because it increases the chance for patient compliance. When patients are participating in their own health, the health care provider job becomes much easier. The patient will be more attentive to health instructions and follow the information given. Having patient participation in their care will improve health outcomes and enhance quality of care. It will decrease trips to the ER, hospitalization stay and money cost effective.

When patients know what exactly is going on in their help they are able to manage their condition more effectively by improving patient safety and awareness. Patient care self-care involves bringing important perspectives about care. Including cultural and religious preferences.

 It will also provide accuracy to patient health safety. Although some patients are not actively participating in their health, as a health care provider it is a must to encourage patients to be involved in their health. These efforts include enhancement of patient access to multifaceted information providing systems and tools that help patients in decision making.

Vahdat, et al. (Jan,2014). Patient Involvement in Health Care Decision Making: A Review

 . Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 3964421/#:~:text=Given%20that%20 patient%20 participation%2