The article “Ordinary Logic in Unordinary Lay Theories: A Key to Understanding Proneness to Medication Nonadherence in Schizophrenia” by Navon and Ozer (2003) explains that there are various reasons why all people decline treatment or forego medications in every type of diagnosis. However, it is critical in regards to those with Schizophrenia that there medications be regulated in order to allow them to function in society and to have a higher overall quality of life.
The article establishes that, among these reasons of non adherence, are five key typologies which include body, machine, war, mission, and nature. Each of typologies offer the rationale of the patient in regards to why they are choosing to forego treatment. The purpose of this article is to establish these rationales and apply them to a better understanding of the patient so that the medical personnel is able to communicate with the patient and to anticipate the likelihood of a particular patient becoming non adherent. The take away message from this article is that each person, regardless of diagnosis, sees their diagnosis in a particular manner and that must be addressed in order to achieve optimal treatment outcomes.
Based on the information in this article, it is possible to better understand that these patients carry with them a solid personal understanding of the world, their bodies, and their minds that is generally passed over due to their diagnosis. Although their understandings may be irrational in terms of the medical world, in their minds, these are realities just as is the case with patients of other diagnoses. This gives a more empathetic view of the schizophrenic patient. By being able to empathize and relate to the various understandings of the patient, it will aid the medical staff and, in particular the nursing staff as they are generally more one on one with the patients, an improved focus of communication and an understanding of the monitoring needs for each individual patient. Understanding the beliefs of a patient, anticipating their reactions, and being able to communicate the situation to them in a manner that they can relate will greatly improve the effectiveness of the nursing staff.
In relation to the nursing process, this information would be useful in all five stages of the process. While assessing and analyzing, keeping this information in mind will allow the nurse to be more open minded as to the specific needs of the patient based on their typology. This will aid in planning an appropriate treatment course and a routine for medication dispersement. Difficulties in carrying out the plan based on the view of the patient could better be handled during the implementation process. Recognizing the risks of foregoing medication based on these patient types will help better organize and monitor the evaluation process.