Introduction Health coaching/patient initiation is part of the NHS long term plan. This case study will look at the way health coaching can help in improving compliance and way we can implement it in our service.
Case Study 62yr old female who was set up on CPAP due to severe OSA. Had been compliant at the beginning from Average hours of 6.5hrs, AHI 2.3/hr when using CPAP and a mask leak of 0.5%, but then compliance had dropped. Patient seemed to have been struggling with mask fit and therefore was issued with several different masks.
Came into a compliance clinic and still using CPAP sporadically and no improvement in compliance. Coaching conversation started and patient then began explaining the main reasons which were stopping her from using her CPAP. Goals were set for the patient to achieve before her next appointment.
Method Initiating the coaching conversation did improve the patients compliance and she began feeling the benefits of her treatment and felt more positive towards it.
Conclusion Need to start having conversations and asking key questions to consistent non-compliant patients which may uncover the root cause and engaging the patient to take control of their therapy and getting patients to find their own answers.
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