Patient compliance management approach

Firstly one is required to examine the extended effeets of incorrect data in the clinical record. For example, suppose that data erroneously gives the impression that a patient s diabetes was well-controlled when, in fact, this was not the case. Potentially the patient could change the manner in which they approach their condition, become lax in managing their diet or reduce their compliance with medication instructions. A record can be misleading if the underlying data is incorrect but also, and perhaps more likely, when the manner in which it is presented to the consumer is suboptimal. Patients are unlikely to be expert users of the system and translating the entire medical record into a form that facilitates safe patient interpretation is no easy task. 

The words compliance and adherence both seem sticky and inflexible the connotation of these terms may be setting our families up for failure. The words sustainable or maintainable may offer a greater sense of flexibility in the long-term management of restrictive metabolic diets. There is a need to look beyond the current practice and reassess how we, as clinicians and educators, approach our patients and families. 

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