Elizabeth Galik, RN, CRNP
Barbara Resnick, RN, CRNP, FAAN, FAANP University of Maryland School of Nursing
$150 Purchase Price
Resident’s Rights: Strategies to Overcome Resistance to Care
Staff in long term care and assisted living are often faced with the dilemma of a resident refusing necessary care. Staff know residents have the right to refuse care but they also fully appreciate the importance of positive health outcomes and quality of life.
Find out how nursing staff prevent confrontations, respect residents’ rights and still deliver the necessary care. Their recommendations start with recognizing the importance of building a relationship with a resident, taking the time to find out who the resident is. Finding out about their family and their past interests lets residents know you care about them as a person. This relationship is very likely to ensure you’ll be able to provide necessary care.
If a resident refuses care, staff suggest the following. Try coming back a short time later, using a soft voice and a reassuring manner explain why the care is necessary. Some nursing assistants use humor, or offer some type of “bribe/reward,” while others use personal conversation as a distraction. If you’re not successful, ask someone who knows the resident better to help out. When a resident continues to refuse care, prioritize the importance of the care and decide if it can be provided at a later time. Always document and report specifically what care has been refused. Filmed in a long-term care facility with commentary from: a nurse practitioner, LPNs, nursing assistants, and a social worker.
Topics: patient rights, refusal of care
Audience: Students in health professional programs. Long-term care, assisted living, adult day care, and hospice staff.
This video is part of the “Resident’s Rights: When the Resident makes Poor Health Choices” series.
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