Elizabeth Galik, RN, CRNP
Barbara Resnick, RN, CRNP, FAAN, FAANP University of Maryland School of Nursing
$150 Purchase Price
Resident’s Rights: Why Residents Refuse Necessary Care
When residents refuse care or make poor health choices, nursing assistants find themselves in a difficult position. At some point, all nursing assistants will be confronted with residents who refuse to be bathed, change soiled clothes, take medications, or other necessary care. The challenge for the nursing assistant is to respect the resident’s right to make these choices, however still make sure necessary care is provided.
In this DVD, filmed on location at a nursing home, staff identify some frequent reasons for refusing care including: a resident not wanting to do something at particular time of day; resident wanting the same person to always care for them; resident being fearful when approached by strangers; resident needing gentle coaching and reassurance; and, resident having privacy issues. Always document the specific care being refused.
Only by understanding the reasons why care is being refused, can solutions be found. Nursing staff and the social worker offer the following positive suggestions. Always remember the resident has a right to refuse care. Never use physical force to overcome resistance to care, and never address the resident with an angry voice or punitive manner. Encourage resident with positive reinforcement and use distraction, talking about their areas of interest. Always communicate with the team. Identify who has had success with the resident and what they are doing that makes a difference. Working as a team, it is generally possible to find ways to deliver necessary care.
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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