How should LTCNAs handle a situation where a resident refuses care?

In situations where a resident refuses care, respecting the resident’s wishes is paramount to honoring their autonomy and dignity. Residents have the right to make choices about their own care, including the decision to refuse treatment. This aligns with ethical principles of patient rights and autonomy, which are fundamental in long-term care settings.

After a refusal, it is essential for the nursing assistant to document the incident accurately. This ensures there is a clear record of the resident’s decision and any specific reasons they may have provided. Additionally, reporting the refusal to the supervising nurse or medical professional is critical for ensuring ongoing communication about the resident's care plan. This allows for any necessary adjustments to be made and offers the health care team an opportunity to address the resident’s concerns and potentially reassess their willingness to receive care at a later time.

Handling refusals appropriately helps maintain a trusting relationship between residents and staff, promotes resident empowerment, and ensures compliance with legal and ethical standards of care.