How should a CNA handle a situation where a patient refuses care?

When a patient refuses care, respecting their decision is essential as it aligns with the principles of patient autonomy and informed consent. Patients have the right to make decisions about their own healthcare, including the right to refuse treatment. This respect for the patient’s autonomy is a fundamental ethical principle in healthcare.

Documenting the refusal is crucial because it provides a record of the patient's decision and protects both the patient and the CNA in the event of any future complications or disputes. By informing the supervising nurse, you ensure that the healthcare team is aware of the situation, allowing for further assessment if needed and ensuring that appropriate follow-up can occur.

Other approaches, such as forcing care, dismissing the patient's choice, or automatically informing family members, can violate ethical standards and potentially infringe on the patient's rights. Forcing care disregards the patient's wishes and can harm the therapeutic relationship, while dismissing their choice undermines their autonomy and may not take into account the patient's understanding of their own needs. Informing family members without the patient's consent could breach confidentiality and trust, highlighting the importance of handling such situations sensitively and within ethical boundaries.