How should a PCA handle a patient who refuses care?

A patient’s autonomy is a fundamental principle in healthcare, meaning they have the right to make decisions about their own care, including the right to refuse care. Therefore, when a patient refuses care, the appropriate approach is to respect their wishes while attempting to understand their concerns. This involves engaging in open communication, where the PCA can listen to the patient's reasons for their refusal, provide information and support, and help address any fears or misconceptions they may have.

By respecting the patient’s decision, the PCA not only upholds ethical standards but also fosters trust and a therapeutic relationship. This respectful dialogue may lead to the patient reconsidering their decision or agreeing to a modified plan of care that makes them feel more comfortable.

In contrast, disregarding the patient’s wishes, forcing care upon them, or simply documenting the refusal without further communication is not aligned with person-centered care principles and can result in negative outcomes, both for the patient's trust in healthcare providers and their overall well-being.