I have always preferred the word "Declined" as well.  When I worked in L & D,  several MDs still felt it wasn't possible to give birth without having an enema beforehand.  I could never bring myself to write  "refused enema" in my NN.  "Refused" still has connotations of being balky or recalcitrant.  "Declined" (to me) sounds like an informed choice to take another course of action.
 
Holly
 
Holly F. Sox, RN, RAC-C 
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- Original Message -----
From: dawn
Sent: Friday, February 06, 2004 9:28 PM
Subject: Re: question for group

 
Good response Nathan. I tend to use the word "declined" care as the resident is made aware of possible complications etc.
 
dawn
 
 
 
----- Original Message -----
From: Nathan
Sent: Friday, February 06, 2004 12:30 AM
Subject: Re: question for group

There is a difference between refusing and resisting. If someone is alert and oriented you should not attempt to deliver care that they don't want. If you document that they are A&Ox3 and resisiting, the assumption must be that your are forcing them against their will.
 
Document that the resident refused care, not resisted.
 
Nathan
----- Original Message -----
From: Corey Ali
Sent: Thursday, February 05, 2004 7:13 PM
Subject: Re: question for group

Where, Please?
----- Original Message -----
Sent: Thursday, February 05, 2004 9:33 PM
Subject: Re: question for group

In a message dated 2/5/2004 6:21:17 PM Pacific Standard Time, [EMAIL PROTECTED] writes:
Is there a new rule somewhere that anyone who is alert & oriented can't be considered to be resisting care? 
It's not a new rule. It's been in the Manual.
 

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