Identification should include
- questions to ask when determining reasons for medication refusal
- active – client directly refuses
- passive – less obvious and requires observation
- strategies for managing client refusal
- rephrasing offer to administer the medication
- following the client’s Individualized Service Plan (ISP) for actions to be taken regarding refusal
- documentation when a client refuses
- notifying the HCP regarding the refusal
- observing and reporting effects of medication refusal
- documenting refusal per facility protocol.
Process/Skill Questions:
- What is the difference between active and passive refusal?
- What questions should an MA ask to determine the reason for refusal?
- What is cheeking?