When a Patient Disagrees with Your Care Recommendations: Using Informed Refusal as a Tool
from Within Normal Limits: Navigating Medical Risks Hosted by Alan Lembitz MD, Eric Zacharias MD
Dr. Alan Lembitz, COPIC’s Chief Medical Officer, joins us to talk about managing situations where patients make decisions about their care that you don’t believe is in their best interest. Using a case study review, we analyze a scenario that illustrates the importance of using an informed refusal form to document a patient’s choice that goes against your recommended care. This presents a challenge in balancing the concerns of protecting your patient while protecting yourself from a medical liability lawsuit. In addition, we look at factors such as patient competency, reasons why patients may refuse care (including financial concerns), documentation guidelines, the difference of informed refusal versus “against medical advice,” and navigating the process of shared decision-making. Podcast Email: [email protected] Feedback or episode ideas email the show at [email protected] Disclaimer: Information provided in this podcast should not be relied upon for personal, medical, legal, or financial decisions and you should consult an appropriate professional for specific advice that pertains to your situation. Health care providers should exercise their professional judgment in connection with the provision of healthcare services. The information contained in this podcast is not intended to be, nor is it, a substitute for medical diagnosis, treatment, advice, or judgment relative to a patient’s specific condition.
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Dr. Alan Lembitz, COPIC’s Chief Medical Officer, joins us to talk about managing situations where patients make decisions about their care that you don’t believe is in their best interest. Using a case study review, we analyze a scenario that illustrates the importance of using an informed refusal form to document a patient’s choice that goes against your recommended care. This presents a challenge in balancing the concerns of protecting your patient while protecting yourself from a medical liability lawsuit. In addition, we look at factors such as patient competency, reasons why patients may refuse care (including financial concerns), documentation guidelines, the difference of informed refusal versus “against medical advice,” and navigating the process of shared decision-making.
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