I am a new nurse. I want to run something by everyone to see how they feel about some difficult subject matter.
Recently I encountered a patient who is AAOx3, new admission, and doctor puts them on a fluid restriction. The patient is very confrontational and family is also involved. The patient and family are refusing the fluid restriction, and begin to argue, raise their voices, and make verbal attacks to staff.
I am wondering if my thoughts on handling this situation are correct. I would state to the patient that they have a choice in their care, and the decision to follow the doctor's recommendations is ultimately theirs alone. I would explain to them the reason for the restriction and possible consequences of not following the restriction. Then, if they still wished to refuse, I would document it in the chart and notify the MD.
Does this seem like reasonable course of action? The fact that the patient is acting like a two-year old throwing a tantrum, however this patient is not actually a two year old but a competent adult. I think that giving the patient the choice will make my life easier. On the other hand, I am worried about getting yelled at by the MD for "not educating the patient" or being in trouble if something goes wrong with the patient due to them not following doctor's recommendations.
'Damned when we do and damned when we don't'.
Just said by the poster ahead of me. Thinking the same thing, weird!
Last edit by amoLucia on Jul 10, '12
: Reason: repetition