Quote from Glycerine82
I'm just curious what you all think...
I have a colleague who insists that when a patient is noncompliant regarding their diet, (diabetic CHF etc.) even when we document and alert the provider they are not adhearing to it, that we can ultimately be held liable?
Im in a sub acute rehab setting.
I feel like the patients have the right to do what they want and as long as we educate and document, the rest is out of our hands.
My colleague says the reason they have a diet ordered is to ensure they adhere to it. I just don't see how if I do everything in my power to keep the patient in compliance but they still choose to eat whatever they want, I've done all I can do.
What at do y'all think? What can I do differently?
Your coworker sounds woefully ignorant about all of this.
This centers around patient autonomy, a top-of-the-list ethical value.
The patient has the right to be properly informed of the risks and benefits of any suggested intervention, as well as receiving accurate information about the expected effects of declining a particular intervention.
The patient must have the capacity to take in and evaluate information and make decisions that reflect their own values.
There is ongoing discussion in the literature about not using the terminology "non-compliant" any more because it doesn't imply that the patient should and does have a choice.
Liability arises when it can be shown that the healthcare provider-associated elements that are a necessary part of informed consent were lacking.