Thanks for the tips. It is a hospital setting. MD's are all fed up with the situation as well, and since I work nights, it's usually a resident that I am calling every hour for some issue with this pt and they don't even want to bother with it anymore. Pt has been at several different hopitals, continually for a few months, and is a young ADULT with possiblities of older family member keeping this pt sick- get my drift? I hate to even use the term Munch.... well, you know, but it is very hard not to at least consider it in this crazy case.
I suppose my main question, before I go in for next shift, is this - is it what the pt says, or the DPOA says when it comes to refusing meds/treatment? The pt seems capable to me, but not according to dpoa who claims this is absolutely not the pt's right frame of mind since they are on narcs.
I did call for a patient advocate to come and speak with the duo, now I just need to find a nurse advocate for me.