What should a CNA do if a resident refuses care or assistance?

When a resident refuses care or assistance, it is important to respect the resident's autonomy and their right to make personal choices about their own care. This respect for autonomy is a fundamental ethical principle in healthcare, which emphasizes that individuals have the right to make decisions regarding their own bodies and lives, including the right to refuse treatment.

In this scenario, respecting the resident's choice acknowledges their autonomy and may contribute positively to their sense of dignity and control over their healthcare decisions. It is also essential for the CNA to document the refusal accurately. This documentation provides a record of the resident's wishes, which can prevent potential misunderstandings and ensure that other healthcare team members are aware of the resident's preferences.

Informing the resident of the consequences of their refusal is an important part of the process, but it should come after confirming their understanding and respecting their decision. Forceful compliance is not acceptable ethically or legally; it disregards the resident's rights and can lead to feelings of resentment or trauma. Similarly, while contacting a supervisor may be necessary in some cases, it is more crucial to first respect the resident’s decision unless there are immediate safety concerns that require intervention. Therefore, the best course of action for the CNA is to respect the resident's choice and document the