Comment on [deleted]
Hedgehawk@lemmy.world 9 months ago
With medication it tends to be pretty important to know what was taken, when it was taken and how much was taken. Leaving the meds with the pt means you can’t know for sure when and how much was taken, or if anything was taken at all. And that’s a problem. How’s a doctor supposed to make any decision with care if they don’t know for sure whether the patient has been getting the meds as ordered?
meekah@lemmy.world 9 months ago
it’s easy. assume the patient took them when they were told to. if they lie to a doctor, they have to face the consequences. at least that’s how I’d handle it if I was a doctor.
Fantabread@lemm.ee 9 months ago
And then when they die, their family sues the doctor for not making sure the patient took his medicine. Even if the doctor wins the case, the time and expense to fight it isn’t worth it. Letting the patient face the consequences of his actions only works in a world where people accept the consequences of their actions, but we live in a world where everyone loves to blame someone else instead.
meekah@lemmy.world 9 months ago
That’s ridiculous. The doctor will the case 100% if there is a paper trail and witnesses of the patient refusing medication. The family will be forced to live with the consequences of the decisions of their family member. And do people really have to pay their own defense if they end up being proven innocent? If this situation were to play out where I live, the family would have to pay for the doctor’s lawyer, because it’s an expense only created by the families lawsuit. The doctor would still be out for some time, but if there is a risk of the family having to pay the doctor’s lawyer, it makes sure people only sue when they are certain that they will win the case, which reduces the number of lawsuits against doctors who respect their patients autonomy.
djquadratic@kbin.social 9 months ago
Except when there are bad outcomes because the actual patient status doesn’t match up with MAR? And then it becomes the M&M case of the week.
meekah@lemmy.world 9 months ago
The nurse who created this post said they would report it to the doc, who then notes it down, so the MAR should match to my understanding.
djquadratic@kbin.social 9 months ago
In order to properly document it, there would need to be visual confirmation of the medication being taken, and if it’s refused the medication needs to not be in the patients access. Otherwise OP is not a reliable historian and is unfit for their job as they refuse to comply with standard of care.
I’m on clinical rotations right now , and I literally just asked the nurse next to me about this and she said OP is dead wrong.