My way to deal with those who refuse to follow treatment . . .
is to give them the "you're a grown-up talk." They get given the information they need to decide if they'd like to be treated, but ultimately they are adults and can decide for themselves. They can refuse medical treatment, but they are also warned I *will* make them sign forms that say they refused medical advice, and will need to fid their own doctor for follow-up. I can handle disagreement, in fact, it usually means they are listening, and not just nodding and smiling at my plan. I don't appreciate the same patient coming back, telling me they're now stuffed because I wasn't clear enough when I told them they *must have* this treatment, and it's all my fault.
( Mrs Legless . . . belongs to, well, you know . . . :), Sat 13 Mar 2010, 11:44, 1 reply)

LOL!
Last time I was in, they tried to make me take a Xanax (I wasn't even being unruly or anything, was just pissed off at being there when I didn't want to be). I refused as I only take Xanax when I fly long distance and don't use it as a calm down method.
They made me sign a form saying I refused medical treatment......and still refused to move me even though I said the corridor would be fine and there were plenty of other open beds. I so did not need to be next to the man puking in the bed next door (who, incidentally, was also on a mental health hold, had tried to kill himself and was puking the pills and alcohol out of his system, strapped down with full restraints - they just turned his head so he could puke).

And because I'd signed the form, they wouldn't give me my arthritis pills.
( Batshitmentalist is sane for once, Sat 13 Mar 2010, 11:57, closed)

Funnily enough , here
once the forms are signed, you don't *have* to continue treating the patient - and some of them walk out - but if they stay, we still do everything for them they need: it's the right thing to do. Most of the time I'll even find someone else they can see if they want to swap hospitals.
( Mrs Legless . . . belongs to, well, you know . . . :), Sat 13 Mar 2010, 12:00, closed)