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Cake day: July 9th, 2023

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  • retrieval4558@mander.xyztoAsklemmy@lemmy.mldol
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    10 months ago

    Here’s my thoughts as a critical care PA:

    If the patient is AOx4 / has capacity and there is no reason to suspect they’re throwing out meds (or storing them for a bigger dose later, as sometimes happens with opiates), then I personally don’t care if you visualize it, although I share another commenters thoughts that I’m not sure what the big delay is in such patients.

    If they’re AOx4 and have capacity but there IS suspicion of deception, there needs to be a conversation with the patient, nursing, and the provider team. This patient absolutely has the right to decline medication, and they need to know that they will get better care if everyone is honest with each other.

    If they do not have capacity to refuse and there is suspicion that they are unable or unwilling to self administer the medication, yes you must watch them take it.

    Edit: for clarification, are the doctors mad that you can’t CONFIRM that they took the meds or mad that you aren’t CONVINCING a person to take a med they don’t want to take?