A client does not give up his/her basic human rights when they start receiving services or move to a community care setting.
Freedom of Choice
Mr. Blake has an history of not taking his shower and will be become agitated. What is the most appropriate statement before giving a shower?
- "Mr. Blake, I don't time for this! Let' take a shower!"
- "Good Morning Mr. Blake. It's time for a warm and nice shower."
- "OK! I will tell all your friends that you did not take your shower today!"
- "Would you like to have a shower today?"
The client is the person to decide and choose:
- when and how services are delivered;
- when and what to eat;
- when to go to bed and when to get up;
- what clothing to wear and hairstyle (even if it isn’t what you would choose);
- how to spend his/her leisure time.
Mr. Umpuqua is a 79 years old male that has been recently diagnosed with early stage Alzheimer's and refuses to take his medication. The client claims that he's not sick and can handle himself with everything.
Balancing a Client’s Right of Choice and Safety
- Explain to the client why you are concerned.
- Offer safe alternatives that could meet what the client wants and allows the choice to remain his/hers.
- Report your concerns to the appropriate person in your care setting, if you can’t negotiate a safe solution.
- Document your concerns, what you did, and who you reported it to.
If you are concerned that a client’s actions put him/her in immediate danger to themselves or others, call 911.
You are caring for Ms. Moore when her daughter came in her room and starting to ask you question about her mother's health status.
- Are you allowed to disclose any information to the client's family member?
- Share only what is needed and in the best interest of the client;
- Do not gossip;
- Do not have the discussion in a public area where others may overhear.
- The nature of the treatment;
- Reasonable alternatives;
- The relevant risks, benefits, and uncertainties related to each alternative.
- Help make sure a client’s wishes are known and followed;
- Take effect when the client losses his/her ability to make decisions or authorizes another person to make decision;
- Can only be made and cancelled by the client.
Types of Advance Directives:
- Living Wills or Health Care Directives
- Durable Power of Attorney for Health Care and Power of Attorney
- Do Not Resuscitate (DNR) or Code/ No Code Determination
- Anatomical gift
A person may be or become incapacitated and not have the ability to make health care decisions. This can be a result of an accident, illness, or disability.