Supervision 1

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School

Capella University *

*We aren’t endorsed by this school

Course

5527

Subject

Law

Date

Feb 20, 2024

Type

docx

Pages

2

Uploaded by Singlemother34

Report
01/25/2024 Supervision Intern and Supervisor reviewed cleint interview assignment together Intern also discussed the discussion post for this week with site director and went over a social workers role and responsibilities The intern also discussed a case of client that refused her meds on her case load. The Patient Self-Determination Act of 1990 The Patient Self Determination Act (PDSA) is a federal law that was passed in 1990 to protect the rights of patients to make their own health care decisions, especially in situations where they are unable to communicate their wishes. The PDSA requires health care facilities that receive federal funds to inform patients of their rights to accept or refuse medical treatment, and to create an advance directive, such as a living will or a durable power of attorney for health care. An advance directive is a document that states what kind of medical care a person wants or does not want in case they become terminally ill, permanently unconscious, or otherwise incapacitated . The PDSA also requires health care facilities to respect and follow the patient’s advance directive, unless it conflicts with state law or the facility’s policy If a patient refuses medication, social workers can calmly explain the consequences of not taking their prescribed medication. If no reason is given, they can wait a while and ask again.  If the medication is still refused, they can record it on the MAR chart using the correct code How can a social worker help a cleint that refuses to take a medication that she knows the client needs What is the role of the social worker in such situations wherein a patient is refusing prescribed psychotropic drugs? Does the social worker have an ethical responsibility to act in such circumstances? Refusal of Prescribed Medication All clients have the right to refuse medication, it is unlawful and unethical to force or trick someone into taking medication. If a client is refusing and saying they don’t want to take their medication, you should: 1.Try to find out the reason why e.g. unpleasant side effects? Difficulty swallowing? Time of day? This can establish if there is a problem that needs further investigation or that could be solved. Refer any such concerns to your line manager who will contact the pharmacist or prescriber. 2.Explain calmly the consequences of not taking their prescribed medication. 3.If no reason is given, wait a while and ask again. 4.If the medication is still refused, record it on the MAR chart using the correct code.
5.Record the reason for the refusal, the action taken and what was done with the refused medication on the medication log. 6.Inform your manager of the refusal so that the situation can be assessed and if necessary, seek advice from the prescribing officer. To ensure that individuals retain as much autonomy or self-determination as is legally possible, the court makes a determination of one's competence in a task-specific manner. For example, one can be determined to be incompetent to execute a will but may be deemed competent to make treatment decisions. Whenever possible, efforts are made to adjudicate incompetence in this manner. However, there are statutes that allow for the determination of general incompetency.8,9 In such cases, individuals who are in persistent vegetative states, severely demented, severely mentally retarded, or actively psychotic would be considered incompetent generally, i.e., incapable of any rational decision making while suffering from the prevailing impairment. Site director and intern reviewed Ruffalo, M. L. (2016). The social worker, psychotropic medication, and right to refuse.   Social Work ,   61 (3), 271-272. The intern was asked to review an article on her own and discuss it further next week. Intern will present questions and scenarios to gain a deeper understanding of the subject matter.
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