How can a CNA help a resident who is refusing care?

When a resident refuses care, the most effective approach is to understand their concerns and offer options. This method emphasizes respectful communication and addresses the resident's feelings and autonomy. By actively listening to what the resident is expressing—whether it be fear, discomfort, or previous experiences—the CNA can identify specific reasons for the refusal.

Once the concerns are understood, the CNA can provide alternatives or explanations that might alleviate the fears associated with the care being offered. This could include explaining the importance of the care, discussing the benefits, or providing choices that make the resident feel more empowered in their decision-making. This resident-centered approach fosters trust and collaboration between the CNA and the resident, which can lead to a more positive attitude toward care in the future.

In contrast, insisting on following protocols without considering the resident’s feelings can be perceived as disrespectful and may lead to further resistance. Ignoring the refusal is not appropriate, as it can compromise the resident's safety and well-being. Moreover, while informing a supervisor can be necessary in some situations, it is not the first step in addressing the refusal and does not promote a direct resolution of the resident's immediate concerns. Thus, focusing on understanding and offering options is key to helping residents who are hesitant about receiving care.