In addition: Misunderstandings and Myths; If the argument stems from misinformation or misconception, gently dispel it using facts backed by proof. Do not to sound condescending. Follow-up; Inform the patient that you are willing to review the care plan if needed or if the situation changes, also their decision is not final. Autonomy; In the end, honour the patient's right to make decisions regarding their medical care. If they persist in their disagreement, note their objection and make sure they understand the possible repercussions of deviating from the plan. In all you do, uphold the patient’s trust, as this strategy develops a therapeutic relationship, emphasises patient centred care and advances improved health outcomes.

Wow. No patient should have a care plan they don't agree with. That is not a care plan! They are the ones doing much of the work, and even if they're not (i.e., in the hospital setting), there's such a thing as consent!

Sometimes all you can do is inform and then allow them make the decision. I vividly remember a patient I took care of on call one night. She ruptured her membranes and her kiddo was in a breech presentation. I recommended a c-section (which is the standard of care) & she kept arguing with me that she didn't want a c-section & wringing her hands, torn between what she wanted & what I was recommending. Eventually, I told her that by not making a decision, she was making a decision - one that would soon end with me delivering a vaginal breech - which I had done a handful of times (due to unexpected circumstances) and which would probably turn out ok, but if it didn't, it would be too late to change her mind or for me to change the outcome.

Here is how you can utilize active listening to handle such situations: 1. Give full attention: Focus solely on the patient without distractions. 2. Listen without interrupting: Let the patient fully express concerns before responding. 3. Show empathy: Acknowledge and validate the patient’s feelings. 4. Paraphrase and reflect: Restate the patient’s concerns to ensure understanding. 5. Ask open-ended questions: Encourage deeper conversation by asking broad questions. 6. Clarify and summarize: Confirm understanding by summarizing key concerns. 7. Collaborate on solutions: Work with the patient and healthcare team to find alternatives. 8. Remain calm and respectful: Stay composed and non-judgmental, even in emotional situations.