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How can you handle a patient's family who disagrees with your recommended treatment plan?

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As a healthcare professional, you may encounter situations where your recommended treatment plan for a patient is challenged or rejected by their family members. This can be frustrating, stressful, and potentially harmful for the patient's well-being. How can you handle such scenarios with respect, empathy, and professionalism? Here are some tips to help you navigate this delicate issue.

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Michael Bass, M.D.

LinkedIn Top Voice | Gastroenterologist I Medical Director @ Oshi Health

1 Understand their perspective

The first step is to try to understand why the patient's family disagrees with your treatment plan. They may have different beliefs, values, preferences, or expectations than you or the patient. They may also have fears, doubts, or misconceptions about the treatment or its outcomes. Listen to their concerns and try to acknowledge their emotions without being defensive or dismissive. Show them that you care about their input and that you are willing to explain your rationale and evidence for your recommendation.

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2 Educate and inform

The next step is to educate and inform the patient's family about the treatment plan and its benefits, risks, and alternatives. Use clear, simple, and accurate language and avoid jargon or technical terms. Provide them with relevant and reliable sources of information, such as brochures, websites, or videos. Use visual aids, such as charts, graphs, or diagrams, to illustrate your points. Answer their questions and clarify any misunderstandings or confusion. Emphasize the patient's goals, preferences, and values and how the treatment plan aligns with them.

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Michael Bass, M.D.

LinkedIn Top Voice | Gastroenterologist I Medical Director @ Oshi Health
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I find when patients and their families aren't comfortable with treatment plans, it's usually due to a lack of insight into the clinical context. When loved ones are sick, this places a great deal of stress on the family. Clear thinking is often impaired. Take the time to explain the treatment plan in simple terminology. It may take more than one time for it to sink in.

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3 Collaborate and negotiate

The third step is to collaborate and negotiate with the patient's family to reach a mutual agreement on the treatment plan. Involve the patient as much as possible in the decision-making process and respect their autonomy and consent. Consider the family's suggestions and preferences and see if you can accommodate them or find a compromise. Explain the consequences of not following the treatment plan or choosing a different option. Seek the support of other healthcare professionals, such as physicians, nurses, social workers, or ethicists, if needed. Document the discussion and the outcome in the patient's record.

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4 Communicate and follow up

The final step is to communicate and follow up with the patient's family after the treatment plan is implemented. Keep them updated on the patient's progress and condition and address any issues or problems that arise. Provide them with feedback and encouragement and acknowledge their efforts and cooperation. Evaluate the effectiveness and satisfaction of the treatment plan and make any necessary adjustments or changes. Thank them for their trust and involvement and ask them for their feedback and suggestions.

Handling a patient's family who disagrees with your treatment plan can be challenging, but it can also be an opportunity to build rapport, trust, and understanding. By following these tips, you can improve your communication skills, enhance your patient care, and foster a positive relationship with the patient's family.

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5 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How can you handle a patient's family who disagrees with your recommended treatment plan?

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5

1 Understand their perspective

2 Educate and inform

3 Collaborate and negotiate

4 Communicate and follow up

5 Here’s what else to consider

Working with Physicians

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How can you handle a patient's family who disagrees with your recommended treatment plan?

1

2

3

4

5

1 Understand their perspective

2 Educate and inform

3 Collaborate and negotiate

4 Communicate and follow up

5 Here’s what else to consider

Working with Physicians

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