Refusal of procedures in Rehabilitation Hospital: bioethics analysis.
DOI:
https://doi.org/10.26512/rbb.v15i1.26668Keywords:
Refusal. Bioethics. Nurse care. Rehabilitation.Abstract
It is important to analyses tensions in procedures during hospitalization of patients in a Rehabilitation Hospital. The aim of this study was to describe the refusal of the procedures in a Rehabilitation Hospital and to analyze it in the light of bioethics. Self-administered questionnaires were applied to nurses to identify the profile, the reason for the refusal of procedures and the impact on treatment. Of 190 admissions in a month, 20 declined procedures in wards. 55% were female, 61 years old, 75% through high school, 75% had comorbidities, 65% with surgical indication, length of stay 27.5 days, 10% refused procedures, including procedures of movement and nursing, consensus was reached by 50% with and consequences on attendance by 55%. Health professionals in general are aware that it is not possible care without the patient’s consent; however, this can have an impact to the patient. It is important that the patient understands the information that has been given to him and the repercussions of his decisions on his care and treatment, especially in rehabilitation, that require longterm or permanent care, depending on the degree of physical and psychological dependence.
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