What is an appropriate approach when you disagree with a patient's healthcare decision?

• A. Coerce the patient to change their mind
• B. Refuse to treat the patient
• C. Listen to both sides and discuss respectfully and document your concerns
• D. Ignore the patient's viewpoint

Answer: (C)

Respecting a patient’s autonomy while providing professional guidance is essential when you disagree with a healthcare decision. The best approach is to listen carefully to the patient’s reasons, concerns, and values, and to discuss options in a calm, respectful, and nonjudgmental way. Provide clear information about the risks, benefits, and alternatives, verify the patient’s understanding, and explore any barriers to informed decision-making. Document the conversation, including your concerns and the rationale for your recommended plan, so there is a clear record of the discussion and of agreed-upon next steps. If you remain unable to align with the patient’s choice, consider involving an ethics resource or supervisor to support the decision-making process, while continuing to respect the patient’s right to make their own decision.

Coercing a patient to change their mind undermines autonomy and trust. Refusing to treat someone solely because you disagree with their decision is not appropriate and can compromise care. Ignoring the patient’s viewpoint erodes the patient–provider relationship and can lead to unsafe outcomes.