Best Practices for Managing and Documenting Patient Refusals
Handling patient refusals can be challenging. Rehabilitation therapists must balance respecting a patient’s right to refuse while justifying a patient’s need for therapy. Additional challenges include revenue and productivity costs of refusal, which must be considered. This course models best practices in accepting and documenting refusals and when it is appropriate to discharge a patient from the caseload due to repeated refusals.
Handling patient refusals can be challenging. Rehabilitation therapists must balance respecting a patient’s right to refuse while justifying a patient’s need for therapy. Additional challenges include revenue and productivity costs of refusal, which must be considered. This course models best practices in accepting and documenting refusals and when it is appropriate to discharge a patient from the caseload due to repeated refusals.
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Feature Flag Details: Default value: false Flag: courseListSearch | User: 401109704Alabama State Board of Occupational Therapy
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
Occupational Therapists will receive 1.00 contact hours for participating in this course.
American Occupational Therapy Association
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Relias LLC is an AOTA Approved Provider of professional development. Course approval ID# 0000010854. This Distance Learning-Independent is offered at 0.10 CEUs, Introductory, OT Service Delivery; Professional Issues. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
American Speech-Language-Hearing Association
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Introductory Level
0.10 ASHA CEUs
Arizona Board of Occupational Therapy Examiners
Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).
Occupational Therapists will receive 1.00 contact hours for participating in this course.
CA Physical Therapy Board of California
Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.00 contact hours.
Florida Board of Occupational Therapy
Florida Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours.
Georgia State Board of Occupational Therapy
Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Illinois Division of Professional Regulation of Physical Therapists
Relias LLC is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.00 contact hours.
Kansas Board of Healing Arts - Occupational Therapy
Kansas Board of Healing Arts - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours.
Kansas Health Department of Aging and Disability Services (Speech)
Approved for 1.0000 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.0000 contact hours.
Louisiana Physical Therapy Board
This course is approved by the Louisiana Physical Therapy Board for 1.00 Clinical hours.
Louisiana State Board Medical Examiners- Occupational Therapy
Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Michigan Board Of Occupational Therapy
Mississippi State Department of Health- Occupational Therapy
Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
National Board for Certification in Occupational Therapy
New Hampshire Occupational Therapy Governing Board
New York Physical Therapy
The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.00 contact hours.
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy
Oklahoma Board Of Medical Licensure And Supervision - Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours.
PTs/PTAs (CE Credit)
South Carolina Board of Occupational Therapy
South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
Tennessee Board of Occupational Therapy
Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
Occupational Therapists will receive 1.00 contact hours for participating in this course.
West Virginia Board of Physical Therapy
This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-F26-010. Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor. This activity is approved for 1.00 contact hours.
Identify healthcare principles related to patient rights and common reasons for treatment refusals.
Choose strategies to encourage patient participation and appropriate responses to patient refusals based on clinical scenarios.
Identify appropriate documentation of refusals and decision-making factors regarding appropriate discharge from therapy.
Outline:
Section 1: Patient Rights and Refusals
Refusals and Informed Consent
Healthcare Principles
Reasons for Refusals
Factors to Consider
Knowledge Check
Key Takeaways
Section 2: Ethical Approaches
Patient-Centered Care
Strategies That Encourage Participation
Documenting a Refusal
Knowledge Check
Key Takeaways
Section 3: Clinical Examples
Agnes
Cora
Anna
David
Section 4: Conclusion
Course Summary
Course Contributors
Resources
ReferencesSubject Matter Expert: Susan Almon-Matangos, MS, CCC-SLP
Reviewer: Sara Dydyn OTR/L, ATPSusan Almon-Matangos, MS, CCC-SLP, is a certified and licensed speech-language pathologist with over 40 years of experience. She earned her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She has provided care to clients across the lifespan with diverse diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for a contract therapy company, she developed training programs for physical therapy, occupational therapy, and speech-language pathology focusing on clinical rehabilitation needs of older adults in post-acute care. Currently, she serves as the Lead Subject Matter Expert Writer for Speech-Language Pathology at Relias, where she leverages her clinical expertise and analysis of published research. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association.
Reviewer: Nicole Fogarty, PT, DPTSara considers themself a lifelong learner and holds degrees from Sacred Heart University (MSOT) and Wagner College (BS Psychology) and is a nationally board-certified OT. Graduating in 2018, Sara began their journey as an outpatient occupational therapist focusing on adult neurological and orthopedic conditions and durable medical equipment (DME). Sara’s passion for assistive technologies, specifically wheelchairs, led them to achieve their Assistive Technology Professional specialty certification in 2021. They also went on to become certified in CBIT, a specialty modality for individuals with Tourette’s Syndrome. In addition to DME and Tourette’s Syndrome, Sara is most passionate about their work with individuals experiencing Long COVID, and adolescents and adults with hypermobile spectrum disorder/Ehlers Danlos and dysautonomia.
Nicole Fogarty holds a Doctor of Physical Therapy degree from Northeastern University. She has experience treating patients with cardiopulmonary, orthopedic, and neurological impairments in the inpatient setting. She also has experience in outpatient orthopedics. She has additional training in medical screening, lumbopelvic examination and treatment, and treatment of patients with cardiopulmonary diseases. Nicole enjoys using her clinical experience and interest in current rehabilitation research as a Physical Therapy writer for Relias.
The target audience for this course is: Basic level Physical Therapist; Introductory level Occupational Therapist; Introductory level Speech-Language Pathologists; in the following settings: Rehabilitation Settings.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
