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ForwardSession Description:
When a patient with a mental illness refuses treatment, capacity and context play vital roles in understanding how to appropriately proceed. This webinar will detail approaches for working with such patients following an initial refusal, and important considerations for discerning whether and when to treat over a patient’s resistance.
Target Audience:
Nurse Practitioner (NP)
Nurse, Registered (RN)
Physicians (MD or DO)
Social Workers
Other Healthcare Professionals
Session Learning Objectives
After Attending this Activity, Learners Should be Able to:
- Recognize how refusal of treatment and assessing capacity may be different in the context of a mental illness
- Identify strategies for continuing to work with a patient refusing treatment
- Describe relevant considerations when discerning whether to treat over a patient’s resistance
Providing Culturally Appropriate Care which is Free of Implicit Biases (AB 1195 & 241):
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
Social determinants:
Bai, J., Zhang, P., Liang, X. et al. Association between dementia and mortality in the elderly patients undergoing hip fracture surgery: a meta-analysis. J Orthop Surg Res 13, 298 (2020). https://doi.org/10.1186/s13018-018-0988-6
Implicit bias:
van Dusseldorp, L., Groot, M., van Vught, A., Goossens, P., Hulshof, H., & Peters, J. (2023). How patients with severe mental illness experience care provided by psychiatric mental health nurse practitioners. Journal of the American Association of Nurse Practitioners, 35(5), 281-290. https://pubmed.ncbi.nlm.nih.gov/37074260/
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Kerri Maya, PhD(c), MSL, RN, NPD-BC
- 1.00 AMA PRA Category 1 Credit™
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™ Hour(s)
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Sutter Health certifies this Live activity was designated for a maximum of 1.00 AMA PRA Category 1 Credit™ Hour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
This course/program has been awarded 1.00 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ASWB-ACE
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 continuing education credits.
- 1.00 CA BRN
This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credit for learning and change.
