How should you respond when a resident refuses a meal or supplement?

How should you respond when a resident refuses a meal or supplement?

• A. Force feed the resident.
• B. Respect the decision, document refusal, offer alternatives, and notify the nurse.
• C. Ignore the refusal.
• D. Remove the resident from care.

Answer: (B)

Respecting a resident’s right to refuse a meal or supplement while ensuring safety and clear communication is the key idea. When this happens, you should honor the decision, document the refusal with date and time (and reason if given), and offer acceptable alternatives such as a preferred food, a smaller portion, or a different timing. Then notify your supervising nurse so the care plan can be reviewed. Do not force-feed, ignore the refusal, or remove the resident as punishment. After the refusal, monitor for dehydration, weight loss, or signs of pain or swallowing problems, and report any concerns to the nurse. This approach supports the resident’s autonomy while keeping the care team informed and patient safety in focus.

Respecting a resident’s right to refuse a meal or supplement while ensuring safety and clear communication is the key idea. When this happens, you should honor the decision, document the refusal with date and time (and reason if given), and offer acceptable alternatives such as a preferred food, a smaller portion, or a different timing. Then notify your supervising nurse so the care plan can be reviewed. Do not force-feed, ignore the refusal, or remove the resident as punishment. After the refusal, monitor for dehydration, weight loss, or signs of pain or swallowing problems, and report any concerns to the nurse. This approach supports the resident’s autonomy while keeping the care team informed and patient safety in focus.