Documentation In A Diabetic Patient

One of the principles for drug administration is right to refuse. Patient has a right to refuse any treatment allocated for her or himself. For example, Muslim diabetic patient may refuse to accept the use of porcine derived drugs and prefer bovine derived drugs for religious purposes. Refusal or treatment not only related to drug administration but often involve a complex issue such as refusal of blood transfusions. When a nurse deal with these kind of issues, an accurate documentation is needed especially regarding the patient’s condition, reason for refusal, level of consciousness as well as verbatim expression of the patient’s intent and rationale. At this moment, documentation in a client’s health care record acts as an evidence that