- we can address his concerns about his dog , a neighbor as an example can take care of the dog for this day. - living alone with a dog , that should increase the risk for this patient, as there’s no one to call for help if he collapsed again at home. - we also should clarify the medico legal concern here , the patient should know that he will sign a refusal form.
There is absolutely no obligation for him to sign a refusal form. Not withstanding any concerns the doctor may have, he is an adult with established capacity and, therefore, is within his rights to leave at any point if he wants to, even if it is unwise. Remembering the key principles of the Mental Capacity Act
felt doctor wasn't taking in the fact the patient was really concerned about his dog. I also understand the position the patient is in about his health.
Should we not address the concern as well ? That if he can ask someone to look after Ralph while he’s undergoing investigations . Or if we can provide any means of making sure Ralph is well looked after . Because the patients main concern is his dog and if we can address it maybe they agree for the procedure ?
Although it would be nice but patients come with all sorts of social issues and it becomes very difficult and outside your domain to try to solve all those issues... It's difficult enough to try to do your part of the job.
