ABSTRACT
This chapter explains how to respect the adult patient's competent decision to refuse treatment. To make a competent decision, a degree of rationality is required. It is important that the patient is sufficiently rational to understand and reflect upon their condition in accordance with their own values and belief systems. The adult patient can change their mind at any time – they can withdraw previous consent for treatment or accept information and consent to treatment that was previously declined. In instances where the patient withdraws consent, practitioners are advised to ascertain the reason for the withdrawal of consent. They are also advised to discuss the consequences of doing so and attempt to remedy any misconceptions or fears that may be influencing their decision and inhibiting their consent. It is in the patient's best interest that disputes or complaints regarding consent to treatment are resolved promptly. Resolution should be attempted informally via negotiation and discussion with the parties involved.
