refusal

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refusal

The depth below which a pile cannot be driven.
References in periodicals archive ?
Having patients' signed informed consent or informed refusal documents (when appropriate) helps protect the office.
The American College of Obstetricians and Gynecologists addresses this issue explicitly in a committee opinion on Informed Refusal.
Informed refusal must be considered in the context of selective or universal screening policies.
To ensure that the patient's right to an informed refusal of transport has not been violated, the documentation does not necessarily reflect that the patient understood the discussion.
However, the doctor's decision may be based on the patient's wishes in an advance directive such as a living will or informed refusal by the patient or his or her representative.
Nonetheless, I think it is important to protect a pregnant woman's right to informed refusal even when, as a physician, I don't necessarily agree or feel comfortable with the decision.
At this point, inform the patient of the possible consequences of no treatment and secure an informed refusal, either by signed form or documentation in the patient's record.
In addition, it is an ethical imperative that the health care practitioner recognises and respects the patient's choice of decision, which may be that of informed refusal rather than consent.
Such refusals should be documented in the medical chart and, preferably, an informed refusal document should be completed and signed by both patient and surgeon.