Sometimes the family or third party may not accept your interventions. For example, you discover that Mrs. C is pouring wine brought in by the cleaning lady down her gastrointestinal tube. The intervention you advise: The trust officer is to replace the cleaning lady within 24 hours, and all alcohol is to be removed from the home by the GCM.
However, the GCM may find that a planned intervention cannot be carried out. For example, Mrs. C may call her attorney, who may insist that a geriatrician hired by the court has tested Mrs. C’s competency. The test shows that she is competent and has the right to drink alcohol if she wishes. In this case, the GCM has developed an intervention that the client rejects and will not carry out. When care plans are rejected, the GCM may have to wait until the client or the family will accept the solution. If they do not, the GCM will have to accept the wishes of the legally competent client and family. If the GCM feels that not carrying out the solution will seriously endanger the client’s health and safety, the GCM can report the situation to Adult Protective Services. The GCM should consult with Adult Protective Services and an attorney about mandatory reporting state laws.
Learn more about creating a care plan, doing multiple assessments and writing a geriatric assessment in my free webinar ‘ Writing a Winning Geriatric Assessment ” January 25 . Sign-up . In the meanwhile watch my You Tube Channel- Geriatric Care 1 and the segment on merging multiple into one care plans- subscribe for latest playlist on writing a geriatric assessment coming soon.