If a patient refuses medication administered via a gastrostomy tube, what should the nurse do?

Respecting the patient's wishes and documenting the refusal is essential in nursing practice, particularly when it comes to administering medications. Autonomy is a fundamental principle in healthcare, which means that patients have the right to make informed decisions about their own treatment, including the right to refuse medication.

When a patient refuses medication, it is crucial for the nurse to acknowledge that decision, as this respects the patient's autonomy and choice regarding their healthcare. Documentation of the refusal not only provides a record of the patient's wishes but also protects the nurse and healthcare facility from potential liability by showing that the nurse acted according to the patient's expressed desires.

Additionally, while discussing the importance of the medication with the patient or contacting the prescriber can be necessary steps in some scenarios, they should come after respecting the patient's initial decision. It may lead to a better understanding and potentially a change in decision, but the priority is always to honor the patient’s autonomy first.