February 2019: Refusal of treatment

Clinical files: A patient refuses treatment, what should you do?

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Read through the scenario below, think about what would you do and then check our expert advice to see if we agree.

Case on refusal of treatment 

I have a patient who describes acute symptoms of flashes and floaters but refuses to be dilated. She is a self-employed driver and says she needs to continue to work for the rest of this week. I am worried that she may need urgent treatment but I cannot persuade her to let me carry out this procedure. 

What should I do? 

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