TY - JOUR T1 - Refusal to medical interventions JO - Revista Clínica Española (English Edition) T2 - AU - Palacios,G. AU - Herreros,B. AU - Pacho,E. SN - 22548874 M3 - 10.1016/j.rceng.2014.04.003 DO - 10.1016/j.rceng.2014.04.003 UR - https://www.revclinesp.es/en-refusal-medical-interventions-articulo-S2254887414000885 AB - Refusal to medical interventions is non-acceptance, voluntary and free, of an indicated medical intervention. What should the physician do in case of refusal? It is understandable that the rejection of a validated medical intervention is difficult to accept by the responsible physician when it raises the conflict of protection of life versus freedom of choice. Therefore it is important to follow some steps to incorporate the most relevant aspects of the conflict. These steps include: (1) giving complete information to patients, informing on possible alternatives, (2) determining whether the patient can decide (age, competency and level of capacity), (3) ascertaining whether the decision is free, (4) analyzing the decision with the patient, (5) persuading, (6) if the patient kept in the rejection decision, consider conscientious objection, (7) taking the decision based on the named criteria, and (8) finally, if the rejection is accepted, offer available alternatives. ER -