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Susan is an RN in a long term care facility. One of her dients Mrs. Swanson has severe dementia, is incontinent and has been deemed incapable of making informed decisions about treatment. Mrs. Swanson often refuses care and can be combative with the nurses and support staft. The care plan recommends a number of approaches but none work consistently During a change of shift report Susan teams that the other nurses have not been providing incontinence care for Me Swanson because she refuses the care. What is the most effective way for Susan to ensure that this concern is addressed?

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