How should you handle a patient request to discontinue a treatment and what documentation is required?

• A. All of the above
• B. Acknowledge the request
• C. Document the decision with alternatives
• D. Discuss risks/benefits

Answer: (A)

Handling a request to discontinue a treatment centers on respecting the patient’s autonomy while ensuring informed, safe decision-making. The best approach includes three essential elements working together: acknowledge the request with empathy, discuss the risks and benefits of stopping (and explore alternatives such as tapering or switching to a different plan), and document the decision clearly with the alternatives discussed and the follow-up plan.

Acknowledging the request validates the patient’s choice and encourages open dialogue. Discussing risks and benefits helps the patient understand what discontinuation could mean for symptoms, disease progression, and quality of life, so the decision is truly informed. Documentation should capture what was decided, who was present, the rationale, alternatives offered, and the agreed plan for future care and follow-up. Verifying decision-making capacity and ensuring the decision is voluntary are also important to protect the patient and guide safe care.