Memory & behavior

Refusing care (bathing, meds): what to try

Refusing care is often about fear, discomfort, or control—not stubbornness. This page gives non-confrontational approaches that work.

Quick checklist

  • Pick your battles: focus on safety-critical tasks first.
  • Offer choices and keep steps small.
  • Change the timing (later/earlier) and reduce discomfort.
  • If refusal is new and intense, consider pain/illness.

Scripts that help

  • “Would you like to do this now or after lunch?”
  • “Would you prefer a towel bath or a quick shower?”
  • “Let’s do one pill at a time with a sip of water.”

Reduce common barriers

  • Warm the room, explain each step, use privacy, check water temperature.
  • For meds: try applesauce/pudding if allowed; ask pharmacy about forms.
  • Check for mouth pain, nausea, dizziness, or side effects.