Further, you have not addressed the underlying issues that led to the problem in the first place. The patient needs to know that there are consequences for their actions. Often they will develop a better relationship with the next provider, which may mean that they become more compliant or cooperative. No patient wants to be discharged and need to relocate where their care is going to be provided. Stick to your guns for both them and yourself.
Patient discharge has serious implications.
If done incorrectly, the patient can make a claim of abandonment. An abandonment claim means leaving a patient without appropriate care or guidance while the physician-patient relationship exists. An abandonment claim has serious implications since there could further be a claim of unprofessional conduct and the Bureau of Professional and Occupational Affairs could become involved. Further, a lawsuit could be instituted. The claim of abandonment could lead to a claim for punitive damages not insured in the Commonwealth of Pennsylvania.