• I have thoroughly enjoyed reading personal experiences with “difficult “ patients that my colleagues have encountered‚ as well as great ideas on approaching such patients. • I’d like to share with you a “difficult” patient with borderline personality disorder‚ whose care I was involved with during my mental health rotation. • X was a lady in her mid twenties‚ who presented to ED after slashing both her wrists following an altercation with her partner. During the interview she was quite angry with
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situation. The physicians say that 15% of their encounters with patients are rated as difficult. When dealing with a “difficult” patient you must recognize the signs of anger‚ know what you should do so the situation doesn’t escalate‚ and get down to the root of the problem with the patient. The first step in dealing with an angry patient is recognizing the signs of anger‚ knowing the physical‚ verbal‚ and characteristics of a patient who is more likely to have an outburst. Clenching fists‚ fidgeting
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Dealing with Difficult Patients Over the past 15-20 years there have been changes in patient physician relationships and changes in the workloads given to nurses and other staff. Before‚ the doctor was always considered an authoritative source of information and treatment; patients had little dissatisfaction. Nurses were able to give more personalized attention. Now‚ with advertising‚ internet and self help groups patients are relying less on their doctor’s knowledge and
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perhaps a more relaxed culture/attitude towards them than I remember as a student nurse in the general ward environment. I believe this is may have contributed to the error. As I had to update staff during the shifts‚ taking them away from their patients‚ I felt the best way to update them would be to use a short PowerPoint presentation followed by questions from the staff. I reread the NMC standards for admin of meds‚ the Trust’s policy and ICU’s policy relating to this and put my presentation
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Today‚ one of my patients presented to the ED with a 3cm laceration on his right hand that was three days old. He also reported a pain level of 7/10. First‚ my nurse preceptor and I had the patient wash his hands with soap and water to remove the dirt and bacteria from the wound. Thereafter‚ we sprayed wound cleanser to the wound and rinsed it with normal saline to further aide in removing debris and decreasing bacterial counts. After‚ I dried the wound edges with a sterile gauze. This is done in
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Dealing with Difficult Patients in the Medical Field Unit 6 Project Danielle Robinson CM 107 Outline Introduction A. Dealing with the difficult patients can be very stressful to your health if dealt with in the wrong way. B. All medical workers should have the availability to be able to take seminars that a. are offered to them throughout their career to keep them informed and update with b. any changes or new ideas or policies that
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Interview Video Reflection Assignment According to Fruth (2014)‚ “the initial patient interview‚ also known as the health history or the subjective history‚ is undeniably the most important component of the patient examination” (p.12). This initial interview acts as a base on which the therapist can perform physical examination and subsequently plan the intervention (Fruth‚ 2014‚ p.12). Being a novice‚ it is important to perform a self-appraisal after completing patient interview
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mood. As healthcare providers‚ it is important to understand the good and bad attitudes a patient has throughout our time with them. It is vital to understand how to appropriately take care of them and how to “deal” with them. Chapter 8 in the book talks about dealing with difficult patients. Like mentioned before‚ we will come across those patient who are “good” and those who are “bad.” The bad patients are the hostile‚ emotionally unstable‚ stubborn and noncompliant ones who everyone tends to
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Taking a patient profile face-to-face was beneficial to me because I could ask her how she was taking the medication and what other medication she was on. It also enabled me to understand the patient’s condition better and if there was anything that could be done to improve medication adherence. Talking to the patient allowed me to understand how the patient feels about her medication and how it fits into her lifestyle. It is important to understand this‚ as it would highlight if she is experiencing
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presumed that taking medical history and performing physical assessment on standardized patients during simulation would be easy tasks to complete. I have been exposed to a similar simulation before and have first-hand experience and knowledge about history and physical assessment. I learned a great deal about my interaction with the standardized patients‚ which could reflect my connection with my real patients at work. After watching all the simulation videos‚ I was surprisingly impressed
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