Difficult patients

Difficult patients

1. characteritistic of paccient difficult

   • different sexual orientation
     • has a higher or lower
       • socioeconomics status
         • mental disorder
           • type of personality

2. ANGRY PATIENTS

   • STEPS FOR HELPFUL
     • 1. I understand that you are upset at having to wait, and I apologize for the delay.”
     • 2. asking him to provide a solution:
     • 3. Provide the patient with an opportunity to discuss his concerns
     • IDNTIFY POTENTIALTHRATS TO YOUR SAFETY
       • you can use to defuse the situation and improve patient provider com- munication rather than responding defensively or finding an excuse to immediately leave the room,

3. SILENT PATIENT

   • REASONS WHY A PATIENT MAY BE SILENT
     • CULTURAL DIFFERENCES
       • FEAR OF A SERIOUS MEDICAL PROBLEM.
         • DEPRESSION
           • HEARING LOSS LANGUAGE BARRIERS
             • NEUROLOGIC DEFICIT

4. SEDUCTIVE PATIENT

   • Boundaries describe the professional distance between the patient and clinician and can be violated by either party.
     • These behaviours may occur because of lack of training,
       • Female clinicians tend to encounter more overt sexual behaviour from patients,
         • Patients are at risk for significant emotional harm if they enter into an intimate relationship with a clinician.

5. BATHE TECHNIQUE

   • B
     • assess the background situation.
   • A
     • assess the patients affect
   • T
     • determine the problem that is most troubling for the patient.
   • H
     • evaluate how the patient is handling the problem.
   • E
     • convey empathy

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