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Managing the Difficult Patient

Managing the Difficult Patient PDF Author: Robert E. Hooberman
Publisher:
ISBN:
Category : Medicine and psychology
Languages : en
Pages : 408

Book Description
The authors -- a psychologist and a medical doctor -- impart in this accessible volume a framework for examining the aspects of the practitioner-patient relationship and interactions that give rise to a sense of the "difficult" in healthcare. Drawing on psychodynamic theory, they elucidate the features of transference, defenses, and the working alliance that are relevant to physicians and other health care practitioners who find patients' emotional and interpersonal problems impacting medical treatment or underlying presenting complaints of somatic dysfunction. Ways of improving the collaboration between doctor and patient and thereby maximizing compliance with medical regimens are examined. Each chapter contains highlighted suggestions for the practical application of the theory to the physician's private practice.

Managing the Difficult Patient

Managing the Difficult Patient PDF Author: Robert E. Hooberman
Publisher:
ISBN:
Category : Medicine and psychology
Languages : en
Pages : 408

Book Description
The authors -- a psychologist and a medical doctor -- impart in this accessible volume a framework for examining the aspects of the practitioner-patient relationship and interactions that give rise to a sense of the "difficult" in healthcare. Drawing on psychodynamic theory, they elucidate the features of transference, defenses, and the working alliance that are relevant to physicians and other health care practitioners who find patients' emotional and interpersonal problems impacting medical treatment or underlying presenting complaints of somatic dysfunction. Ways of improving the collaboration between doctor and patient and thereby maximizing compliance with medical regimens are examined. Each chapter contains highlighted suggestions for the practical application of the theory to the physician's private practice.

Changing How We Think about Difficult Patients

Changing How We Think about Difficult Patients PDF Author: Joan Naidorf
Publisher:
ISBN: 9780996663212
Category :
Languages : en
Pages : 128

Book Description
Physicians enter their professions with the highest of hopes and ideals for compassionate and efficient patient care. Along the way, however, recurring problems arise in their interactions with some patients that lead physicians to label them as "difficult." Some studies indicate that physicians identify 15% or more of their patients as "difficult." The negative feelings that physicians have toward these patients may lead to frustration, cynicism. and burnout. Changing How We Think about Difficult Patients uses a multi-tiered approach to bring awareness to the difficult patient conundrum, then introduces simple, actionable tools that every physician, nurse, and caregiver can use to change their mindset about the patients who challenge them. Positive thoughts lead to more positive feelings and more effective treatments and results for patients. They also lead to more satisfaction and decreased feelings of burnout in healthcare professionals. How does this book give you an advantage? Caring for difficult patients poses a tremendous challenge for physicians, nurses, and clinical practitioners. It may contribute significantly to feelings of burnout, including feelings of exhaustion, cynicism, and lost sense of purpose. In response, Dr. Naidorf offers a pragmatic approach to accepting patients the way they are, then provides strategies for providers to find more happiness and satisfaction in their interactions with even the most challenging patients and families. Here are just some of the topics the author discusses in detail: What Makes a "Good" Patient? The Four Core Ethical Principals of the Clinician-Patient Relationship The Four Models of the Physician-Patient Relationship What Challenges Anybody with Illness or Injury? How "Good" Patients Handle the Challenges of Illness and Injury Six Common Reactions to Illness and Hospitalization On "Taking Care of the Hateful Patient" Standards for Education in Medical Ethics De-escalation Strategies Cultural, Structural, and Language Issues Types of Patients Who Tend to Challenge Us The Think, Feel, Act Cycle Recognizing Our Preconceived Thoughts Three Common Thought Distortions About Patients Asking Useful Questions Getting Out of the Victim Mentality Guiding our Thoughts Through a Common Scenario Show Compassion, Feel Compassion If you're a healthcare provider or caregiver, Changing How We Think about Difficult Patients will give you the benefit of understanding your most challenging patients, and a roadmap to positively changing your mindset and actions to better deliver care and compassion for all.

Care of the Difficult Patient

Care of the Difficult Patient PDF Author: Peter James Manos
Publisher: Psychology Press
ISBN: 9780415358231
Category : Nurse and patient
Languages : en
Pages : 168

Book Description
Whether patient problems stem from mental distress and ill health, historic substance abuse, demanding family members or abusive behaviour, difficult patients place extra demands on nurses both personally and professionally. This is a practical guide to dealing with these patients.

Field Guide to the Difficult Patient Interview

Field Guide to the Difficult Patient Interview PDF Author: Frederic W. Platt
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781747745
Category : Medical
Languages : en
Pages : 328

Book Description
Written by physicians skilled at coaching colleagues in physician-patient communication, this pocket guide presents practical strategies for handling a wide variety of difficult patient interviews. Each chapter presents a hypothetical scenario, describes effective communication techniques for each phase of the interaction, and identifies pitfalls to avoid. The presentation includes examples of physician-patient dialogue, illustrations showing body language, and key references. This edition includes new chapters on caring for physician-patients, communicating with colleagues, disclosing unexpected outcomes and medical errors, shared decision making and informed consent, and teaching communication skills. Other new chapters describe clinical attitudes such as patience, curiosity, and hope.

Behavioral Medicine A Guide for Clinical Practice 5th Edition

Behavioral Medicine A Guide for Clinical Practice 5th Edition PDF Author: Mitchell D. Feldman
Publisher: McGraw Hill Professional
ISBN: 1260142698
Category : Medical
Languages : en
Pages : 608

Book Description
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The #1 guide to behavioral issues in medicine delivering thorough, practical discussion of the full scope of the physician-patient relationship "This is an extraordinarily thorough, useful book. It manages to summarize numerous topics, many of which are not a part of a traditional medical curriculum, in concise, relevant chapters."--Doody's Review Service - 5 stars, reviewing an earlier edition The goal of Behavioral Medicine is to help practitioners and students understand the interplay between psychological, physical, social and cultural issues of patients. Within its pages readers will find real-world coverage of behavioral and interactional issues that occur between provider and patient in everyday clinical practice. Readers will learn how to deliver bad news, how to conduct an effective patient interview, how to care for patients at the end of life, how to clinically manage common mental and behavioral issues in medical patients, the principles of medical professionalism, motivating behavior change, and much more. As the leading text on the subject, this trusted classic delivers the most definitive, practical overview of the behavioral, clinical, and social contexts of the physician-patient relationship. The book is case based to reinforce learning through real-world examples, focusing on issues that commonly arise in everyday medical practice and training. One of the significant elements of Behavioral Medicine is the recognition that the wellbeing of physicians and other health professionals is critically important to caring for patients.

Oxford Textbook of Communication in Oncology and Palliative Care

Oxford Textbook of Communication in Oncology and Palliative Care PDF Author: David William Kissane
Publisher: Oxford University Press
ISBN: 0198736134
Category : Medical
Languages : en
Pages : 457

Book Description
Communication is a core skill for medical professionals when treating patients. Cancer and palliative care present some of the most challenging clinical situations. This book provides evidence-based guidelines alongside case examples, tips, and strategies to achieve effective, patient-centred communication.

The Difficult-to-Treat Psychiatric Patient

The Difficult-to-Treat Psychiatric Patient PDF Author: Mantosh J. Dewan
Publisher: American Psychiatric Pub
ISBN: 1585627887
Category : Medical
Languages : en
Pages : 460

Book Description
Why do some psychiatric patients fail to get better, even when in the care of competent clinicians? Treatment-refractory conditions are all too common in everyday clinical practice. Treatment resistance occurs across the full spectrum of psychiatric disorders, incurring enormous emotional, economic, and social costs. In the United States, treatment of depression alone costs more than $40 billion annually, and as many as 40% of patients with depression have a treatment-refractory form of the illness. This groundbreaking clinical guide starts where standard textbooks end, focusing on clinical strategies to be used after all basic treatment options, such as medication and psychotherapy, have failed. In this book expert contributors address the sequential clinical steps in treating difficult-to-treat psychiatric patients by offering a blend of evidence-based clinical recommendations, detailed case vignettes, treatment algorithms, and -- when necessary to go beyond the reach of evidence -- the clinical wisdom of leaders in the field. The chapters in this user-friendly, practical guide are organized by major disorder. Each chapter offers concrete recommendations on what to do when the usual first steps in therapy are ineffective, including evidence for biopsychosocial treatments alone versus in combination, generic versus specific therapies, and literature reviews and the latest expert wisdom. A sampling includes The management of the complex and often refractory bipolar disorder, which involves replacing or combining lithium treatment with anticonvulsants or atypical antipsychotic agents with adjuncts such as benzodiazepines, thyroid hormone, and electroconvulsive therapy, but also -- above all -- with careful attention to the therapeutic alliance. The importance of combined therapeutic modalities for patients with schizophrenia -- especially given managed care's cost-cutting strategies, which deprive many schizophrenic patients of effective treatment modalities such as family therapy or early use of an atypical antipsychotic. Combination treatments for anxiety, with medications adjusted over time as symptoms wax and wane, and early and appropriate interventions to mitigate internal and external environmental stressors. The emphasis on common sense, optimism, a sense of humor, and an iron constitution as the most important tools for clinicians wishing to work with the most severely ill patients with borderline personality disorder. The importance of individual differences in biological vulnerability, emotionality and expressiveness, cognitive schemas and beliefs, prior traumatic experience, resilience, and coping strategies for successful treatment of posttraumatic stress disorder. Packed with up-to-date information of immediate relevance, this volume will prove invaluable in both classroom and clinical practice, for everyone from beginning interns and residents to experienced psychiatric and medical practitioners and social workers.

Care of the Difficult Patient

Care of the Difficult Patient PDF Author: Peter Manos
Publisher: Routledge
ISBN: 1134245599
Category : Medical
Languages : en
Pages : 168

Book Description
Developed collaboratively by a doctor and nurse team, this is the first text to deal specifically with nursing difficult patients. Whether patient problems stem from mental distress and ill health, historic substance abuse, demanding family members or abusive behaviour, difficult patients place extra demands on nurses both professionally and personally. Caring for difficult patients requires both technical and interpersonal skills along with an ability to exercise power and set limits. This text presents invaluable practical recommendations and advice, well founded in experience and supported by relevant literature, for nurses coping with challenging, real world situations. Including learning points, further reading, case studies and dialogue examples to highlight good (and bad) practice, the book covers pertinent issues such as psychiatric diagnoses, setting limits and establishing authority, death and dying, stress and work. It is ideal for pre- and post-registration nurses, providing concrete direction on the management of difficult patients.

Psychonephrology

Psychonephrology PDF Author: Ana Hategan
Publisher: Springer Nature
ISBN: 3030847403
Category : Medical
Languages : en
Pages : 442

Book Description
The book focuses on pharmacological and non-pharmacological approaches of psychiatric syndromes that commonly occur in patients with kidney disease. It specifically reviews principles of psychotherapy and psychopharmacology with an emphasis on organ impairment and drug-drug interactions specific to nephrology. This book also covers issues with medication nonadherence in patients with chronic kidney disease and psychiatric comorbidity, as well as the associated issues in dialysis and renal transplantation. Additionally, chapters cover various other topics addressing an active stance towards health promotion in chronically ill patients, including the critical role of the diet and physical activity. Such advice is often complex and changing depending on the stage of chronic kidney disease and the individual needs of the patient. Written by specialists in the field, Psychonephrology: A Guide to Principles and Practice serves as a valuable reference and teaching tool that provides an opportunity for learning across a rapidly evolving medical field.

Handling Difficult Patients

Handling Difficult Patients PDF Author: HCPro
Publisher: Hcpro Incorporated
ISBN: 9781578393756
Category : Communication
Languages : en
Pages : 0

Book Description