Changing How We Think About Difficult Patients

Author : Joan Naidorf
Publisher : Unknown
Page : 128 pages
File Size : 50,7 Mb
Release : 2022-02-07
Category : Electronic
ISBN : 0996663215

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Changing How We Think about Difficult Patients by Joan Naidorf Pdf

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.

Author : Robert Buckman
Publisher : University of Toronto Press
Page : 223 pages
File Size : 54,7 Mb
Release : 1992-08-08
Category : Medical
ISBN : 9781487592639

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How To Break Bad News by Robert Buckman Pdf

For many health care professionals and social service providers, the hardest part of the job is breaking bad news. The news may be about a condition that is life-threatening (such as cancer or AIDS), disabling (such as multiple sclerosis or rheumatoid arthritis), or embarrassing (such as genital herpes). To date medical education has done little to train practitioners in coping with such situations. With this guide Robert Buckman and Yvonne Kason provide help. Using plain, intelligible language they outline the basic principles of breaking bad new and present a technique, or protocol, that can be easily learned. It draws on listening and interviewing skills that consider such factors as how much the patient knows and/or wants to know; how to identify the patient's agenda and understanding, and how to respond to his or her feelings about the information. They also discuss reactions of family and friends and of other members of the health care team. Based on Buckman's award-winning training videos and Kason's courses on interviewing skills for medical students, this volume is an indispensable aid for doctors, nurses, psychotherapists, social workers, and all those in related fields.

Author : Robert P. Olympia,Elizabeth Barrall Werley,Jeffrey S. Lubin,Kahyun Yoon-Flannery
Publisher : Springer Nature
Page : 704 pages
File Size : 48,7 Mb
Release : 2023
Category : Emergency medicine
ISBN : 9783031478734

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An Emergency Physician's Path by Robert P. Olympia,Elizabeth Barrall Werley,Jeffrey S. Lubin,Kahyun Yoon-Flannery Pdf

Zusammenfassung: A career in emergency medicine can be truly rewarding, despite the long hours and adverse conditions. The decision to embark on this journey typically starts during medical school, usually with the allure of resuscitations and life-saving procedures performed in the fast-paced environment of the emergency department. During an emergency medicine residency, the young physician is faced with career decisions that may involve working in a community or academic emergency department setting, or pursuing specialization through fellowship. Following residency and fellowship training, the emergency physician may decide to purely work clinically in an emergency department, or combine clinical responsibilities with administrative, education or research pursuits. This unique text provides medical students, residents, fellows and attending physicians with a comprehensive guide to be successful in a career in emergency medicine. Sections include the history of emergency medicine, choosing a career in emergency medicine from a medical student's point of view, pursuing fellowship and additional training, community and academic careers in emergency medicine, career options in emergency medicine, critical skills in emergency medicine, research/scholarship, being a teacher, and carving a path in emergency medicine. All chapters are written by experts in the field, representing emergency departments throughout North America.

Author : Spiegelman Paul,Berrett Britt
Publisher : Incorporated Original
Page : 208 pages
File Size : 54,8 Mb
Release : 2018-08-21
Category : Business & Economics
ISBN : 1732510237

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Patients Come Second by Spiegelman Paul,Berrett Britt Pdf

Americans enjoy the finest healthcare delivery system in the world, but most people will tell you that we still have a long way to go. Far too frequently, patients leave the doctor's office or hospital feeling confused, angry, or neglected. Healthcare leaders recognize this problem, but in their focus on patients (and sometimes financials), they often overlook the true key to lasting patient loyalty and satisfaction: their employees. Patients Come Second shakes up the traditional healthcare model, arguing that in order to care for and retain patients, leaders must first create exceptional teams and find ways to engage nurses, administrative staff, physicians, supervisors, and even housekeeping staff and switchboard operators. By connecting employees' work with a higher purpose and equipping them with the tools to become leaders themselves, patient care can be dramatically transformed. And with continuing healthcare changes on the horizon and ever-rising pressure to acquire and keep patients, doing so now is more important than ever. Britt Berrett, president of an 898-bed hospital, and Paul Spiegelman, founder and CEO of a successful patient-experience company, are the perfect guides to the changes needed in healthcare leadership. With a rich combined experience in their field, they have filled each chapter with an abundance of engaging, insightful stories and write with a humor and friendliness that balances and enhances the urgency of their message.

Author : Eldo Frezza
Publisher : CRC Press
Page : 286 pages
File Size : 53,5 Mb
Release : 2019-08-22
Category : Medical
ISBN : 9780429629532

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Patient-Centered Healthcare by Eldo Frezza Pdf

Patient-centered care is a way of thinking and doing things that considers patients partners in the development of a healthcare plan designed to meet their specific needs. It involves knowledge of the individual as a person and integrates that knowledge into their plan of care. Patient-centered care is central to the discussion of healthcare at the insurance and hospital-level. The quality of the service is evaluated more deeply from all the healthcare components, including insurance payments. It is the start of a new client- and patient-centered healthcare, which is based on a profound respect for patients and the obligation to care for them in partnership with them. Healthcare has been lacking a strategy to teach patients how to take care of themselves as much as they possibly can. In countries with socialized healthcare, patients don’t go to the emergency room unless it is necessary; they have a physician on call instead. This affords more personalized care and avoids patients getting lost in the hospital system. This book advocates the critical role of patients in the health system and the need to encourage healthy living. We need to educate patients on how to be more self-aware, giving them the tools to better understand what they need to do to achieve healthy lifestyles, and the protocols and policies to sustain a better life. Prevention has always been the pinnacle of medical care. It’s time to highlight and share this approach with patients and involve them as active participants in their own healthcare. This is the method on which to build the new healthcare for the next century.

Author : David W. Kissane,Barry D. Bultz,Phyllis N. Butow
Publisher : Oxford University Press
Page : 457 pages
File Size : 50,6 Mb
Release : 2017
Category : Medical
ISBN : 9780198736134

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Oxford Textbook of Communication in Oncology and Palliative Care by David W. Kissane,Barry D. Bultz,Phyllis N. Butow Pdf

Revised edition of: Handbook of communication in oncology and palliative care. Pbk. ed. 2011.

Author : Joseph E. Koob,Joseph Koob
Publisher : Difficultpeople.org
Page : 206 pages
File Size : 55,7 Mb
Release : 2007
Category : Business & Economics
ISBN : 0741442566

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Leaders Managing Change by Joseph E. Koob,Joseph Koob Pdf

This book focuses on learning the skills and tools you need to deal with the ongoing stresses of constant change in the business world today. It is about knowledgeable leadership: how what you do helps you get through change, and more importantly helps you lead others through change. It presumes you are already inspired, good, intelligent, and practical. This book is about making a difference.

Author : Dr. J. Patrick Daugherty
Publisher : iUniverse
Page : 202 pages
File Size : 55,6 Mb
Release : 2010-02-01
Category : Self-Help
ISBN : 9781440187681

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Cancer: the Unexpected Gift by Dr. J. Patrick Daugherty Pdf

Cancer: The Unexpected Gift is a compilation of stories that profile individuals and families who have taken a frightening medical diagnosis and turned it into a positive gift. Medical oncologist Dr. J. Patrick Daugherty is familiar with many who are living well while living longer. Together with three-time cancer survivor Edie Hand, they share inspiring personal anecdotes from individuals who openly express the doubts, fears, perplexities, and positive reflections they experienced after their cancer diagnoses. Each story is introduced with a summary and concluded with relevant biblical passages that further illustrate lessons learned by patients and their families. Two-year-old Austin was diagnosed with acute lymphoblastic leukemia, and after more than three years of chemotherapy, he remains in remission. His mother received the gift of living one day at a time. Ken survived metastatic colon cancer before developing prostate cancer which later spread to his bones. He searched for answers and found significance in his life, receiving the gift of service to others. Each of the people profiled in this collection have faced the enemy of cancer and its subsequent suff ering. Together, they share the extraordinary lessons they have learnednot in dying, but in living.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 51,5 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

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Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Author : Danielle Ofri, MD
Publisher : Beacon Press
Page : 274 pages
File Size : 54,6 Mb
Release : 2020-03-23
Category : Medical
ISBN : 9780807037881

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When We Do Harm by Danielle Ofri, MD Pdf

Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation. Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.

Author : Elisabeth Macdonald
Publisher : Unknown
Page : 260 pages
File Size : 40,6 Mb
Release : 2004
Category : Law
ISBN : 0198527748

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Difficult Conversations in Medicine by Elisabeth Macdonald Pdf

In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of health issues and the ready availability of health information have led the public to be more widely informed about common conditions and the treatments available. Patients therefore attend a medical consultation better informed so the need for improved communication skills is even greater. Skill is communication is a matter of personal ability which varies widely between individuals in the medical profession as in any other. In response, the aim of this book is to dispel the anxieties which contribute to poor communication. This book covers ethical and legal issues, planning difficult conversations, the patient's and doctor's perspectives, issues surrounding special groups such as children and the elderly, and coversations with patients from different cultural backgrounds. Outlines of possible clinical cases posing specific problems are included with guidance on how to handle them.

Author : Patricia E. Benner,Patricia Lee Hooper-Kyriakidis,Daphne Stannard
Publisher : Springer Publishing Company
Page : 603 pages
File Size : 40,9 Mb
Release : 2011-03-28
Category : Medical
ISBN : 9780826105738

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Clinical Wisdom and Interventions in Acute and Critical Care, Second Edition by Patricia E. Benner,Patricia Lee Hooper-Kyriakidis,Daphne Stannard Pdf

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Author : Julia Hodgson,Kevin Moore,Trisha Acri,Glenn Jordan Treisman
Publisher : Springer Nature
Page : 198 pages
File Size : 47,6 Mb
Release : 2019-11-01
Category : Medical
ISBN : 9783030216115

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Integrative Medicine for Vulnerable Populations by Julia Hodgson,Kevin Moore,Trisha Acri,Glenn Jordan Treisman Pdf

This first-of-its-kind title addresses the failures of an often fragmented healthcare system in managing vulnerable patients with multiple, chronic, co-morbid conditions -- patients who are frequently unresponsive to the methods and approaches used to treat other patients with conditions that are less complicated. The book emphasizes a holistic evaluation to patient care that looks at the whole patient, providing comprehensive formulations that describe the interacting problems that afflict the patient, including elements that are barriers to effective treatment of active medical problems and barriers to recovery. The book begins by defining integrated care, discussing the types of patients who benefit from this approach and some of the models of care, including financing, barriers to acceptance, and advocacy for patients. The second section discusses the structural elements of integrated care, including the building of a team approach, issues of leadership, and role definition, as well as the authors’ experiences in overcoming some of the problems. In the remaining sections, the book discusses major complicating features of the patients seen in integrative care settings, including a description of the kinds of problems, a model for formulation of patient cases, and successful approaches to treatment of these problems. Finally, some of the real-world applications where integrative care provides better outcomes is covered, including in terms of addictions, medically complex patients, and chronic pain patients. Integrative Medicine for Vulnerable Populations - A Clinical Guide to Working with Chronic and Comorbid Medical Disease, Mental Illness, and Addiction is a major contribution to the clinical literature and will be of great interest to health care professionals, administrators, policy stakeholders, and even interested patients and patient advocates.

Author : Martin Fischer,Gill Ereaut
Publisher : The Health Foundation
Page : 60 pages
File Size : 44,8 Mb
Release : 2012
Category : Medical care
ISBN : 9781906461416

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When doctors and patients talk by Martin Fischer,Gill Ereaut Pdf

Author : Louis Profeta
Publisher : John Hunt Publishing
Page : 191 pages
File Size : 43,8 Mb
Release : 2010
Category : Body, Mind & Spirit
ISBN : 9781846943546

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The Patient in Room Nine Says He's God by Louis Profeta Pdf

A young Jewish doctor prays to a coma patient's Blessed Mother on Christmas Eve, only to have the woman suddenly awakened; there is the voice that tells a too-busy ER doctor to stop a patient walking out, discovering an embolus that would have killed him. The late-night passing of a beloved aunt summons a childhood bully who shows up minutes later, after twenty-five years, to be forgiven and to heal a broken doctor. This ER doctor finds God's opposite in: a battered child's bruises covered over by make-up, a dying patient whose son finally shows up at the end to reclaim the man's high-top sneakers, the rich or celebrity patients loaded with prescription drugs from doctor friends who end up addicted. But, his real outrage is directed at our cavalier treatment of the elderly, If you put a G-tube in your 80-year-old mother with Alzheimer's because she's no longer eating, you will probably have a fast track to hell.