Difficult Patients

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Changing How We Think about Difficult Patients

Author : Joan Naidorf
Publisher : Unknown
Page : 128 pages
File Size : 44,5 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.

Stressed Out about Difficult Patients

Author : Joan Monchak Lorenz
Publisher : HC Pro, Inc.
Page : 155 pages
File Size : 44,8 Mb
Release : 2007
Category : Nurse and patient
ISBN : 9781601460127

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Stressed Out about Difficult Patients by Joan Monchak Lorenz Pdf

Stressed Out About Difficult Patients provides practical, real world tips for nurses who are looking for help with challenging patients who may have psychiatric disorders or may simply be angry about being in the hospital.

Working With Difficult Patients

Author : Franco De Masi
Publisher : Routledge
Page : 294 pages
File Size : 49,9 Mb
Release : 2018-05-11
Category : Psychology
ISBN : 9780429924262

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Working With Difficult Patients by Franco De Masi Pdf

In this book the author examines the series of connections that give rise to the intimate relationship between environment and individual in the construction of emotional suffering, emphasising both the undisputed pathogenic action of environmental stimuli and the active participation of whoever is obliged to suffer the negative situation. The author shows that the way in which one tries to escape suffering is what often seriously jeopardises growth. Working with Difficult Patients points out the intrinsic link between some forms of mental suffering and the distorted responses that the patient has received from his or her original environment. For this reason the author explores the concept of the emotional trauma in particular, since this trauma, which occurs in the primary relationship, often impels the child into relational withdrawal and towards constructing pathological structures that will accompany him or her for the rest of their life. The chapters are ordered according to a scale of increasing treatment difficulty, which is proportional to the potential pathogenicity of the underlying psychopathological structure.

Caring for Difficult Patients

Author : Joseph E. Koob
Publisher : Difficultpeople.org
Page : 172 pages
File Size : 44,7 Mb
Release : 2007
Category : Communication in nursing
ISBN : 0741437686

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Caring for Difficult Patients by Joseph E. Koob Pdf

Caring for Difficult Patients: A Guide for Nursing Professionals, by Dr. Joseph Koob with Dr. Pam Koob provides a comprehensive perspective on how to work with difficult patients and situations that is relevant to all health-care professionals.

Care of the Difficult Patient

Author : Peter Manos,Joan Braun
Publisher : Routledge
Page : 168 pages
File Size : 45,9 Mb
Release : 2007-04-11
Category : Medical
ISBN : 9781134245598

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Care of the Difficult Patient by Peter Manos,Joan Braun Pdf

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.

Psychoanalytic Approaches to the Resistant and Difficult Patient

Author : Herbert S. Strean
Publisher : Psychology Press
Page : 160 pages
File Size : 41,8 Mb
Release : 1985
Category : Countertransference (Psychology)
ISBN : 0866563407

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Psychoanalytic Approaches to the Resistant and Difficult Patient by Herbert S. Strean Pdf

An instructive and stimulating volume designed to enhance the therapist's knowledge concerning the psychodynamics of patients who are difficult to treat.

Field Guide to the Difficult Patient Interview

Author : Frederic W. Platt,Geoffrey H. Gordon
Publisher : Lippincott Williams & Wilkins
Page : 328 pages
File Size : 49,8 Mb
Release : 2004
Category : Medical
ISBN : 0781747740

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Field Guide to the Difficult Patient Interview by Frederic W. Platt,Geoffrey H. Gordon Pdf

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.

Clinical Psychoanalytic Case Studies with Complex Patients

Author : Anne Zachary
Publisher : Taylor & Francis
Page : 225 pages
File Size : 48,9 Mb
Release : 2023-10-02
Category : Psychology
ISBN : 9781000959055

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Clinical Psychoanalytic Case Studies with Complex Patients by Anne Zachary Pdf

Clinical Psychoanalytic Case Studies with Complex Patients is a collection of key case studies that provides a rich resource of information and inspiration for clinicians working psychoanalytically with complex and disturbed patients in a range of contexts. The book is presented in six parts, each introduced with commentary that puts the material into context. It covers a range of topics including autism, violence and perversion, psychosomatics, hysteria, dementia, psychosis and assessment of gender dysphoria. Each chapter presents either a single case study or a selection of case vignettes, examines necessary context and presents additional detail about subsequent treatment. The depth and range of the cases presented provide key insight into and detailed consideration of risk assessment, safe settings and other important preliminary issues. Clinical Psychoanalytic Case Studies with Complex Patients will be of great interest to psychoanalysts in practice and in training, psychoanalytic psychotherapists and other clinicians seeking an introduction to psychoanalytic work.

Oxford Textbook of Primary Medical Care

Author : Roger Jones (Prof.)
Publisher : Unknown
Page : 670 pages
File Size : 48,8 Mb
Release : 2005
Category : Medical
ISBN : 0198567839

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Oxford Textbook of Primary Medical Care by Roger Jones (Prof.) Pdf

Difficult Patients

Author : Joy Duxbury
Publisher : Butterworth-Heinemann Medical
Page : 181 pages
File Size : 44,6 Mb
Release : 2000-01
Category : Medical
ISBN : 0750638389

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Difficult Patients by Joy Duxbury Pdf

One of the greatest challenges a nurse can face is to encounter what he or she perceives to be a 'difficult patient' or a difficult situation.

Communication Skills for the Health Care Professional: Concepts, Practice, and Evidence

Author : Gwen Van Servellen
Publisher : Jones & Bartlett Publishers
Page : 520 pages
File Size : 49,9 Mb
Release : 2009-10-07
Category : Language Arts & Disciplines
ISBN : 9780763755577

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Communication Skills for the Health Care Professional: Concepts, Practice, and Evidence by Gwen Van Servellen Pdf

The first text of its kind to address the connection between communication practices and quality patient care outcomes provides future and practicing patient caregivers basic communication knowledge and skills.

Lippincott's Nursing Procedures

Author : Anonim
Publisher : Lippincott Williams & Wilkins
Page : 968 pages
File Size : 50,7 Mb
Release : 2009
Category : Medical
ISBN : 0781786894

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Lippincott's Nursing Procedures by Anonim Pdf

The newly revised fifth edition of this popular reference is a start-to-finish guide for more than 400 basic to advanced nursing procedures. It provides step-by-step instructions for each procedure and explains how to use and troubleshoot equipment.

Acupuncture Strategies for Complex Patients

Author : Skya Abbate
Publisher : Singing Dragon
Page : 256 pages
File Size : 40,7 Mb
Release : 2018-10-18
Category : Medical
ISBN : 9780857013361

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Acupuncture Strategies for Complex Patients by Skya Abbate Pdf

Written by an experienced acupuncturist and educator, this advanced textbook provides strategies which support the foundational energy of a person, including their qi, blood, yin, yang and essence. The book takes an integrative approach, providing insightful recommendations relating to diagnosis and the construction of treatment plans. It shows how needling strategies are connected to rules of point selection, the point classification system, and nourishing the foundational energies of patients. Techniques such as bloodletting, gua sha and the eight extraordinary meridians are covered, and the book is supported by clear illustrations, chapter summary charts and template patient handouts. Ideal for use as a practical manual for practitioners of acupuncture, it is also useful as a student textbook.? ?

The Difficult-to-Treat Psychiatric Patient

Author : Mantosh J. Dewan,Ronald W. Pies
Publisher : American Psychiatric Pub
Page : 460 pages
File Size : 43,8 Mb
Release : 2008-08-13
Category : Medical
ISBN : 9781585627882

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The Difficult-to-Treat Psychiatric Patient by Mantosh J. Dewan,Ronald W. Pies Pdf

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.

Integrated Care for Complex Patients

Author : Steven A. Frankel,James A. Bourgeois
Publisher : Springer
Page : 220 pages
File Size : 52,5 Mb
Release : 2018-03-21
Category : Medical
ISBN : 9783319612140

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Integrated Care for Complex Patients by Steven A. Frankel,James A. Bourgeois Pdf

This book presents case-based descriptions of models for the inclusive, multispecialty and multidisciplinary clinical care of complex cases. Cases range from primary care patients with complex systemic medical and psychiatric comorbidity, to those requiring specialty care, to those with potentially terminal illnesses. While each category and case has its unique requirements often necessitating different models of care, the commonalities in approaching complex clinical situations is underscored. Extended case narratives written by the treating physicians, summarizing both the course of clinical care and physicians' reflections on the challenges of managing complex patients, comprise the bulk of the book. Five additional chapters on systems issues associated with care of complex patients, together with a chapter on end of life considerations, a narrative analysis of the physicians reflections about complex patients, and a concluding chapter are prominently included to anchor the case narratives. Written by experts in the field, these descriptions form unique models for assessing and treating complex cases. Integrated Care for Complex Patients is a useful guide for all health practitioners and health administrators who are responsible for clinically complex cases, including physicians in primary care and psychiatry, physician assistants and nurse practitioners, and psychologists.