Changing How We Think about Difficult Patients

Changing How We Think about Difficult Patients

Author: Joan Naidorf

Publisher:

Published: 2022-02-07

Total Pages: 128

ISBN-13: 9780996663212

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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.


Book Synopsis Changing How We Think about Difficult Patients by : Joan Naidorf

Download or read book Changing How We Think about Difficult Patients written by Joan Naidorf and published by . This book was released on 2022-02-07 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Author: Peter Manos

Publisher: Routledge

Published: 2007-04-11

Total Pages: 168

ISBN-13: 1134245599

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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.


Book Synopsis Care of the Difficult Patient by : Peter Manos

Download or read book Care of the Difficult Patient written by Peter Manos and published by Routledge. This book was released on 2007-04-11 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Concise Guide to Ethics in Mental Health Care

Concise Guide to Ethics in Mental Health Care

Author: Laura Weiss Roberts

Publisher: American Psychiatric Publishing

Published: 2004

Total Pages: 388

ISBN-13:

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Writing with clarity, coherence, and optimism, the authors summarize fundamental principles, enumerate essential skills, and review recent empirical findings in the overlapping areas of clinical ethics and psychiatry. Case illustrations, tables, and strategic lists enhance the book's 17 informative chapters.


Book Synopsis Concise Guide to Ethics in Mental Health Care by : Laura Weiss Roberts

Download or read book Concise Guide to Ethics in Mental Health Care written by Laura Weiss Roberts and published by American Psychiatric Publishing. This book was released on 2004 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Writing with clarity, coherence, and optimism, the authors summarize fundamental principles, enumerate essential skills, and review recent empirical findings in the overlapping areas of clinical ethics and psychiatry. Case illustrations, tables, and strategic lists enhance the book's 17 informative chapters.


The Difficult-to-Treat Psychiatric Patient

The Difficult-to-Treat Psychiatric Patient

Author: Mantosh J. Dewan

Publisher: American Psychiatric Pub

Published: 2008-08-13

Total Pages: 460

ISBN-13: 1585627887

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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.


Book Synopsis The Difficult-to-Treat Psychiatric Patient by : Mantosh J. Dewan

Download or read book The Difficult-to-Treat Psychiatric Patient written by Mantosh J. Dewan and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Difficult Patients

Difficult Patients

Author: Joy Duxbury

Publisher: Butterworth-Heinemann Medical

Published: 2000-01

Total Pages: 181

ISBN-13: 9780750638388

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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.


Book Synopsis Difficult Patients by : Joy Duxbury

Download or read book Difficult Patients written by Joy Duxbury and published by Butterworth-Heinemann Medical. This book was released on 2000-01 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Field Guide to the Difficult Patient Interview

Field Guide to the Difficult Patient Interview

Author: Frederic W. Platt

Publisher: Lippincott Williams & Wilkins

Published: 2004

Total Pages: 328

ISBN-13: 9780781747745

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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.


Book Synopsis Field Guide to the Difficult Patient Interview by : Frederic W. Platt

Download or read book Field Guide to the Difficult Patient Interview written by Frederic W. Platt and published by Lippincott Williams & Wilkins. This book was released on 2004 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Author: Mitchell D. Feldman

Publisher: McGraw Hill Professional

Published: 2020-01-05

Total Pages: 608

ISBN-13: 1260142698

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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.


Book Synopsis Behavioral Medicine A Guide for Clinical Practice 5th Edition by : Mitchell D. Feldman

Download or read book Behavioral Medicine A Guide for Clinical Practice 5th Edition written by Mitchell D. Feldman and published by McGraw Hill Professional. This book was released on 2020-01-05 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Caring for Difficult Patients

Caring for Difficult Patients

Author: Joseph E. Koob

Publisher: Difficultpeople.org

Published: 2007

Total Pages: 172

ISBN-13: 9780741437686

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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.


Book Synopsis Caring for Difficult Patients by : Joseph E. Koob

Download or read book Caring for Difficult Patients written by Joseph E. Koob and published by Difficultpeople.org. This book was released on 2007 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Caring for Patients

Caring for Patients

Author: Allen Barbour

Publisher: Stanford University Press

Published: 1997-07-01

Total Pages: 428

ISBN-13: 9780804731539

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An experienced and compassionate physician questions the prevailing medical model of patient care?that every illness has a physical cause that can be identified and treated medically?and argues for the necessity of taking the psychological and social situation of the patient into account in the process of diagnosis and treatment.


Book Synopsis Caring for Patients by : Allen Barbour

Download or read book Caring for Patients written by Allen Barbour and published by Stanford University Press. This book was released on 1997-07-01 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: An experienced and compassionate physician questions the prevailing medical model of patient care?that every illness has a physical cause that can be identified and treated medically?and argues for the necessity of taking the psychological and social situation of the patient into account in the process of diagnosis and treatment.


Managing the Difficult Patient

Managing the Difficult Patient

Author: Robert E. Hooberman

Publisher:

Published: 1998

Total Pages: 408

ISBN-13:

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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.


Book Synopsis Managing the Difficult Patient by : Robert E. Hooberman

Download or read book Managing the Difficult Patient written by Robert E. Hooberman and published by . This book was released on 1998 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.