Changing How We Think about Difficult Patients

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Publisher :
ISBN 13 : 9780996663212
Total Pages : 128 pages
Book Rating : 4.6/5 (632 download)

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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.

The Difficult-to-Treat Psychiatric Patient

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Publisher : American Psychiatric Pub
ISBN 13 : 1585627887
Total Pages : 460 pages
Book Rating : 4.5/5 (856 download)

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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.

Handling Difficult Patients

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Publisher : Hcpro Incorporated
ISBN 13 : 9781578393749
Total Pages : 0 pages
Book Rating : 4.3/5 (937 download)

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Book Synopsis Handling Difficult Patients by : Richard A. Bryan

Download or read book Handling Difficult Patients written by Richard A. Bryan and published by Hcpro Incorporated. This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is a practical guide for nurse managers that will help them train staff to deal effectively with patient populations that typically put additional strain on health care organizations. Readers learn proven strategies and examine best practices that show how to prevent patients from becoming difficult and deal with those who do.

Working With Difficult Patients

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Publisher : Routledge
ISBN 13 : 0429924267
Total Pages : 294 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Working With Difficult Patients by : Franco De Masi

Download or read book Working With Difficult Patients written by Franco De Masi and published by Routledge. This book was released on 2018-05-11 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

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Publisher : Difficultpeople.org
ISBN 13 : 9780741437686
Total Pages : 172 pages
Book Rating : 4.4/5 (376 download)

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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.

Stressed Out about Difficult Patients

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Publisher : HC Pro, Inc.
ISBN 13 : 1601460120
Total Pages : 155 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Stressed Out about Difficult Patients by : Joan Monchak Lorenz

Download or read book Stressed Out about Difficult Patients written by Joan Monchak Lorenz and published by HC Pro, Inc.. This book was released on 2007 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Behavioral Medicine A Guide for Clinical Practice 5th Edition

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Publisher : McGraw Hill Professional
ISBN 13 : 1260142698
Total Pages : 608 pages
Book Rating : 4.2/5 (61 download)

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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.

Definition of Serious and Complex Medical Conditions

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Publisher : National Academies Press
ISBN 13 : 0309172608
Total Pages : 127 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Definition of Serious and Complex Medical Conditions by : Institute of Medicine

Download or read book Definition of Serious and Complex Medical Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 1999-10-19 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.

The Difficult Airway

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Publisher : Springer Science & Business Media
ISBN 13 : 0387928499
Total Pages : 308 pages
Book Rating : 4.3/5 (879 download)

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Book Synopsis The Difficult Airway by : David B. Glick

Download or read book The Difficult Airway written by David B. Glick and published by Springer Science & Business Media. This book was released on 2012-12-05 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders.

Difficult Patients

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Publisher : Butterworth-Heinemann Medical
ISBN 13 : 9780750638388
Total Pages : 181 pages
Book Rating : 4.6/5 (383 download)

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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.

Care of the Difficult Patient

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Publisher : Routledge
ISBN 13 : 1134245599
Total Pages : 168 pages
Book Rating : 4.1/5 (342 download)

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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.

Psychoanalytic Approaches to the Resistant and Difficult Patient

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Publisher : Psychology Press
ISBN 13 : 9780866563406
Total Pages : 160 pages
Book Rating : 4.5/5 (634 download)

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Book Synopsis Psychoanalytic Approaches to the Resistant and Difficult Patient by : Herbert S. Strean

Download or read book Psychoanalytic Approaches to the Resistant and Difficult Patient written by Herbert S. Strean and published by Psychology Press. This book was released on 1985 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: An instructive and stimulating volume designed to enhance the therapist's knowledge concerning the psychodynamics of patients who are difficult to treat.

Mastering Communication with Seriously Ill Patients

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Publisher : Cambridge University Press
ISBN 13 : 1139477927
Total Pages : 148 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Mastering Communication with Seriously Ill Patients by : Anthony Back

Download or read book Mastering Communication with Seriously Ill Patients written by Anthony Back and published by Cambridge University Press. This book was released on 2009-03-02 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physicians who care for patients with life-threatening illnesses face daunting communication challenges. Patients and family members can react to difficult news with sadness, distress, anger, or denial. This book defines the specific communication tasks involved in talking with patients with life-threatening illnesses and their families. Topics include delivering bad news, transition to palliative care, discussing goals of advance-care planning and do-not-resuscitate orders, existential and spiritual issues, family conferences, medical futility, and other conflicts at the end of life. Drs Anthony Back, Robert Arnold, and James Tulsky bring together empirical research as well as their own experience to provide a roadmap through difficult conversations about life-threatening issues. The book offers both a theoretical framework and practical conversational tools that the practising physician and clinician can use to improve communication skills, increase satisfaction, and protect themselves from burnout.

Field Guide to the Difficult Patient Interview

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781747745
Total Pages : 328 pages
Book Rating : 4.7/5 (477 download)

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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.

When We Do Harm

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Publisher : Beacon Press
ISBN 13 : 0807037885
Total Pages : 274 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis When We Do Harm by : Danielle Ofri, MD

Download or read book When We Do Harm written by Danielle Ofri, MD and published by Beacon Press. This book was released on 2020-03-23 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Clinical Psychoanalytic Case Studies with Complex Patients

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Publisher : Taylor & Francis
ISBN 13 : 1000959058
Total Pages : 225 pages
Book Rating : 4.0/5 (9 download)

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Book Synopsis Clinical Psychoanalytic Case Studies with Complex Patients by : Anne Zachary

Download or read book Clinical Psychoanalytic Case Studies with Complex Patients written by Anne Zachary and published by Taylor & Francis. This book was released on 2023-10-02 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

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Author :
Publisher :
ISBN 13 : 9780198567837
Total Pages : 670 pages
Book Rating : 4.5/5 (678 download)

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Book Synopsis Oxford Textbook of Primary Medical Care by : Roger Jones (Prof.)

Download or read book Oxford Textbook of Primary Medical Care written by Roger Jones (Prof.) and published by . This book was released on 2005 with total page 670 pages. Available in PDF, EPUB and Kindle. Book excerpt: