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Understanding The Difficult Patient
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Book Synopsis Understanding the Difficult Patient by : Nancy Bilello
Download or read book Understanding the Difficult Patient written by Nancy Bilello and published by Blue Poppy Enterprises, Inc.. This book was released on 2005 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: This well organised, easy to read book includes many detailed case histories of difficult patient interactions and suggestions for how to be most effective. Study/discussion questions can be found at the end of each chapter with one unresolved case for discussion. The author has interacted with thousands of patients. This book is an excellent teaching text.
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.
Book Synopsis Relationship Management Of The Borderline Patient by : David L. Dawson
Download or read book Relationship Management Of The Borderline Patient written by David L. Dawson and published by Routledge. This book was released on 2013-05-13 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume offers guidelines for managing the therapist-patient relationship during crisis intervention and longer-term therapy with patients who exhibit borderline symptoms. Since to do no harm is the primary goal of any therapist who encounters such a patient, an appropriate therapist-patient relationship is crucial; moreover, skillful management of this relationship can, in itself, be the most effective and safe treatment. The authors present a conceptual model, based on self psychology and interpersonal theory, for reframing the borderline symptoms and the therapist's reactions. Case examples demonstrate effective relationship management and therapeutic interventions.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309377722 Total Pages :473 pages Book Rating :4.3/5 (93 download)
Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Book Synopsis Through the Patient's Eyes by : Margaret Gerteis
Download or read book Through the Patient's Eyes written by Margaret Gerteis and published by John Wiley & Sons. This book was released on 2002-05-03 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sponsored by the Picker/Commonwealth Program for Patient-Centered Care In this comprehensive, research-based look at the experiences and needs of patients, the authors explore models of care that can make hospitalization more humane. Through the Patient's Eyes provides insights into why some hospitals are more patient-centered than others; how physicians can become more involved in patient-centered quality efforts; and how patient-centered quality can be integrated into health care policy, standards, and regulations. The authors show how, by bringing the patient's perspective to the design and delivery of health services, providers can improve their ability to meet patient's needs and enhance the quality of care.
Book Synopsis On Learning From the Patient by : Patrick Casement
Download or read book On Learning From the Patient written by Patrick Casement and published by Routledge. This book was released on 2013-10-15 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: "On Learning from the Patient is concerned with the potential for psychoanalytic thinking to become self-perpetuating. Patrick Casement explores the dynamics of the helping relationship - learning to recognize how patients offer cues to the therapeutic experience that they are unconsciously in search of. Using many telling clinical examples, he illustrates how, through trial identification, he has learned to monitor the implications of his own contributions to a session from the viewpoint of the patient. He shows how, with the aid of this internal supervision, many initial failures to respond appropriately can be remedied and even used to the benefit of the therapeutic work. By learning to better distinguish what helps the therapeutic process from what hinders it, ways are discovered to avoid the circularity of pre-conception by analysts who aim to understand the unconscious of others. From this lively examination of key clinical issues, the author comes to see psychoanalytic therapy as a process of re-discovering theory - and developing a technique that is more specifically related to the individual patient. The dynamics illustrated here, particularly the processes of interactive communication and containment, occur in any helping relationship and are applicable throughout the caring professions. Patrick Casement's unusually frank presentation of his own work, aided by his lucid and non-technical language, allows wide scope for readers to form their own ideas about the approach to technique he describes. This Classic Edition includes a new introduction to the work by Andrew Samuels and, together with its sequel Further Learning from the Patient, will be an invaluable training resource for trainee and practising analysts or therapists."--
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.
Book Synopsis Difficult Topics in Group Psychotherapy by : Jerome Gans
Download or read book Difficult Topics in Group Psychotherapy written by Jerome Gans and published by Routledge. This book was released on 2018-05-08 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book contains eleven selected papers on difficult topics group therapists encounter in their work. Based on the author's forty years in the field, these papers include the topics of shame, courage, hostility, combined individual and group therapy, money, indirect communication, difficult patients, silence, and the missed session. Written from a psychodynamic orientation with a relational emphasis, they pay special attention to countertransference. An autobiographical introduction to each paper discusses what experiences have led the author to write on each topic. These introductions honor the role that personal experience has played in the evolution of Dr Gan's therapeutic presence.
Book Synopsis Aesthetic Applications of Intense Pulsed Light by : Lucian Fodor
Download or read book Aesthetic Applications of Intense Pulsed Light written by Lucian Fodor and published by Springer Science & Business Media. This book was released on 2010-10-14 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book is structured into eight chapters: 1. Skin anatomy. This chapter is intended to describe the pertinent anatomy related to IPL applications. In addition to the described main structural elements of the skin, the chapter has important points about skin aging and histological aspects which gives the reader a better understanding of the etiology of skin lesions and the need for Intense Pulsed Light (IPL) treatment. 2. Light-tissue interaction. This chapter describes the interaction between IPL and different skin structures. Target skin structures (chromophores) are described in detail. The results of this interaction are detailed as being important to understanding the goals and principles of IPL treatment. 3. IPL safety and legal issues. This chapter describes the needs of the environment for a safe treatment. The necessary equipment and things to avoid pitfalls which may lead to lawsuits are detailed. Several aspects of IPL legal issues are also described: how to avoid medical liabilities and how to manage them are also included in this chapter. 4. Patient selection. This chapter describes the pearls and pitfalls in selecting patients for IPL treatment. This is not an easy task and proper patient selection is extremely important to have satisfied patients. Problematic patient types are also described here. 5. Skin rejuvenation. This chapter starts with a description of skin aging. Intrinsic and extrinsic mechanisms are detailed. The most common skin lesions related to aging that can benefit from IPL treatment for rejuvenation are detailed. The chapter continues with treatment protocols which describe strategies for achieving optimal results. A review of the literature is included, presenting the treatment parameters of different studies and their results. 6. Hair removal. This chapter starts with a description of the hair follicle cycle, hair types and important structures for treatment. Treatment strategies are emphasized and detailed, starting from choosing the right parameters to post-treatment recommendations. A literature review is presented regarding treatment parameters and results according to different authors. 7. Vascular lesions treatment. This chapter describes the types of vascular lesions that can benefit from IPL treatment. The treatment protocol is emphasized and all the steps for performing this application are described in detail. A literature review is presented and different results are compared regarding treatment parameters. 8. Complications. It is inevitable that any medical treatment can end with complications. The possible complications of the most common IPL applications (skin rejuvenation, hair removal, pigmented and vascular lesion treatment) are detailed. The way to avoid them and how to handle them is also described. At the end of each chapter, there is a section on the practical points highlighting the most important points of the chapter. An extensive literature review of this technology is presented alongside numerous illustrations, tables and color pictures. The book will benefit any doctor or healthcare professional who uses IPL for cosmetic purposes, such as plastic surgeons, dermatologists, ophthalmologists, maxillofacial surgeons and otolaryngologists dealing with aesthetics of the face, as well as residents interested in learning the subject.
Book Synopsis Psychoanalytic Diagnosis by : Nancy McWilliams
Download or read book Psychoanalytic Diagnosis written by Nancy McWilliams and published by Guilford Publications. This book was released on 2020-02-06 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: This acclaimed clinical guide and widely adopted text has filled a key need in the field since its original publication. Nancy McWilliams makes psychoanalytic personality theory and its implications for practice accessible to practitioners of all levels of experience. She explains major character types and demonstrates specific ways that understanding the patient's individual personality structure can influence the therapist's focus and style of intervention. Guidelines are provided for developing a systematic yet flexible diagnostic formulation and using it to inform treatment. Highly readable, the book features a wealth of illustrative clinical examples. New to This Edition *Reflects the ongoing development of the author's approach over nearly two decades. *Incorporates important advances in attachment theory, neuroscience, and the study of trauma. *Coverage of the contemporary relational movement in psychoanalysis. Winner--Canadian Psychological Association's Goethe Award for Psychoanalytic and Psychodynamic Scholarship
Book Synopsis Difficult Conversations in Medicine by : Elisabeth Macdonald
Download or read book Difficult Conversations in Medicine written by Elisabeth Macdonald and published by . This book was released on 2004 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Psychonephrology written by Ana Hategan and published by Springer Nature. This book was released on 2022-01-01 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book focuses on pharmacological and non-pharmacological approaches of psychiatric syndromes that commonly occur in patients with kidney disease. It specifically reviews principles of psychotherapy and psychopharmacology with an emphasis on organ impairment and drug-drug interactions specific to nephrology. This book also covers issues with medication nonadherence in patients with chronic kidney disease and psychiatric comorbidity, as well as the associated issues in dialysis and renal transplantation. Additionally, chapters cover various other topics addressing an active stance towards health promotion in chronically ill patients, including the critical role of the diet and physical activity. Such advice is often complex and changing depending on the stage of chronic kidney disease and the individual needs of the patient. Written by specialists in the field, Psychonephrology: A Guide to Principles and Practice serves as a valuable reference and teaching tool that provides an opportunity for learning across a rapidly evolving medical field.
Book Synopsis Understanding Clinical Negotiation by : Richard L Kravitz
Download or read book Understanding Clinical Negotiation written by Richard L Kravitz and published by McGraw Hill Professional. This book was released on 2021-07-06 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Achieve optimal patient outcomes and build positive health care relationships with this timely and essential guide Patient relations, satisfaction, and engagement are more important than ever. Many patients today research their conditions online, and are the targets of marketing campaigns by hospitals, medical device manufacturers, and the pharmaceutical industry. As a result, some will bring a consumer mindset to the exam room and even demand tests and treatments that are of questionable value. This new health care landscape makes the ability to clinically negotiate with patients an increasingly important skill. Understanding Clinical Negotiation helps clinicians navigate patient desires toward mutually defined goals. The first guide of its kind, this important resource will equip clinicians with the insights and pragmatic skills needed to strike the right balance between care and costs, while ensuring the satisfaction and safety of every patient. Understanding Clinical Negotiation features: Real-world vignettes incorporating scenarios encountered in research and practice Clinical pearls and summary bullet points for each chapter Actionable lessons that can be applied immediately in practice Deeper Dive sidebars with additional insights and information Strategies for fostering patients’ full disclosure of relevant information Methods for raising awareness of and managing emotions in clinical care Best practices for collaborative decision-making in diverse populations
Book Synopsis How To Break Bad News by : Robert Buckman
Download or read book How To Break Bad News written by Robert Buckman and published by University of Toronto Press. This book was released on 1992-08-08 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
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.
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.
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.
