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Dealing with difficult patients in your pain practice.

Ajay D Wasan1, Joshua Wootton, Robert N Jamison

  • 1Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.

Regional Anesthesia and Pain Medicine
|March 15, 2005
PubMed
Summary

Managing difficult pain patients is crucial for a positive doctor-patient relationship. This guide helps clinicians identify and understand challenging behaviors, offering strategies for effective patient management.

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Area of Science:

  • Pain Management
  • Clinical Psychology
  • Healthcare Communication

Background:

  • Difficult patient behavior can negatively impact clinicians, leading to frustration and damaged doctor-patient relationships.
  • Understanding the root causes of challenging behaviors in pain patients is essential for effective clinical practice.

Observation:

  • Certain pain patients exhibit behaviors such as comorbid psychopathology, hostility, suicidality, aberrant drug behavior, and chronic noncompliance.
  • These behaviors can provoke negative emotional responses in healthcare providers.

Findings:

  • The article identifies specific patient characteristics associated with difficult behavior.
  • It explores the underlying reasons for these challenging behaviors in the context of pain management.

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Implications:

  • Provides clinicians with tools to identify at-risk pain patients.
  • Offers practical recommendations for managing difficult patient behaviors to improve clinical outcomes and relationships.