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Related Experiment Videos

The general approach to the difficult patient

J Adams1, R Murray

  • 1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA. jgadams@bics.bwh.harvard.edu

Emergency Medicine Clinics of North America
|January 16, 1999
PubMed
Summary

Emergency physicians often encounter difficult patients. Managing the therapeutic relationship with clear boundaries and communication can minimize these challenges for better patient care.

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Area of Science:

  • Emergency Medicine
  • Patient Management
  • Healthcare Communication

Background:

  • Emergency physicians frequently encounter patients who present challenges in care delivery.
  • Understanding the dynamics of difficult patient encounters is crucial for effective emergency department (ED) operations.

Purpose of the Study:

  • To explore the characteristics of difficult patients encountered in emergency settings.
  • To identify emergency department processes contributing to patient difficulties.
  • To examine physician-specific factors influencing challenging patient interactions.

Main Methods:

  • Literature review and synthesis of existing research on difficult patient encounters in emergency medicine.
  • Analysis of factors contributing to therapeutic relationship challenges.
  • Exploration of strategies for managing difficult patient interactions.

Main Results:

  • Difficult patient encounters involve specific patient, process, and physician characteristics.
  • Effective management hinges on the caregiver's skill in navigating the therapeutic relationship.
  • Key elements include firm boundaries, robust communication, and patient trust.

Conclusions:

  • Minimizing difficulties with challenging patients requires skilled management of the therapeutic relationship.
  • Establishing trust, clear communication, and supportive systems are vital for both patients and caregivers.
  • Enhanced caregiver expertise in therapeutic relationship management can improve emergency care outcomes.

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