Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu



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Medical psychology.book (1)

Make sure you: 


114 
Observe:
Notice a patient's words, voice or attitude to pick up on 
rising anger levels. Overly compliant behavior is also a warning sign 
that a patient has lost his identity and sense of competence, which can 
lead to vulnerability, fear, anger and violence. "Worries and loss of con-
trol often are triggers of aggression," says Simms, who urges nurses to 
trigger a sense of capability in patients, not one of vulnerability.
Connect:
Uncover and directly address a patient's underlying fee-
lings with comments such as, "You sound worried. What can we do to 
help?" Establishing a personal connection can go a long way toward 
gaining cooperation, Kuhn says.
Show Respect:
Make eye contact, and try to approach patients at 
eye level. Always address patients as Mr. or Mrs., and speak in a frien-
dly manner.
Slow Down:
Rushing can be counterproductive, especially when 
caring for those with dementia.
Recruit Help:
Enlist relatives to help break the isolation, create 
solutions and provide support.
Be Informed:
Know your employer's patient bill of rights, as well 
as its policies and procedures for dealing with difficult patients.
Avoid: 
Bullying:
Don't use your caregiver status to threaten patients.
Making Assumptions:
Most patients are not intentionally abusive 
or disruptive. They often are responding to an irritation, vulnerability, 
cognitive impairment, inability to express them or loss of identity.
Putting Up Walls:
Distance just fuels patients' anger.
Tolerating Disruptive Behavior:
Clearly explain what is unaccep-
table to avoid problems later.
Taking It Personally:
"You can't expect that everyone at work will 
act pleasantly," Godfrey says. "Interpersonal mishaps or confrontations 
are guaranteed when you work with the public." 

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