_________________________________________________________________ Managing Disruptive Patients
Compliance : The term compliance is used to describe the degree to which patients follow their healthcare providers’ recommendations. It implies a patient-healthcare provider hierarchy, or a power differential in the relationship, in which the patient is relegated to a subordinate role. Some healthcare professionals believe this has a negative influence on patient compliance with the healthcare provider’s recommendations. Noncompliance : The North American Nursing Diagnosis Association (NANDA) definition of noncompliance is when the actions of the patient do not follow the health-promoting or therapeutic plan agreed on with the healthcare team (Herd- man & Kamitsuru, 2021). A plan of action for involvement and agreement with the management plan is needed. CONCLUSION Healthcare professionals should never underestimate the potential for violence; assaults by patients – young or old, male or female – can occur for many reasons. This course explored how healthcare professionals will encounter difficult or hard to manage patients during their career, including workplace violence, non-adherence to medical treatments, and manipula- tion of caregivers and the treatments and skills needed. This course demonstrated how healthcare professionals can avoid potentially violent situations and work with difficult patients by being prepared and recognizing the signs and risk factors for these occurrences. It also explores how healthcare profession- als must deal with their own feelings toward difficult patients while treating them. De-escalation skills, diagnosis, preventa- tive measures, training, and planning are all presented in this course to help healthcare professionals respond to difficult patients and ensure a healthy and safe environment.
Self-Assessment Quiz Question 14
On hearing her supervisor tell her that she will continue as David’s healthcare provider, Bonnie’s first reaction is to plead her case and ask her supervisor to reconsider. What is the supervisor’s best response? A) “Tell me more about your feelings of discomfort.” B) “All new healthcare professionals are a bit uncomfortable at first.” C) “No, I can’t reassign you to another patient.” D) “What if everyone wanted to switch assignments?” The correct answer is A. Rationale : This will help Bonnie to focus on the feelings she is having about the situation and hopefully what is at the root of her discomfort.
Self-Assessment Quiz Question 15
Which of the following would be the best way to resume the interview once Bonnie has returned to the assessment room? A) “Sorry for the delay, let’s start where we left off.” B) “OK, David, let’s try to stay on track now that I’m back.” C) “I’m back to continue where we left off – if you can cooperate by simply answering my questions.” D) All right, we’ll continue with your assessment. I hope you can avoid any more inappropriate remarks.” The correct answer is A. Rationale : At least to begin with, it would be best for Bonnie to start with a clean slate and not address David’s previous behavior. If it continues, then Bonnie will need to say something, but it would be best to first wait and see how things progress from the new starting point. GLOSSARY OF TERMS Adherence : The term adherence describes the degree to which a person’s behavior corresponds with the agreed recommenda- tions from a healthcare provider. Adherence acknowledges that the patient is part of the decision-making process. To promote adherence, hospitalization must become an experience in which patients maintain control over most of what happens to them. Healthcare providers are finding new ways to alleviate the dilemmas that patients face when hospitalized. An example is the patient-controlled analgesia pump for self-administration of pain medication. Use of this device reduces the patient’s dependence on the healthcare professional for comfort and, in many cases, reduces anxiety about pain control.
WORKS CITED https://qr2.mobi/Disrupt-Patient
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