Podcast #31: Difficult Patient

difficult-patientRun Time: 2 minutes

Author: Dr. Susan Brion

Educational Pearls:

  • Difficult patients include those who are rude, disruptive, or with multiple medical problems – 15% of patients qualify as difficult.
  • In study in the British Medical Journal family practice resident were given 3 difficult patients and 3 normal patients. Residents misdiagnosed the difficult patients 42% of the time and the normal patients 6% of the time.
  • A patient may be difficult due to mental health issue, fear, or a previous bad experience.
  • The 4 R’s: recognize what is wrong, reason through the problem, accept responsibility for the care of the patient, and respond to the patient to come up with an action plan.

Link to Podcast:  http://medicalminute.madewithopinion.com/difficult-patient/

References:  http://pmj.bmj.com/content/71/841/653.full.pdf+html

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