Run Time: 2 minutes
Author: Dr. Susan Brion
- 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.