题目内容
"Difficult patients" can be seen as a __________ to be tolerated or terminated from practice, however the difficulty is in the relationship, not simply the patient and there are techniques and strategies to help clinicians improve that relationship and retain its therapeutic nature.
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A difficult patient-clinician relationship, occurring in approximately _____ of adult patient encounters arises when physicians encounter patients with complex, often chronic medical issues (such as chronic pain, and/or mental illness) that are influenced or exacerbated by social factors (such as poverty, abusive relationships, addiction).
The physician may become frustrated or angry because his advice is not heeded, because the diagnosis or treatment is unclear or ineffective, or because the patient is rude, seemingly ungrateful, or transgresses boundaries in the _________________ (e.g. comes to the clinic when she does not have an appointment).
Because clinicians often find the relationships with some patients exhausting and frustrating, they should identify trusted colleagues with whom they can share their frustrations, employ strategies that allow the best in the relationship to prevail, and use a ________________.
The clinicians should do everything they can to maintain a _____________________ with a difficult patient (even one that is not ideal), however, they may need to transfer care to another provider in some circumstances.
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