Doc, please, don’t hate me!

Nephrologists may encounter a number of patients who disrupt the smooth functioning of their dialysis unit and exhibit behavior to which dialy­sis staff may be unsure how to respond. Obviously, this is not a major cause of professional satisfaction. 
By definition, "hateful patients" are those whom most physicians dread. An understanding of the "hateful patient" can therefore be very informative to the nephrologists. 

Traditionally, four categories of such patients may be described:
dependent clingers, 
entitled demanders 
manipulative help-rejecters and    
self-destructive deniers.

Hateful dialysis patients should not be allowed to continually compromise the care of other patients in the unit. The rights of difficult or disruptive patients should be balanced with those of other dialysis patients and staff.



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