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.
References
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