Question

what are the concerns in the case study regarding communication in good aggressive patient scenario

hca 200

Answer 1

Patients and sometimes their carers, become challenging difficult uncooperative of aggressive for a number of reasons like Being unwell or in pain; Alcohol/ substance misuse; tead, anxiety or distress; Communication or language difficulties; Unrealistic expectations, Previous pour experience, frustation, Guilt that they didn't bring a sick relative in earlier. Their behaviour may take the form of being demanding or controlling, an unwillingness to listen lack of cooperation; verbal abuse or threats ; physical violence against people of propety. Always consider first whether the patient's behavious is caused by medical condition. If so, treat the patient as far as possible without putting yourself or others at risk. long waiting times, lack of available appointments of beds, lowms unfamiliar with the department pour communication by staff, etc may all contribute to a patient's deteriorating mood or behaviour Competing pressures on the doctor may affect their communication style and potentially exacerbate the situation. Even if you are not in a position to determine the security policy at the trust or practice, you can seek ways to protect pati yourself, colleagues and other patients. Identify high-risk situations - for example , Saturday night in the emergency department when you have to delived bad news, or when patients are kept waiting for a very long- time : Consider which staff may be vulnedable if a patient becomes violent Reception area staff or doctors working alone in a clinic may be at greater risk.

Dealing with an aggressive patient takes care, judgement and self control. Remain calm, listen to what they are Saying, ask open-ended questions Reassure them and acknowledge their grievances . Provide them with an opportunity to explain what has angered them. Understanding a the source of their frustation may help you finda solution Maintain eye contact, but not prolonged . Keep an adequate e distance from the patient, but keep away from corners. It is helpful if the furniture in your room is arranged in such a way that you can easily leave, but the patient doesn't feel trapped. If the patient has a weapon, alk them to put it down. Don't ask them to hand it over. use the panic button or call for h Ip leave the room and call security of the police. If possible, move the patient to an area away from public view. Patients must not be denied necessary treatment even though they may he aggressive of violent Treatment should b must be based on clinical need, however demanding the patient. Nevertheless, you should assess of minimise the risk to yourself the patient of others. In some cases it may be reasonable & necessary to consider alternative arrangements for providing treatment . If systems, policies or availability of resources are compromising ppatient caro, you must raise your concean. It's advisable to train staff in conflict resolution and dealing with aggressive behaviour. Consider your security requirements Your LSMS is responsible for security in your practice area land can advise you. If you have concers about safety of your environment, raise them with you sewrity management director or the LSMS.