Academic literature on the topic 'Difficult patient'

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Journal articles on the topic "Difficult patient"

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LLEWELLYN, FAY. "Difficult Patient." Nursing 29, no. 1 (January 1999): 48–50. http://dx.doi.org/10.1097/00152193-199901000-00017.

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&NA;. "Difficult Patient." Nursing 21, no. 8 (August 1991): 51–53. http://dx.doi.org/10.1097/00152193-199108000-00016.

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SCHAFFELD, MARY MARGARET. "Difficult Patient." Nursing 21, no. 9 (September 1991): 60–62. http://dx.doi.org/10.1097/00152193-199109000-00018.

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MENGEL, TAMMI ERVING. "DIFFICULT PATIENT." NURSING 22, no. 1 (January 1992): 50–52. http://dx.doi.org/10.1097/00152193-199201000-00015.

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SCHMITT, DIANA. "DIFFICULT PATIENT." Nursing 19, no. 7 (July 1989): 43–46. http://dx.doi.org/10.1097/00152193-198907000-00017.

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CARLEY, LORI. "DIFFICULT PATIENT." Nursing 19, no. 8 (August 1989): 56. http://dx.doi.org/10.1097/00152193-198908000-00019.

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&NA;. "DIFFICULT PATIENT." Nursing 19, no. 12 (December 1989): 54–56. http://dx.doi.org/10.1097/00152193-198912000-00026.

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SCHMITT, DIANA M. "DIFFICULT PATIENT." Nursing 19, no. 3 (March 1989): 55–56. http://dx.doi.org/10.1097/00152193-198903000-00022.

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RENZ, MARION CASEY. "Difficult Patient." Nursing 23, no. 10 (October 1993): 58–60. http://dx.doi.org/10.1097/00152193-199310000-00021.

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RANDOLPH, KATHLEEN. "Difficult Patient." Nursing 21, no. 3 (March 1991): 56–57. http://dx.doi.org/10.1097/00152193-199103000-00021.

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Dissertations / Theses on the topic "Difficult patient"

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Strevy, Sonia R. "Communicating with difficult patients : nurses' perceptions." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865936.

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Communicating With Difficult Patients: Nurses' Perceptions Effective communication is paramount in any nurse-patient relationship. Nurses must develop good interpersonal skills with which to evaluate patient needs, provide therapeutic interaction and obtain mutual goals. The purpose of this study was to describe the variables present in nurses self reported communication with difficult patients.Imogene King provides the theoretical framework for this study using the concept of goal attainment as the basis. The Difficult Patient Assessment Tool (Podrasky & Sexton, 1988) was used to measure communication with difficult patients, along with the addition of an open-ended question. A convenience sample of 25 (40%) R.N.'s and L.P.N.'s from a community hospital in the Midwest was used. The procedures for the protection of human subjects were followed. Descriptive statistics were used to analyze the data.Findings of the study included that nurses perceive difficult patients as demanding, never satisfied, confused, frustrating, female, noncompliant, manipulative and uncooperative. Nurses reacted to the communication that takes place with the difficult patient, with feelings of frustration, incompetence, anger, disgust, anxiety, and at times, "O.K.". Nurses most frequently interact with difficult patients in informative, pragmatic, supportive, prescriptive and catalytic manners. The resulting transaction between the nurse and the difficult patient included feelings of frustration, fright, confusion and hurt.Conclusions were that difficult patients are perceived as making unrealistic demands on the nurses' time, and impair nursing interactions. Nurses' transactions resulted in both positive and negative reactions, depending on the situation, and the reactive patterns of the nurse. Nurses tend to take a more authoritative, rather than a facilitative role in interactions with difficult patients.Implications include the need for learned communication patterns which may or may not be effective in dealing with difficult patients. Effective communication skills involve not only acquired knowledge, but also knowledge of self and one's perceptions and values. Self knowledge of communication patterns, and how to improve on those patterns, might be helpful.
School of Nursing
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Clayton, Benjamin James. "Advanced applications of cardiac computed tomography for the difficult-to-image patient." Thesis, University of Plymouth, 2015. http://hdl.handle.net/10026.1/4188.

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Throughout the development of computed tomographic (CT) imaging the challenges of capturing the heart, with its perpetual, vigorous motion, and in particular the tiny detail within the coronary arteries, has driven technological progress. Today, CT is a widely used and rapidly growing modality for the investigation of coronary artery disease, as well as other cardiac pathology. However, limitations remain and particular patient groups present a significant challenge to the CT operator. This thesis adds new knowledge to the assessment of these difficult-to-image patients. It considers patients with artefact from coronary artery calcification or stents, examining the remarkable diagnostic performance of high definition scanning, as well as material subtraction techniques using dual energy CT, alongside ways in which current technology might be revisited and refined with the use of alternative image reconstruction methods. Patients with challenging heart rate or rhythm abnormalities are considered in three studies; how to achieve diagnostic image quality in atrial fibrillation, the safety of an aggressive approach to intravenous beta-blocker use prior to coronary imaging, and the development of patient information to address anxiety as a source of tachycardia and motion artefact. Finally, the novel application of a single source, dual energy CT scanner to additional cardiac information is considered, with studies of myocardial perfusion CT and delayed iodine enhancement imaging, to identify ways in which non-coronary imaging might be exploited to more thoroughly evaluate a patient’s coronary artery status. These findings are presented in the context of developing technology and together offer a range of potential options for operators of cardiac CT when faced with a difficult-to-image patient.
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Heyman, Sara, and Huss Sara Karlsdotter. "De som kallas besvärliga : En litteraturstudie om begreppet besvärlig patient och strategier vårdare använder i mötet med dessa patienter." Thesis, Röda Korsets Högskola, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-645.

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Bakgrund: Femton procent av alla möten inom vården upplevs som besvärliga av vårdpersonal. Besvärliga möten inom vården har stora följdverkningar, inte bara för patienten utan även för vårdpersonalen. De “besvärliga” patienterna riskerar att få sämre vård och bemötas med mindre respekt än övriga patienter. Besvärliga patienter är inte någon väl definierad patientgrupp utan karaktäriseras av en mängd olika egenskaper och symptom. Det finns en kritik mot användandet av begreppet besvärlig patient då det riskerar att fungera stigmatiserande och diskriminerande. Syfte: Beskriva vilka strategier vårdpersonal har för att bemöta den “besvärliga patienten”. Metod: Uppsatsen är en litteraturöversikt av elva vetenskapliga artiklar. Artiklarna analyserades med avseende på likheter och skillnader i resultatet. Resultat: Fem kategorier framkom: Bygga relation, Kontakt och kommunikation, Närhet och distans, Stöd och support samt Undvikande och kontroll. Huvudfynden speglar de strategier som vårdpersonal använder i mötet med den “besvärliga” patienten. Där återfinns både strategier som främjar en god patientkontakt och strategier som i förlängningen leder till negativa konsekvenser för både patient och personal. Slutsats: Strategier vårdpersonal använder i mötet med patienter som upplevs som besvärliga handlar till stor del om att uppnå en fungerande kommunikation och en god relation. I detta ligger strategier som betonar att lyssna, ge tid samt uppträda empatiskt, respektfullt och ärligt. Det finns också strategier som kontrollerar patienten eller begränsar patientens personliga frihet. Klinisk betydelse: Kunskap om vilka strategier som finns ger vårdpersonalen viktiga verktyg i den kliniska vardagen i mötet med den så kallade besvärliga patienten. I slutändan kan detta leda till en ökad patientsäkerhet och en vård av högre kvalitet för en sårbar och utsatt patientgrupp, samt en förbättrad arbetsmiljö för vårdpersonalen.
Background: Fifteen percent of all encounters in hospitals or health care facilities are perceived by health care staff as difficult. Difficult encounters have wide range of consequences for both the patient and health care professionals. A “difficult” patient is more likely to receive inadequate treatment and be treated with less respect. What constitutes a difficult patient is not well-defned, and they may be characterized by a broad range of personal and behavioural characteristics as well as symptoms. There are critical arguments against the verbal use of the difficult patient concept, as it may have a stigmatizing and discriminating effect on such a patient. Aim: Describe the strategies used by health care professionals when dealing with the “difficult patient”. Methods: The study is a literature review, in which the results of eleven scientific journal articles are compared and contrasted. Results: The main results reflect the strategies health care staff use when dealing with the “difficult” patient. From the litterature, five strategic categories have emerged. These categories include: Build relationship, Contact and communication, Closeness and distance, Help and support and Avoidance and control. These include both strategies that promote a good relation with the patient and strategies that lead to negative consequences for both patients and health care professionals. Conclusions: Strategies used by health care professionals when caring for patients perceived as difficult focus on achieving effective communication and a good relationship. These strategies emphasize listening, giving time and acting with empathy, respect and honesty. There are also strategies that control the patient or restrict the patient’s personal freedom. Relevance to clinical practice: This thesis presents an overview of which strategies exist for dealing with so called difficult patients, knowledge of which is vital for health care professionals working in clinical practice. This can lead to improved patient safety and health care of higher quality for a vulnerable and exposed group of patients, as well as a better working environment for the health care staff.
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Potter, Margaret J. "Evaluating the efficacy of a program developed to optimise the physiotherapist-patient interaction." University of Western Australia. School of Human Movement and Exercise Science, 2003. http://theses.library.uwa.edu.au/adt-WU2004.0012.

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[Truncated abstract] This PhD project was comprised of three major studies. Study 1 utilised the Nominal Group Technique (NGT) to identify a typology of difficult patients in private practice physiotherapy and to determine strategies physiotherapists use and would like to improve, when dealing with such patients. Physiotherapists (n=37) also shared their expectations of patients and their perceptions of patient expectations of physiotherapy. Results showed that the two areas most difficult to manage were behavioural problems of patients followed by patient expectations. To assist in their interaction with difficult patients, physiotherapists identified communication skills and behaviour modification techniques as strategies they would most like to learn. While physiotherapists expressed the greatest number of expectations in the behavioural domain, identification of patient expectations was not elicited as a strategy to manage difficult patients. Results of this qualitative study contribute to the evolving literature relating to physiotherapist-patient interactions and form a useful basis for educational programs directed at improving the therapeutic relationship in private practice physiotherapy. Study 2 involved applying the NGT with separate groups of patients (n=26) to identify patient expectations of the qualities of a ‘good’ physiotherapist, and to ascertain the characteristics of good and bad experiences in private practice physiotherapy. Findings indicated that the qualities of a ‘good’ physiotherapist related to their communication ability, professional behaviour and organisational ability, and characteristics of the service provided. The most important expectations of patients were for example, symptomatic relief, self-management strategies and ‘hands on’ treatment; associated with the physical domain. When comparing equivalent groups from Study 1, with patient expectations, most patient groups identified that the most important expectations of physiotherapists would relate to patient behaviours such as; compliance, honesty, payment of their account, being punctual, cooperating, trusting and showing respect for their physiotherapist. However, physiotherapists’ rankings of the most important expectations held by patients were not congruent with patient rankings providing an explanation as to why problems may arise in the physiotherapistpatient interaction from the patient’s perspective. Based on the findings of Study 2 it was suggested that physiotherapists should actively seek to involve patients in their management. To do this effectively, physiotherapists would benefit from further training in communication skills to ensure that they can successfully adopt a patientcentred approach and to optimise the physiotherapist-patient interaction in private practice physiotherapy.
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O'Grady, Susan. "Symbolic work with clay as a technique with a difficult to reach patient: a Jungian perspective." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5934_1223642323.

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This thesis explored the potential of clay work and its symbolic representations as a means to facilitate the integration and individuation of the self in psychotherapy, using a Jungian theoretical framework. A case study methodology was used, to explore a long standing pattern of environmental failure and trauma in a 16 year old female. The Edward's clay work method was utilized to guide the use of the clay work and the discussion and exploration thereof. Central to the study was the importance of a search for meaning given to each clay piece, which was achieved through a dialectical interaction and mutual exploration between therapist and client.

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Lundkvist, Anders. "”-Å nej, inte han igen!” : Varför patienter upplevs som svåra av sjuksköterskor inom den slutna psykiatriska vården." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2018.

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Bakgrund: En del patienter som vårdas inom slutenvårdspsykiatrin ses av sjuksköterskor svårare att vårda. Dessa patienter riskerar få en sämre vård än andra patienter. Genom att belysa sjuksköterskors egna förklaringsmodeller till varför patienterna uppfattas som svåra kan fokus riktas mot en utsatt patientgrupp inom den svenska slutenvårdspsykiatrin. Syfte: Att beskriva sjuksköterskors egna uppfattningar om varför patienter upplevs som svåra att vårda inom den slutna psykiatriska vården. Metod:Fem intervjuer med sjuksköterskor arbetandes inom slutenvårdspsykiatrin genomfördes. Intervjuerna var semistrukturerade och en intervjumall användes för att beröra studiens frågeområden. De transkriberade intervjuerna analyserades med hjälp av en kvalitativ innehållsanalys. Resultat:Fem olika kategorier framträdde ur materialet vilka återspeglade de intervjuade sjuksköterskornas förklaringar till varför en patient uppfattas som svår inom den psykiatriska slutenvården: Patientens negativa beteenden, omständigheter kring patienten, personalens känslor, personalens beteenden, dåligt anpassad vårdorganisation samt lätta patienter. Diskussion: Det finns många paralleller mellan patienter som uppfattas som svåra och en icke fungerande vårdrelation mellan sjuksköterska och patient. En modell presenteras som beskriver hur patienter i den slutna psykiatriska vården uppfattas som svåra utifrån ett sjuksköterskeperspektiv.
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Novosel, Lorraine Marie. "Depressive symptomatology, patient-provider communication, and patient satisfaction : a multilevel analysis." [Tampa, Fla] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0001866.

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Jepsen, Linda, and Ilda Agovic. "Sjuksköterskans/Vårdpersonalens bemötande av patienter som tar emot svåra besked." Thesis, Högskolan Väst, Avd för sjuksköterskeutbildning, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-4180.

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Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear.  Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news.  Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed. Four themes and nine subthemes was emerged.  Results: Nurse should allow patient to talk, when bad news had been given. Conversation is important for the patient, because they want information to be able to participate in care. Good communication skills are important for the nurse in connection with bad news. Patient wants information in an honest, peaceful and transparent manner. Time is often in short supply in this conversation. To have the family in care is a good support for the patient, but not all patients want the family to participate.  Conclusion: Patients desire individually aids at handover of bad news. It gives them a safety. The most common mould of aids according to patients where that the nurse shows that she/he has time for them.
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Andersson, Lisa, and Sara Nilsson. "Svåra samtal - en del av sjuksköterskans vardag : En intervjustudie." Thesis, University of Skövde, School of Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-1102.

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I det dagliga arbetet och som en del av omvårdnaden måste sjuksköterskan samtala med patienterna. Samtal kan vara väldigt svåra, vissa samtal är svårare än andra. För att oerfarna sjuksköterskor lättare skall kunna relatera och hantera dessa samtal i yrkeslivet var syftet med studien att beskriva vad sjuksköterskor anser vara det svåraste i svåra samtal. Ett fåtal studier beskriver vad sjuksköterskor anser vara svåra samtal och ingen studie har funnits som beskriver vad de anser vara det svåraste i dessa samtal. En kvalitativ metod valdes och innehållsanalys användes som metodanalys. Studien innefattar intervjuer med sex sjuksköterskor från ett sjukhus i västra Sverige. Resultatet av analysen visar sex huvudkategorier som innehåller sex sjuksköterskors beskrivning av vad det svåraste är i svåra samtal. Kategorierna är: samtal när personkemin inte stämmer, hoppfulla samtal vid negativa besked, samtal med arga patienter, känsliga samtal, försonande samtal med anhöriga och närvara i samtal under tidsbrist. Alla sjuksköterskorna upplevde att det svåraste i alla samtalen var att vara närvarande i samtalet för att behålla patientens hopp och få patienten att försonas med sin situation.


In the daily work of a nurse, talking to patients is part of the nursing care. Communication can be very difficult, and some conversations are harder than others. To make it easier for inexperienced nurses to relate and handle these conversations it’s important to establish what conversations nurses consider difficult and what the most challenging aspects are, and this was the aim of this study. Only a few previous studies describe what nurses consider difficult communication, and none of them focus on what the nurses perceive as the most challenging aspects. A qualitative method was chosen and content analysis was used as an analyze method. The study comprises interviews with six nurses in one hospital in the west of Sweden. The results of the analysis show six main categories which contain six nurses’ descriptions of what they consider to be the most difficult communication. The categories are: communication when the personal chemistry don’t match, hopeful communication when delivering negative notification, communicating with angry patients, sensitive communication, conciliating communication with relatives, and being presence in communication under stress. What all nurses found most challenging was, to be present in the conversation to keep the patients hope and help the patient accept their situation.

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Abels, Carlyn. "The therapist's difficult emotional experience and racism a modified systematic literature review : dissertation [thesis] submitted to Auckland University of Technology in partial fulfillment of the degree of Master of Health Science (Psychotherapy), 2004." Full thesis. Abstract, 2004.

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Books on the topic "Difficult patient"

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Duxbury, Joy. Difficult patients. Oxford: Butterworth-Heinemann, 2000.

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Hooberman, Robert E. Managing the difficult patient. Madison, Conn: Psychosocial Press, 1998.

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Trüeb, Ralph M. The Difficult Hair Loss Patient. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-19701-2.

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Saretsky, Ted. Resolving treatment impasses: The difficult patient. Northvale, N.J: J. Aronson, 1997.

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Gabel, Stewart. Difficult moments in child psychotherapy. New York: Plenum Medical, 1988.

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Gerald, Oster, and Pfeffer Cynthia R, eds. Difficult moments in child psychotherapy. Northvale, N.J: Jason Aronson Inc., 1993.

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Manos, Peter J. Care of the difficult patient: A nurse's guide. New York: Routledge, 2005.

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Manos, Peter J. Care of the difficult patient: A nurse's guide. London: Routledge, 2006.

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Be patient: Waiting on God in difficult times. 2nd ed. Colorado Springs, CO: David C. Cook, 2009.

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Wiersbe, Warren W. Be patient: Waiting on God in difficult times. 2nd ed. Colorado Springs, CO: David C. Cook, 2009.

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Book chapters on the topic "Difficult patient"

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Frezza, Eldo E. "Difficult Patients." In Patient-Centered Healthcare, 257–62. Boca Raton : Routledge/Taylor & Francis, 2020.: Productivity Press, 2019. http://dx.doi.org/10.4324/9780429032226-36.

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Delgado, Sergio V., and Jeffrey R. Strawn. "The Patient." In Difficult Psychiatric Consultations, 37–63. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39552-9_3.

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Gallo, Alberto S., and Courtney Collins. "The Difficult Patient." In The SAGES Manual of Acute Care Surgery, 287–308. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21959-8_14.

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Cleaver, Valerie. "The Difficult Patient." In Adult Aural Rehabilitation, 151–69. Boston, MA: Springer US, 1989. http://dx.doi.org/10.1007/978-1-4899-3452-9_10.

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Trüeb, Ralph M. "Patient Noncompliance." In The Difficult Hair Loss Patient, 195–97. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-19701-2_7.

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Katsambas, Andreas D., and Clio Dessinioti. "The Difficult Acne Patient." In Pathogenesis and Treatment of Acne and Rosacea, 383–88. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-540-69375-8_52.

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Wallace, Mark S., and Ajay Wasan. "The Difficult Pain Patient." In Challenging Cases and Complication Management in Pain Medicine, 49–55. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-60072-7_10.

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Hansen, Hans, and Judith Holmes. "Treating the Difficult Patient." In Controlled Substance Management in Chronic Pain, 227–50. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-30964-4_13.

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Gall, James. "The Difficult Dental Patient." In Modern Trends in Hypnosis, 409–20. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4913-6_36.

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Poole, Donna, Marie Annette Brown, and Louise Kaplan. "Managing Difficult Patient Situations." In The Advanced Practice Registered Nurse as a Prescriber, 105–44. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118696965.ch5.

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Conference papers on the topic "Difficult patient"

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PERRIS, C., and L. SKAGERLIND. "COGNITIVE PSYCHOTHERAPY WITH THE DIFFICULT PATIENT." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0194.

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Kansra, Sonal, and Simon Gosling. "Patient engagement in a paediatric difficult asthma clinic." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa4606.

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Dahl, Jeremy J., Dongwoon Hyun, You Li, Marko Jakovljevic, Muyinatu A. L. Bell, Will J. Long, Nick Bottenus, Vaibhav Kakkad, and Gregg E. Trahey. "Coherence beamforming and its applications to the difficult-to-image patient." In 2017 IEEE International Ultrasonics Symposium (IUS). IEEE, 2017. http://dx.doi.org/10.1109/ultsym.2017.8091607.

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Dahl, Jeremy. "Coherence beamforming and its applications to the difficult-to-image patient." In 2017 IEEE International Ultrasonics Symposium (IUS). IEEE, 2017. http://dx.doi.org/10.1109/ultsym.2017.8092646.

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Biasizzo, Helena, Saša Simčiče;, and Janez Tomažič. "P2.57 A case of difficult diagnosis: neurosyphilis in hiv infected patient." In STI and HIV World Congress Abstracts, July 9–12 2017, Rio de Janeiro, Brazil. BMJ Publishing Group Ltd, 2017. http://dx.doi.org/10.1136/sextrans-2017-053264.233.

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Belova, Eva, and Andre Sotelo. "Difficult Diagnosis Of Abdominal Pain In The Patient With Infective Endocarditis." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4587.

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Habib, Madelene, Robert Sims, James Inziello, Fluvio Lobo, and Jack Stubbs. "Design and Optimization of Patient-Specific Pediatric Laryngoscopes." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9077.

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Abstract Pediatric laryngoscope blades do not vary in size and shape as patients’ airways do. Difficult airway intubations may require physicians to try different blade sizes and even improvise. In addition to physical trauma and complications, difficult intubations may result in longer operating room times. As advanced three-dimensional (3D) imaging, modeling, and printing technologies become more ubiquitous at the point-of-care, so will the development and fabrication of patient-specific solutions. Here we introduce a method for the design and fabrication of patient-specific, single-use pediatric laryngoscope blades. The process seeks to optimize procedures and mitigate complications by providing physicians with the right tool at the right time.
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Morgan, S. E., B. Garrity, G. M. Logan, Z. Bilello, E. T. Naureckas, and J. P. Kress. "Mitigation of COVID-19 Exposure During Intubation of a Patient with a Difficult Airway." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3020.

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9

Evans, Jeff, Peter Neilson, Jordan Rath, John DeWitt, Peter Laz, and Mohammad Mahoor. "Design of an Eye Tracking System Enabling Communication for TBI and SCI Patients." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80214.

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Some patients who have suffered a traumatic brain injury (TBI) or a spinal cord injury (SCI) lose the ability to operate a computer via traditional methods (mouse and keyboard) or common alternative methods (voice control). The inability to move or speak makes it extremely difficult to communicate. Currently patients must rely on blinking yes or no to a series of questions that the caretaker asks in order to communicate their wants and needs. This system relies on the caretaker anticipating the patient’s needs in a timely manner which is not ideal. The purpose of this Senior Capstone Design project is to develop an eye tracking system to allow TBI and SCI patients to operate a computer exclusively using eye movements. Occupational Therapists at Craig Hospital, a recognized leader in TBI and SCI patient care, have provided the design team with access to a focus group of patients and insight into the needs and constraints of their patient population. With the ability to operate a computer, the patient will have the ability to more fully engage in communication by typing words on a screen for their caretakers to read and in a broader sense: e-mail and instant message family and friends as well as engage in social networking sites. The ability to control a computer allows for choices in entertainment from music to television to newspapers and magazines.
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Hebbale, Chandan, and Katherine Fu. "Wearable On-Demand Oxygen Therapy." In ASME 2016 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/detc2016-59199.

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Oxygen concentration devices currently on the market have many shortcomings. They are bulky and difficult to carry. They alter a patient’s outward image with a visual mark of disability. They do not change oxygen delivery in any way to adjust to the patient’s health. They also lack indicators to help the patient decide when to begin or end a therapy session. Some patient’s decide not to take oxygen therapy as a result of these shortcomings. Those that use these devices may receive over oxygenation or under oxygenation due to the mentioned pitfalls. Any of the shortcomings described can be life threatening to the patient. The present innovation is a proposed system for oxygen delivery that adjusts flowrate based on the patient health and requires no user input to begin or end a therapy session. This paper presents a unique wearable device design for delivering oxygen in a pressure based concentration system.
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Reports on the topic "Difficult patient"

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Lagutin, Andrey, and Tatyana Sidorina. SYSTEM OF FORMATION OF PROFESSIONAL AND PERSONAL SELF-GOVERNMENT AMONG CADETS OF MILITARY INSTITUTES. Science and Innovation Center Publishing House, December 2020. http://dx.doi.org/10.12731/self-government.

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When carrying out professional activities, officers of the VNG of the Russian Federation are often in difficult, stressful, emotionally stressful situations associated with the use of weapons as a particularly dangerous means of destruction. The right to use a weapon by an officer makes him responsible for its use. And therefore requires the officer to make a balanced optimal decision, which is associated with the risk and transience of events, and in which no mistake can be made, since the price of it can be someone's life. It is at such a moment that it is important that the officer has stable skills in making a decision on the use of weapons, and this requires skills not only in managing subordinates or the situation,but in managing himself. The complication of the military-professional activity, manifested in the need to develop the ability to quickly and accurately make command decisions, exacerbating the problem of social responsibility of an officer who has the management of unit that leads to an understanding of his singular personal and professional responsibility, as the ability to govern themselves makes it possible to achieve a positive result of the Department for the DBA. This characterizes the need for a commander to have the ability to manage himself, as a "system" that manages others. Forming skills of self-control, patience, compassion, having mastered algorithms of making managerial decisions, the cycle of implementing managerial functions, etc., a person comes to the belief: "before effectively managing others, it is necessary to learn how to manage yourself." The required level of personal and professional maturity can be formed in a person as a result of purposeful self-management, which determines the special role of professional and personal self-management in the training of future officers.
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2

Do audiological classification systems cause more confusion than clarity? ACAMH, May 2020. http://dx.doi.org/10.13056/acamh.11893.

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