Make explicit ground rules and be absolutely clear to the patient what can be expected, then follow your own rules to the letter. Once you’ve listened to what they have to say, go a step … Avoid sharing personal information with patients … Home » Blog » Patient Experience » Establish Boundaries With Difficult Patients Early, Before the Relationship Descends Into Crazy Town Be forewarned, this is an “elephant in the room” post about dealing with difficult patients. Make such patients understand you will keep a check on their needs and requirements, and then follow through. ASK QUESTIONS. The therapeutic relationship between a doctor and the patient is established solely with the purpose of therapy and whenever this relationship deviates from its basic goal of treatment, it is called boundary violation and becomes non-therapeutic. You may also need to set boundaries to protect yourself. Firm boundaries are the rule here. Act quickly to re-establish boundaries if a patient behaves inappropriately. Maintaining patient boundaries Don't pursue a sexual or close emotional relationship with a patient or someone close to them. Don’t just listen to... 2. Set boundaries: One of the best approaches is to set limits for difficult patients who make unreasonable demands. Boundaries can be physical or emotional, and they can range from being loose to rigid, with healthy boundaries often falling somewhere in between. Boundary issues are disruptions of the expected and accepted social, physical, and psychological boundaries that separate physicians from patients. When someone is concerned or upset the best thing you can do is to listen to them. LISTEN. Setting boundaries is an important part of establishing one’s identity and is a crucial aspect of mental health and well-being. 4 Step Action Plan: How to Deal with Difficult Patients & Families 1. 6.

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