While it is easy to feel upset or defensive when a patient starts asking questions about your credentials or makes comments about the treatment course you have set out for them, it is essential to remember that you are in control. Before causing the situation to become something more problematic, remember to remain calm and not allow yourself to become triggered by the things being said. In most cases, these patients are acting out because they are worried or stressed and misdirecting these feelings toward you.
Before responding or making any comments to a patient, you want to first listen to everything they have to say. Only once they are done going over their situation should you begin interjecting your own comments. This approach will provide you with a better understanding of what is happening while also allowing you to come up with a proper response as you listen to what is going on with the patient.
Although it is important to show patients respect and kindness, it is equally important to set boundaries that can help safeguard your own physical and emotional well-being. For instance, if a patient’s behavior begins to become threatening or offensive, you need to calmly explain that you will not be treated that way, nor will you tolerate this type of abuse. If you need to, try walking away, and have another colleague take over the conversation with the patient on your behalf. This will provide everyone an opportunity to calm down while still making it clear to the patient they cannot act this way toward you.
At the end of the day, never accept violence as part of your job. Take steps to keep yourself and others safe.
Finally, when all else fails and de-escalation measures have not been successful, practitioners should seriously consider discharging the patient from the practice. Continuing to treat unhappy or noncompliant patients pose a legal risk, and in the long run, it may be better to terminate the patient-physician relationship. Prior to discharge, make sure to review the laws and procedures surrounding proper notice and emergency care after discharge. For example, in Virginia, practitioners should give patients at least 30 days notice and continuing care after notification of discharge.
At Goodman Allen Donnelly, we are business, regulatory, and litigation attorneys with the skills, dedication, knowledge, and experience to protect and defend healthcare professionals against lawsuits and investigations. We approach each situation by identifying the regulatory and business issues of the client and coordinating the most efficient delivery of legal services available to meet their needs.
If you have questions regarding a problematic patient situation or want further insight into how to handle these patients, contact Goodman Allen Donnelly today to schedule a consultation with a member of our team.
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