7 Tips for Dealing with Difficult Patients Everyone has an off day every now and again, but some patients seem almost impossible to please—or to motivate. Confronting an abusive doctor by either calling them on their conduct or taking the matter to a supervisor is a good way to deal with the situation. Sound familiar?. 1: For Every Action…. If this confidentiality is breached in any way, patients may have the right to sue. Article - 7 Ways To Deal With Difficult Behavior Caused by Alzheimer's and Dementia. Put on your neutral-observer hat and share your feelings without accusation or blame – pretend you are an objective news reporter and attempt to explain both sides. Our response to difficult people should model the examples provided by Jesus, for He surely dealt with many difficult people during His time here on earth. An interview question like “Tell me how you handled a difficult situation at work” can really allow you to shine. Food and Drug Administration has not approved any drug for the treatment of stuttering. If you’re self-employed, an angry customer. Gracefully deal with the problem participant. Plus, these difficult patients--they are as deserving of good care as the more pleasant ones. Pay attention to when and why you get frustrated with your parents' behavior. It will help with your confidence when dealing with the next difficult patient. The patient is anaesthetised, paralysed (usually with non-depolarising relaxants) and intubation is attempted by direct laryngoscopy. "The medical system can be particularly difficult to navigate for patients with multiple chronic illnesses or psychosocial barriers to medical care, and providers often do not have adequate. Anatomy of a Super Nurse: The Ultimate Guide to Becoming Nursey Difficult People: Foolpoof Methods - Dealing with Difficult People, Mean People, and Workplace Bullying. The greatest threat to medical privacy, however, occurs because most medical bills are paid by some form of health insurance, either private or public. As described above, the patient may insert one or two fingers into the vagina to splint the vagina during attempts to pass stool. The patient refused to allow her medical records from other physicians to be sent to the attending physician. For example, those closest to you might worry about losing you. Define, decide and act when confronted by an untenable workplace. Quitting smoking is more difficult for women than men, study suggests Women also tend to use cigarettes to deal with stress in their lives, Folan added. An infection or irritation can cause narrowing of the esophagus. I have treated patients with sinus problems for about 25 years. 29 May 2015. State reasons for a patient to be labeled as difficult. Tips for better correctional officer report writing. As a pediatric resident, I work with many different families and patients of various ages and backgrounds. Some handle billing and insurance payments. Interact with your Patient. "You need to be quiet and listen to the teacher!" "What do you care? Just keep fixing that computer!" replied the student. Tell the interviewer that you can keep yourself calm when dealing with stressful situations. How to Deal with Difficult Family Members. They measured this by exposing the mice to an aggressive mouse. Avoid Arguments. In April 1995, we sent the survey to 19 genetic coun-seling program directors. In one short page, clear instructions walk you through how to understand and manage the situation. John likes to do things they way they have always been done. These patients can put a strain on the physician/practice — patient relationship. Learn to deal with them quickly and confidently at Dealing with Difficult People. Ganser] on Amazon. Examining what an official system for euthanasia might look like and how the process would be regulated, which would be difficult to achieve - or, some people believe, impossible. Remind your patients about good oral hygiene during breast cancer treatment. When your interviewer says- "Clients can be difficult. The person who has had the stroke may find it hard to form words or understand what you say to them. In just about every nursing specialty, you’re going to come across death, and part of learning to become a nurse is learning how to cope with loss. “Dealing with difficult customers” “Handling angry or toxic customers” “Angry and impulsive customers” “How to handle the not satisfied customers” This article will cover a variety of proven strategies to deal with exactly this issue. Improve your patient financial experience by contacting our team today to learn more. And while the government purports to view addiction as a disease, it often works in opposition to that position through the “War on Drugs,” which counts most drug users as criminals. The key to successful recovery is often the support and attitudes of the family and friends of those who suffer from the illness. Dealing with difficult customers and callers on the phone is not easy and handling them sufficiently, to maintain loyalty, requires relevant training in the call centre. Sometimes a family or patient is more difficult to work with than others. You have such a beautiful eye for design. Most patients just want to know that you are listening to their concerns. You stay patient, stuff it all in the dark dungeons of your soul and hope it will pass, but at times you want to explode into a google of pieces and strangle someone to death. Schafer S, Nowlis DP. And some of the deepest relationships and best moments in my life emerged with people I treated. What follows are definitions of abuse and difficult situations and methods of assessment and possible interventions. I have undoubtedly learned a great deal more from my patients than they ever learned from me. The key to dealing with such patients is the art of saying no. PATIENT ASSESSMENT DEFINITIONS Scene Size-up Steps taken by EMS providers when approaching the scene of an emergency call; determining scene safety, taking BSI precautions, noting the mechanism of injury or patient’s nature of illness, determining the number of patients, and deciding what, if any additional. Some of these issues may have an impact on emotional and physical recovery. Usually difficult, angry and manipulative patients will attempt to draw you into a shouting match, pull on your own angry emotions, and attempt to bait you into becoming verbally aggressive. Dealing with Difficult People & Difficult Situations Setting The Stage For Success College life involves frequent interaction with people in a multitude of situations, ranging from getting along with roommates to negotiating group projects. These difficult situations might include, for example: • Dealing with poor individual or team performance • Trying to improve an organisation that is perceived to be failing • A process that it is not working. Nurses, however, encounter challenges to cope with it. If a child lives with fairness, he learns justice. Dealing with the emotions and beliefs of other people about cancer can also be challenging. It contains both scholarly studies and links to other resources that may help you find practical, creative, and effective solutions to cope with this pervasive and recurring challenge in constructive and effective ways. You’ll get help with family relationships and difficult conversations. Treatment and coping strategies can help. 4 Simple and Effective Strategies to Handle Difficult People at Work Now you can handle that one person in your office that everyone likes to avoid. During opiate detox, the patient will feel many withdrawal symptoms. For different situations, come up with engaging short, mid-range, and longer options, like texting or calling someone, watching short online videos, lifting weights to music, showering, meditating, taking a walk, or doing a hobby. Patients who are angry, frightened, or defensive can present with clenched fists, furrowed brows, hand-wringing, and altered breathing. You have gifts to share with the world and my job is to help you get them out there. Dressing is difficult for most dementia patients. How to Deal with a Difficult Patient Course Description This webinar will discuss the "difficult patient" issue starting with why patients can be difficult, and focusing on the emotional, psychological, and communication problems associated with this patient group. Most of us don’t know how to handle our difficult emotions. Fischer has significant risk factors for delirium, and administer the GDS, Mini-Cog, and Trail-Making Test, Part B. com - Monica Wofford, CSP. Know When Uncooperative Patients Can Refuse Care and Transport Learn how to handle refusal of transport from patients who go from uncooperative to combative in this exclusive interview in the. However, some drugs that are approved to treat other health problems—such as epilepsy, anxiety, or depression—have been used to treat stuttering. Defamation is the general term, while slander and libel refer to particular types of defamation. Strategies for Dealing with Defiant, Rude & Oppositional Students. Health care is changing and so are the tools used to coordinate better care for patients like you and me. com - Monica Wofford, CSP. Detox is the first step of any treatment program and typically consists of medical intervention, rest, and relaxation paired with time to help the patient heal. Mass death. When dealing with anxious patients, the most important skill to learn is to listen. The manipulative patient. Engage in a Little Self-Examination It's tempting to focus on how aggravating a difficult person is, but it will actually be more useful for you to engage in some self-reflection. Patients may be able to find their records by contacting:. We as parents, teachers, counselors, and administrators need to remind ourselves that we often did not learn how to deal with anger as a fact of life during our childhood. Objectives. A live program at the summer meeting of the American Academy of Dermatology in July sought to help clinicians brush up on their skills for dealing with difficult clinical scenarios. The good news is that by solving the problem, you can turn a complaining patient into a loyal, lifetime customer. Personalisty disorders among difficult patients. Before You Do Anything. Give us a time when you were able to take that most difficult patient:angryfire and tell us how you were able to turn that around:). Suicide is a major public health problem. Angry patients may direct their frustration at the Nurse or Medical Assistant, but with tactful language, you may be able to suss out the deeper, psychological cause of their emotion. If there is no policy, develop one with your board of trustees. If you remain calm, empathic, and tactful, you can often diffuse a situation with an angry patient, but not always. If pressure at work is part of your everyday life, you will be pleased to learn that there are things you can do. (215) 284-3646 [email protected] Your own tolerance of them is dwindling. The best way to deal with this is to resume activities and responsibilities gradually, a little at a time. Give them a role in what their child learns. Each question poses a scenario and asks for your response. Emphasize that you prefer to handle problems quickly and honestly, rather than let them fester, and that you work hard to find common ground and get along with others. How to Deal with Problematic Dance Partners Throw a hostile or uncooperative partner into the mix, and you might wish you could take a pass on pas de deux. But no matter how diligently you screen a potential roommate, you still may end up with a lemon. Thus it is useful to offer a choice. The medical costs may well bust the back, simply because well for the reason that you may end up in complicated situations with no correct insurance agency protection. They have rights to free speech. If the latter, it either resolves on its own, or eventually presents other signs and symptoms that can be diagnosed. Patients rarely are the direct targets of a physician's disruptive behavior. But explore all your options to get some life insurance protection, so that you and your family aren't left with no coverage at all. We get triggered all the time and are often reacting to a story we loop in our heads. New Approaches to Difficult Dementia Behaviors. Patients have rights. If a child lives with acceptance, he learns to love. Val Jones titled "In defense of doctors: why we act like jerks, and how to handle us when we do," gives some firsthand insight into doctors' personalities. Possible examples include: a patient who is uncooperative with treatment. Clinical guide to countertransference: Help medical colleagues deal with 'difficult' patients | MDedge Psychiatry. Never again fall victim to those who love to make life miserable for the rest of us. Dealing with difficult people not only tests our faith in God, but it also puts our witness on display. These changes are common amongst dementia sufferers. The topic has grown in attention so much that one nurse presented on nurses who kill to an overflow crowd at a recent national emergency nursing conference. When speaking of a trauma informed practice, the responsibility for implementation often lands on the individual doctor, nurses, or other healthcare professional. Speak to other health care professionals who know you well enough to be comfortable calling to explain that you are genuinely in pain and are a reliable, conscientious person. One factor, which all patients have in common, is they are hospitalized due to some medical condition. It can be difficult to work out whether a suspicious thought is paranoid or not. Recall a difficult situation and describe how you handled it If you have healthcare experience, they want to know how you have dealt with angry doctors, emotionally upset families, or difficult patients. Most patients just want to know that you are listening to their concerns. In those times of heated passions, our responses carry great weight. Patient information factsheet www. Sometimes a family or patient is more difficult to work with than others. The patient is anaesthetised, paralysed (usually with non-depolarising relaxants) and intubation is attempted by direct laryngoscopy. Whether you're in a business or personal situation, you can take control of it by keeping cool. If you have to, change jobs,or move, or remove all ways they could find you. Dealing with suicidal patients represents one of the most challenging clinical situations for young physicians. Choose loose-fitting, comfortable clothes with easy zippers or snaps and minimal buttons. By Christine Carter , Contributor Jan. The way to feel fulfilled at the end of the day is to tackle the difficult tasks early so you can ease up when your energy wanes. We are lucky to have been. 10 Tips for Managing Difficult Patients Talk to any nurse and he or she will probably tell you one of the least favorite parts of the job is dealing with difficult patients. It is difficult to find a comprehensive definition for these conditions, which include Borderline Personality Disorder (BPD) and Anti-Social Personality Disorder (ASPD), as the concept of personality and self are difficult to define. Get advice for caregiving during late-stage Alzheimer's. They have to type, answer phones, talk with customers, and do filing, all at the same time. It is difficult because it is a complex interweaving of several different parties rights. Respiratory illness, sepsis, and trauma are three important entities afflicting children that may lead to needing to manage a child’s airway. For more Tips, enter your email Now. Dealing with difficult coworkers, bosses, customers, clients, and friends is a skill worth perfecting. This article will depict few methods which you can use to effectively deal with situations that are tough. Patients have rights. Participant will also learn how to manage difficult interactions with coworkers. All that said, some of the stories of things I've heard patients say are pretty entertaining. By Christine Carter , Contributor Jan. Patience is Sometimes Easier Said than Done When Dealing with Difficult People. First times - dealing with a difficult patient. Assign one person or department to handle the receipt of complaints. The first step in dealing with inappropriate behavior is to show patience. Herzke, different factors can create difficult patient interactions. Their loved one who has suffered from an injury to the brain is in a hospital intensive care unit. During your most recent visit to the doctor, you may have noticed your physician entering notes on a computer or laptop into an electronic health record (EHR). Stress and fatigue can affect your desire to have sex. Some handle billing and insurance payments. Because stroke survivors often have complex rehabilitation needs, progress and recovery are different for each person. Dealing with difficult patients is never an easy task, but here are some tips that professionals can use to prevent a situation from escalating further. The "difficult person" is perceived in many different ways. Most elderly patients want to discuss sexual issues with their physician, according to the Global Study of Sexual Attitudes among men and women ages 40 to 80 years. Learning Objectives: 1. When a patient threatens to shoot, how does a doctor respond? 2016 12:51 PM EDT Difficult patients — those who are angry, abusive, or rude — may not get the best medical care, according to. The woman, who was brought to the hospital by her husband about a half-hour earlier, is scheduled for a one-day surgical procedure. Dealing with Psychosis: A Toolkit for Moving Forward with Your Life Psychosis can be a disruptive, confusing, and frightening experience. com™ to How to Deal with Difficult Elderly Behavior. This also might involve having the child or student sit in a time out, or remain alone until their teacher can deal with the inappropriate behavior. If the rudeness is more of a habit, he might realize it's time to make a change if everyone is walking a wide berth around him. In some circumstances, it is easy to understand patients' anger: they might have been told bad news or have concerns about their clinical care. The key to dealing with such patients is the art of saying no. The Difficult Patient Tool Kit, Part 2: Dealing with Family By Bette Case di Leonardi, PhD, RN-BC, Contributor Patients aren’t the only ones who can be difficult and demanding; nurses often have to deal with challenges from the patient’s family members, as well. Prepare for these behavioral nursing interview questions. Patient factors. 642 Park Avenue New York, N. Use an app. Objectives. In those times of heated passions, our responses carry great weight. Dealing with difficult behaviour can be challenging for both the recipient and the person displaying the behaviour. My colleague Donna Agnew, MT, MSPAS, PA-C, and I have delivered many presentations to students regarding how to deal with patients who seem impossible to communicate with in clinical settings. How is dysphagia treated?. An intimidator may try to make it sound as if the fault lies with you, the patient. It's sometimes possible to predict which patients will likely become difficult, abusive or violent. They have rights to free speech. Dealing with each difficult parent requires its own specific tact to allow for a smooth clinic visit. If this confidentiality is breached in any way, patients may have the right to sue. But by focusing on the patient and his needs while maintaining your own professionalism. com Introduction Residents in nursing homes are considered difficult for many reasons. Patients rarely are the direct targets of a physician's disruptive behavior. Our loved one’s sense of reality may now be different from ours, but it is still very real to him or her. Knowing how to deal with extreme emotions and witnesses of a violent death is a necessary part of your job. This makes taking disciplinary action for misconduct very difficult. Receptionists could put people off seeing their doctor by inquiring about their symptoms, and need to deal "more sensitively with patients", a study has found. If your method. 2013 dealing with difficult patients 1. The monetary benefits of dealing with financial problems—saving more, paying down expensive debt—will improve not just your bottom line but your overall mood as well. How to Deal with Problematic Dance Partners Throw a hostile or uncooperative partner into the mix, and you might wish you could take a pass on pas de deux. Some clinic visits may not be smooth no matter what tact is displayed, and it may take a few visits to turn a situation around—as exemplified in my vaccine-delayed patient. Dealing with difficult situations at work is challenging, yet rewarding. It's common for people with dementia to continue layering on clothes even though they are fully dressed. Understanding is the first step in dealing with anything. Jana Mallis, Licensed behavior specialist. 4 Principles for Dealing with Controlling People. Equally you understand as a leader or manager you that there will be difficult situations to deal with from time to time. The difficult client confronts the lawyer with "Your bill is too high" or "What do you mean I can’t do that deal?" A client who is difficult is the overseas client who insists that the lawyer wake up very early in the morning and make a telephone call to the client at 3 a. 3) Be very patient. When your interviewer says- "Clients can be difficult. It is also important to be patient with your family. If the person is just generally annoying and doesn’t have a direct bearing on your work, you may be able to. It makes us more alert and gives us the energy to deal with problems,” explains Professor Baldwin. Start by explaining the situation to your partner. Reiterate your compassion, acknowledge the customer right to be angry and the catalyst for the emotional distress. What can you do when faced with a difficult customer? Before simply refusing their business, you should consider the cost of doing so in terms of dollars and the impact this might have on your reputation. How to break a bad habit. If a patient becomes physically violent, ask the help from others or the pharmacist. These emotions and behaviors typically evoke negative feelings in caregivers, and this aversive reaction leads to the designation of such patients as "difficult. Even though a patient may have a very good reason to be mad, pharmacists don't always see things from the patient's point of view. Dealing with difficult patients may not only benefit you (honestly) it will benefit the surgery as well; Being confident at handling difficult patients is an asset to the practice and a credit to you if done well. Pulling Teeth: How to Get Information from Inarticulate, Not-With-It, Unimaginative, Reticent, and Uncooperative Clients 14 Mar 2017 5:10 PM | Anonymous Most resume writers agree, one of our most challenging tasks is getting the information we need to be able to produce meaningful and compelling documents for our clients. But that pride doesn't shield them from. To help you deal with these challenging issues, we recommend this free guide from the Alzheimer’s Association. The initiative is to better prepare health care providers to receive and respect patients' wishes about end-of-life care and is a critical companion to The Conversation Project. We as parents, teachers, counselors, and administrators need to remind ourselves that we often did not learn how to deal with anger as a fact of life during our childhood. creating a resilience that allows us to function even in difficult times. You need to have a plan ahead of time for how you will respond when you face the stress or boredom that prompts your bad habit. As a nurse, your role is to let the patients feel that you understand 3 Allow the patient to blow off some steam or ‘calm down’. It is important to learn how to handle conflict in the workplace when it occurs, rather than thinking that it will never happen and burying your head in the sand. It's important for us to realize that our patient's experience of illness can be frightening, frustrating and threatening. Patients may become difficult to deal with for a variety of reasons. How can Digital Tools Help Me Manage My Health Information? | HealthIT. Dealing with a difficult patient presents additional challenges. A difficult task is dreaded because of all the work that lies before you. Equally you understand as a leader or manager you that there will be difficult situations to deal with from time to time. Fischer’s course of treatment During her preoperative visit, you suspect Mrs. 4 Do not invade the. Start by explaining the situation to your partner. Alzheimer's disease can be tough on caregivers, especially when difficult behaviors like aggression or wandering occur. Sometimes it’s a nice old lady, asking questions with an apologetic smile. Strategies for Dealing with Defiant, Rude & Oppositional Students. Try to draw out the patient’s feelings by engaging in conversation. How to Manage a Toxic Employee. Health care providers owe it to themselves and the other people they care for to take a break after treating a difficult patient. The art of meeting new patients in a jail. A positive nurse-patient relationship can be a boon to positive outcomes for everyone you treat, but dealing with difficult patients can make that hard to achieve. Difficult conversations with employees are unavoidable, whether it’s a performance issue or failed project. how do you deal with Alzheimer's patients who say "mean things". Speak to other health care professionals who know you well enough to be comfortable calling to explain that you are genuinely in pain and are a reliable, conscientious person. A question about difficult people may seem like an opportunity to go on a rant about how awful your former co-workers were, but resist that temptation. Patients also may agree to participate in research if their health care providers ask because they want to please their providers or fear that the. Discuss your communication skills, and be extra polite and diplomatic to show how you connect to other people, especially people in positions of authority. Remind your patients about good oral hygiene during breast cancer treatment. When your staff members know they can do what it takes to keep a patient satisfied, both they and your patients will be happier. When the patient is clear of the bed surface, swing their feet off the bed. Herzke, different factors can create difficult patient interactions. The less you worry about dealing with finances and money issues, the more you can enjoy life. 10 Difficult Workplace Personalities and How to Deal with Them Many of us spend countless hours at work, and for the majority of full-time workers, more time may be spent at work than in any other context outside of one's home. As a nurse, you have to handle varying shifts, heavy workloads, paperwork, and dealing with physicians and your patients' families. Read our list of 19 do's and don'ts when it comes to problems resulting from behavior in dementia patients. 8 Ways To Handle A Conflict With A Coworker. Make yourself speak and move more slowly. Dominating the Discussion. First, try to isolate the cause of the behavior, and address it. Step into the shoes of your patient and be empathetic. 20 Expert Tactics for Dealing with Difficult People Believe it or not, you can stay calm, defuse conflict, and keep your dignity. I was 47 before I learned how to handle my difficult, mentally ill mother. Dealing with Difficult Behavior Caused by Alzheimer's Disease and Dementia. NY :Lippincott W, ilial ms ,& Wilkins. Both starting and ending the discussion with an emphasis that you are doing this out of genuine concern, caring and respect for the person, sandwiches the difficult feedback between strong positives. Teambuilding expert Kaley Klemp explains how to handle them. The best way to handle that difficult patient is to confront their behaviors directly. The safest policy is to have no contact with such dysfunctional individuals. To help you deal with these challenging issues, we recommend this free guide from the Alzheimer’s Association. Unfortunately, call center customer service representatives have to do it all the time. When doctors hurl insults or instruments, they're usually aiming at nurses. However, I strongly believe that this is precisely the time when businesses have a golden opportunity to shine. Difficult patient encounters. Avoid the rude person. Patients who are angry, frightened, or defensive can present with clenched fists, furrowed brows, hand-wringing, and altered breathing. Dealing with difficult coworkers, bosses, customers, clients, and friends is a skill worth perfecting. Case conferencing and team. Give us a time when you were able to take that most difficult patient:angryfire and tell us how you were able to turn that around:). Such people are the proverbial jackal in sheep’s clothing. “There will always be difficult patients. Learning anxiety management strategies can be a great way to target workplace stress. Airway management in the ED is a complex interplay of patient factors, clinical illness status, and provider factors that, through our thorough training we become proficient at navigating. Patient with difficult emotions are considered to be difficult patients as these emotions create a barrier for therapeutic communication and effective care. You’ll get help with family relationships and difficult conversations. A home health aide (HHA) provides in-home care for patients who need assistance with daily living beyond what family or friends can provide. Parathyroid surgery: Recovery This document is available in Spanish What is the recovery like? How long will I stay in the hospital? Parathyroid surgery can be done as an overnight hospital stay or as outpatient surgery (i. Here, we tell you the top behavioral based interview questions, with samples and exactly how to answer nurse interview questions. Read about five common Alzheimer's behaviors and what you can do to respond effectively. But explore all your options to get some life insurance protection, so that you and your family aren't left with no coverage at all. Guidelines for Writing Letters to Patients 401 common to these letters. An intimidator may try to make it sound as if the fault lies with you, the patient. Sometimes blood oxygen is measured through testing arterial blood gas. Patients should be made aware of these goals so that they are more comfortable with the idea of hospice care. Angry patients may direct their frustration at the Nurse or Medical Assistant, but with tactful language, you may be able to suss out the deeper, psychological cause of their emotion. The Lowes suggest finding a therapist or counselor who has worked with depression in couples. Objectives. In addition to not feeling well, a patient may be stressed, anxious, or depressed. It may be caused by an increase in disease activity or an undetected infection. Let the person know you care about him/her and that because of the significance of the relationship you need to discuss something very important. Thus it is useful to offer a choice. Use bath and shower seats , handrails and bath aids and non-slip mats where possible. Gracefully deal with the problem participant. Get good advice on how to deal and cope with tinnitus - read more at Hear-it. Try SmokefreeTXT. Because of this difficulty, PD can often go unrecognised and undiagnosed for a long time. And for You, the Candidate. Anne says that her recent write-ups are a result of the supervisor being in a bad mood. Patients with delirium are at high risk for readmission—but healthcare workers can help prevent this through careful monitoring and planning. Dealing with difficult behaviour can be challenging for both the recipient and the person displaying the behaviour. Dealing with a combative patient on your own is not a good idea. With the prevalence of mental illness in our society, it is imperative that family and friends become the source of this support, since society still so often embraces negative attitudes toward the mentally ill. In order to deal with a “problem” patient, you need to use intuition, communication, and quick thinking. At the end you'll be given feedback on your answers. Good luck!. Choose a substitute for your bad habit. Describe a situation when you had to handle someone like this-" start your answer by describing the Situation or Task. Patient behavior is probably aligned on a bell curve like so many aspects of life: some patients are so passive they are barely remembered at all, most patients are collaborative and respectful, and some patients, at the extreme, are aggressive, disruptive, and extraordinarily difficult. Dealing with difficult patients may not only benefit you (honestly) it will benefit the surgery as well; Being confident at handling difficult patients is an asset to the practice and a credit to you if done well. 4 Do not invade the. Mental health workers treating patients with PPD must guard against any show of hostility on their part in response to hostility from the patient, which is a common occurrence in people with this disorder. 10 Tips for Managing Difficult Patients Talk to any nurse and he or she will probably tell you one of the least favorite parts of the job is dealing with difficult patients.