ABSTRACT

Developed collaboratively by a doctor and nurse team, this is the first text to deal specifically with nursing difficult patients. Whether patient problems stem from mental distress and ill health, historic substance abuse, demanding family members or abusive behaviour, difficult patients place extra demands on nurses both professionally and personally. Caring for difficult patients requires both technical and interpersonal skills along with an ability to exercise power and set limits.

This text presents invaluable practical recommendations and advice, well founded in experience and supported by relevant literature, for nurses coping with challenging, real world situations. Including learning points, further reading, case studies and dialogue examples to highlight good (and bad) practice, the book covers pertinent issues such as psychiatric diagnoses, setting limits and establishing authority, death and dying, stress and work. It is ideal for pre- and post-registration nurses, providing concrete direction on the management of difficult patients.

chapter |3 pages

Introduction

chapter Chapter 1|14 pages

Mental status assessment

chapter Chapter 2|18 pages

Substance abuse

chapter Chapter 3|9 pages

Delirium

chapter Chapter 4|12 pages

Psychiatric diagnoses

chapter Chapter 5|11 pages

Setting limits

chapter Chapter 6|9 pages

The nurse's authority

chapter Chapter 8|7 pages

The ethics of limit setting

chapter Chapter 9|11 pages

Families

chapter Chapter 11|10 pages

The nurse and the dying patient

chapter Chapter 12|8 pages

Nurses and stress

chapter Chapter 13|9 pages

Getting psychiatric consultation