19 complex and emotionally demanding patients Flashcards Preview

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Flashcards in 19 complex and emotionally demanding patients Deck (15)
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1
Q

What is a histrionic patient?

What risk do they pose?

A

dramatic and emotional presentation

may be seductive

risk of doctor responding inappropriately

2
Q

What are dependent patients?

What risk do they pose?

A

almost never feel re-assured, need so much attention

doctor may respond with a callous disregard

3
Q

What is the risk with demanding patients?

A

easily frustrated

4
Q

What might happen with a narcissistic patient?

A

they may idealise the doctor initially but this may change to contempt for the doctor’s inadequacies

5
Q

What are some characteristics of souspicious patients?

A

may be sarcastic eliciting a hostile response to confirm their original suspicions

hypersensitive to criticism, argumentative, and defensive

6
Q

How might a help-rejecting complainer respond to advice

A

‘yes, but…’

7
Q

How might a manipulative patient interact with a doctor?

A

use threats or violence to get their will

8
Q

What is somatisation?

A

when a patient whith a psychological disorder presents with physical symptoms attributed to a physical cause

addressing the psychological issues is the trick here

9
Q

What is hypochondrial disorder?

A

fears of having a serious disease based on misinterpretation of bodily symptoms

symptoms last at least 6 months

10
Q

What is conversion disorder?

A

alteration or loss of physical function suggestive of a physical disorder

psychological conflicts or stressors preceded exacerbation of physical symptoms

11
Q

What does La belle indifference mean?

A

a patient seems surprisingly unconcerned about their physical symptoms

12
Q

What is body dysmorphic disorder?

A

preoccupation with an imagined defect in appearance

13
Q

What is another name for factitious disorder?

What is a variant of this?

A

Munchausen syndrome

the intentional production of physical or psychological signs or symptoms

wants to assume the sick role

factitious disorder by proxy

14
Q

What ocnstitutes malingering?

A

external incentives to intentional production of signs and symptoms:
avoiding service (prison/military)
octaining drugs
obtain food and shelter

15
Q

What does HALT stand for?

A

Hungry
Angry
late
Tired