Quote from 3rdshiftguy
during our physch. rotation, we had a lot of lectures on "therapeutic communication" and it's a bit much to get into here. we even had role playing in class and had to film ourselves to critique how we were communicating.
sometimes i wish that we could truly tell jackass patients what we really think of them. with very unruly patients i take a time out and leave the room. rarely do i loose my composure, but it's the noncompliant ones i have trouble with. "if you don't want the treatment, i don't care, just let me know so i can move on to the next patient" has i'm afraid come out of my mouth.
don't feel bad, i have uttered those same words!!!!!! it's enough to make you crazy if you let it! i had a young twenty something guy that had severe cardiomyopathy related to drug use. he needed a transplant but couldn't get one because of the history. so, of course, we evaluate him for an lvad. (left ventricular assist device). he was being abusive to all the nurses. swearing, throwing things, making degrading comments. he needed a foley, it was the doc's order since he was getting lasix round the clock! his bnp was > 3000!!!!!!
anyway, he refused the foley, was being bilgerent, and called the nurse before me a b**ch!!! so, i went in the room and told him...."look, the doctor wants this foley put in, you consented to treatment, so we are doing this. no one is forcing you to stay, if you want i will get the ama papers for you. the choice is yours, but i will not be treated this way. either get with the program or go home. " i walked out of the room, gathered my supplies, came back, and he didn't speak to me for 4 hours, however, i did put the foley in!