Conclusion
Difficult patients are often both a frustration
and a challenge. A few will push beyond the bounds of acceptable conduct
and need to be terminated from the practice. Many more, however, will be
found to be fearful, angry, anxious, or unaware. The physician who
approaches this latter group with frustration is likely to hasten the
deterioration of an already strained relationship. On the other hand,
the practitioner who takes the time to look behind the behavior that
earns one a label of "difficult" may be rewarded with the gratitude of a
patient who is not only not difficult, but a willing and
agreeable participant in his/her own health care.
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