Dealing with Challenging Patients

1 Journal Entry During practice, nurse practitioners encounter patients with different views of health and treatment. The nurse’s primary responsibility, in this case, is to ensure that the patient is furnished with relevant information concerning his or her health. The patients also need education on the treatment plan. This initiative is aimed at improving compliance and patient’s participation in their care. The nurse’s experience with the patients differs from one patient to another.

Challenging Experience with Patient During practice, I have encountered several patients, who are either non-compliant with treatment or have a negative perception of healthcare. For instance, in one incident, two Indian male patients with diabetes mellitus presented to the facility for health assessment.

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2 Their wives accompanied these patients to the appointment. The wives’ presence made it hard for patients to disclose their health problems. The wife of one of the patients was requested to leave the room to allow the patient to express his health issues. It was discovered that the patient was suffering from erectile dysfunction. In another incidence, an Indian female patient with an A1c of 8.2 presented with noncompliance with the medication regimen. Despite the client had refused to take her medications, she was concerned about why her A1c level was high.

The client had also refused to see an endocrinologist despite being given two appointments.

Lesson Learned Important lessons were learned from these incidences. For instance, it was noted that despite the presence of family members is vital in healthcare; in some instances, the patient may not want the health issues to be disclosed to family members. The clinician, therefore, must employ an approach that protects the privacy and confidentiality of the patient (Sayligil, 2017). Further, when dealing with non-compliant clients, the potential cause of noncompliance should be investigated and addressed appropriately.

Available Resources The resources available include other healthcare professionals who take part in patient care activities. The family is also a valuable resource in healthcare. Family members provide the clinician with information concerning the health of a patient. This information is utilized in developing a treatment plan. The doctor’s office, on the other hand, provides a favorable environment in which to carry out a comprehensive patient assessment.

The Evidence-Based Practice Used for this Patient?

Various evidence-based practices were applied in the patient management for the scenarios described above. For instance, when dealing with male clients, family members were requested

3 to leave the room to assure the clients of privacy and confidentiality. This approach was guided by the ethical principle of privacy. The evidence-based approach employed for the noncompliant female patient was comprehensive education. Inadequate knowledge regarding health issues at hand is a significant contributor to non-compliance among patients (Alvinius, 2017). Patient education improves knowledge and limits the possibility of nonadherence.

New Skills One of the new skills that I intend to learn is minimally invasive procedures. I have also focused my attention on prostate examination, removing foreign bodies, removing a subungual hematoma, and draining abscesses. I also intend to improve my efficiency in incision biopsy.

These procedures are complex are thus require a high level of accuracy.

4 What to do Differently Change of tactics is one of the interventions that can be used to enhance efficiency at the doctor’s office. Therefore, to achieve this goal I would actively involve the patient in the care process. A lack of patient involvement may contribute to resistance and noncompliance (Potter, Perry, Stockert & Hall, 2020). Patients, however, embrace the care process if their role is appreciated in the care process.

Management of Patient Flow and Volume Comprehensive patient data analysis is one of the strategies being used to manage patient flow and volume. These analyses are used to predict patterns of patient flow, hence making appropriate adjustments (Arnold & Boggs, 2019). Another strategy that enhances patient flow and volume management is the participation of every department in promoting efficiency.

Communicating and Feedback Knowledge and skills can be improved through active participation in different patient care processes. These procedures provide first-hand experience hence improving one's skills progressively. Unfortunately, close interaction with the other experienced professionals is still missing. However, my preceptor offers the necessary assistance in assigning duties that could enhance my professional experience, knowledge, and skills.

5 References Alvinius, A., (2017). Contemporary Leadership Challenges. BoD – Books on Demand, Arnold, E. C., & Boggs, K. U. (2019). Interpersonal Relationships E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences.

Perry, A. G., Potter, P. A., & Ostendorf, W. (2016). Skills performance checklists for clinical nursing skills & techniques - E-book. Elsevier Health Sciences Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2020). Fundamentals of Nursing - E-Book.

Elsevier Health Sciences.

Sayligil, O., (2017). Patient-Centered Medicine. BoD – Books on Demand,