How to deal with an Upset or depressed Patient

How to deal with an Upset or depressed Patient We all know what it's like to have a patient that is very unhappy. You could bring ten patients a plate of gold and two of them may throw it back at you.

There is nothing you can do to make them happy, or easier to work with.

Understanding the Patient The first thing to consider is why the patient is upset. Is it pain? If so, things may be much better once the level of pain is lessened. Of course, they can just be an angry person, and their normal behavior is to simply not be pleasant with anyone. Try to talk to the patient, and assure them you are there to help, win them over in a sense. If that does not work, you may need to refer to what is considered a de-escalation process.

Related: Organ Donations - Facts and Information De-escalation Procedures  Remove the stimuli- If a person has a look of anger, however, is not saying or doing anything, this is the time to be proactive in preventing things from escalating. What are the stimuli that seem to be causing the reaction? Is it you, or another person? Or perhaps noise from outside the room, even sunlight that shining brightly. It's simple to return to the patient's room later, or to suggest another person take a break. The door can be pulled closed to lessen the noise, and the blinds can be drawn to avoid bright light. These are all solutions to remove the stimuli, in hopes that the patient resumes a calm demeanor.  Observe- check on the patient with limited talk to ensure they are ok.

This is just observing and making sure all is well.  Limited Intervention- if the patient continues to be upset, being loud and disruptive, providing they are in their own room, and posing no harm to others, simply display a sense of calm, and interact with the patient as little as, possible. Anything you can say at this point will only make things worse.  Acquiring assistance- if the patient continues to be out of control, being physical or putting anyone in danger, it's time to request assistance from the appropriate responders. No one wants to see a patient restrained, however on occasion, it's necessary for their own protection.

De-escalation Process Once the patient has rested and displays a sense of calm, continue with treatment as usual. Avoid discussing earlier problems, as things may return to normal, and no more problems arise. It is sometimes difficult to be kind

to someone that is essentially calling you every name in the book. The important thing to remember is not to take it personally, it has nothing to do with you, the patient is angry, regardless of who is with them.

Safety Protecting yourself from harm should always be a top priority. Hospitals are required to provide adequate security for the safety of the patient's and the staff. Anytime you sense a threat, or a potential threat, it is advisable that you request assistance. Security should be available to assist when needed to ensure staff and patient safety.

In the event you are working in an emergency room, you may encounter patients that are seen and released in a short amount of time. A reality is, at times you may encounter a patient that is seeking medications illegally.

Depending on the situation and the patient, it is a possibility they could direct their anger at the attending nurse. If the patient is released, as a safety measure, it would be advisable to have security staff provide an escort to your vehicle. The hopes are this would never happen, however safety measures should be put into place.

Related: The Overuse of Prescription Medications Understanding why a patient is not cooperating or is angry can be a challenge. Fear, pain, and uncertainty can all reflect in a form of anger. Not taking the bursts of anger personally, and remaining calm is your best option. Once the patient is acclimated to their surroundings, and has their pain under control they may be receptive to treatment.

The world health organization estimates there to be approximately 150 injuries per year on healthcare staff administering care to patients, that are injured by the patient. Observance, and even intuition can prevent some injuries from happening. Enlisting the help of hospital security when needed can prevent a situation from being dangerous.

The ultimate goal is to protect patients and the staff working within the hospital. When training sessions are offered, and most often required, that regard safety in the workplace, pay attention so that in the event of an emergency you can closely follow the protocol of your employer. Observing policies regarding safety can ensure everyone enjoys a great work environment.

Related: Exceptional Registered Nurse Marie-Gladys Darcelin, RN, BSN, MS, will be Featured in the Worldwide Leaders in Healthcare Please follow us on Facebook, Linkedin, Pinterest and Twitter