Difficulty patient

Difficulty patient

Difficult doctor patient relationship W.W. Weston

1. Somtifixation

2. Abuse theme self with drug or alcohol

3. Dependent on description drug

4. Exceesive demand

5. Move from doctor to doctor or several DR

6. Seductive patient

7. Angry patient

Ian R. McWhinney,A Text Book of family Medicine 114-115

Cue may alert the physicians to a problem in his relationship with patient

1.  A new patient who come after leaving another patient

2. Frequen visit

3. Disagree over prescriptions

4. Cues from our feeling

 

Ian R. McWhinney,A Text Book of family Medicine 115

Cue of context an awareness of nonmedical determinant of disease and illness

1. Frequence attendance with minor illness

2. Frequency attendance with same symptom

3. Attendence with a symptom has been present a long time

4. Attendence with chronic disease

5. in congruity

6. Failure to recovery

7. Failur to reassure

8. Frequency visit

9. An adult patient

10. in ability to make sense symptom

Ian R. McWhinney,A Text Book of family Medicine 110