SPECIAL PROBLEMS IN INTERVIEWING

WITH PATIENTS
 SUB TOPICS

• HOSTILE PATIENT
• SEDUCTIVE PATIENT
• DECEITFUL PATIENT
 HOSTILE PATIENT

• Hostile patients are individuals who display Aggressive, Confrontational,

Antagonistic behavior toward Clinician or Health care providers, others in
healthcare setting.
These behaviors can manifest in various ways. Such as,
Verbal threats, Yelling, Physical aggression, or a generally hostile attitude.
It can be challenging aspect of healthcare. & it may result from a variety of factors
o UNDERLYING MEDICAL OR PSYCHOLOGICAL CONDITION
o PAIN OR DISCOMFORT
o FEAR & ANXIETY
o MISCOMMUNICATION OR DISSATISFACTION
o CULTURAL & LANGUAGE BARRIERS
o PREVIOUS TRAUMA
 PROBLEMS THAT COULD OCCUR DURING
SUCH INTERVIEWS
• INTERVIEWING CAN BE CHALLENGING, AS THEIR BEHAVIOR MAY BE DRIVEN BY
FEAR, ANGER OR OTHER EMOTIONS.
 LACK OF COOPERATION

 COMMUNICATION DIFFICULTIES

 EMOTIONAL ESCALATION

 SAFETY CONCERNS

 INACCURATE INFORMATION

 RESISTANCE TO TREATMENT
 STRATEGIES FOR MANAGING HOSTILE
PATIENTS
 ACTIVE LISTENING
 MAINTAINING A CALM DEMEANOR
 SETTING CLEAR BOUNDARIES
 DE-ESCALATION TECHNIQUES
 TEAM SUPPORT
 DOCUMENTION
 SEDUCTIVE PATIENT

• “SEDUCTIVE PATIENT” IS A TERM USED IN HEALTH CARE TO DESCRIBE

INDIVIDUALS WHO EXHIBIT BEHAVIORS THAT ARE OVERLY FLIRTATIOUS,
SEXUALLY SUGGESTIVE OR PROACTIVE TOWARD THEIR HEALTHCARE
PROVIDER OR CAREGIVERS.
THESE BEHAVIORS MAY INCLUDE MAKING SEXUAL COMMENTS, ENGAGING IN
SUGGESTIVE GESTURES, OR ATTEMPTING TO INITIATE PHYSICAL CONTACT OF A
SEXUAL NATURE.
 PROBLEMS THAT COULD ARISE WHILE
DEALING WITH SEDUCTIVE PATIENTS
BOUNDARY VIOLATION
DISTRACTION
ETHICAL DILEMMAS
IMPACT OTHER PATIENTS
LEGAL ISSUES
IMPAIRED DIAGNOSIS & TREATMENT
DOCUMENTATION CHALLENGES
 STRATEGIES FOR MANAGING SEDUCTIVE
PATIENT
 ESTABLISH CLEAR BOUNDARIES
 STAY PROFESSIONAL
 REDIRECT THE CONVERSATION
 DOCUMENT EVERYTHING
 INVOLVE SUPERVISION OR CONSULTATION
 OFFER EDUCATION OR PSYCHOEDUCATION
 SAFETY FIRST
 SUPPORT FOR HEALTHCARE PROFESSIONALS
 DECEITFUL PATIENT

• MEANING OF “DECEITFUL” IS DISHONEST; TRYING TO MAKE SOMEBODY

BELIEVE SOMETHING THAT IS NOT TRUE.
A ‘DECEITFUL PATIENT’ IS AN INDIVIDUAL WHO ENGAGES IN DISHONEST OR
MANIPULATIVE BEHAVIOR IN A HEALTHCARE OR MEDICAL CONTEXT. THESE
PATIENT MAY PROVIDE FALSE OR MISLEADING INFORMATION ABOUT THEIR
MEDICAL HISTORY, SYMPTOMS OR PERSONAL CIRCUMSTANCES.
 PROBLEMS THAT COULD OCCUR DURING
SUCH INTERVIEWS
MISDIAGNOSIS
INEFFECTIVE TREATMENT
RESOURCE ALLOCATION
LEGAL & ETHICAL CONCERNS
FRUSTRATION & TRUST ISSUES
DISRUPTION OF CARE
DOCUMENTATION CHALLENGES
PSYCHOLOGICAL FACTORS
 STRATEGIES FOR MANAGING DECEITFUL
PATIENTS
THROUGH ASSESSMENT
BUILD TRUST
VERIFY INFORMATION
CONSULTATION
LEGAL REPORT
 STRATEGIES TO DEAL WITH A DIFFICULT
PATIENT
• CREATE A SUITABLE ENVIRONMENT
• SCHEDULE AN APPOINTMENT
• LISTEN CAREFULLY
• GIVE AN EMPATHETIC RESPONSE
• IDENTIFY THE CAUSE OF THE PROBLEM
• ESTABLISH BOUNDARIES
• ASK FOR HELP
• MAINTAIN PROFESSIONALISM
THANK YOU!