Difficult Doctors, Difficult Patients: Building Empathy

Difficult colonoscopy score identifies the difficult patients undergoing unsedated colonoscopy

BACKGROUND Many factors have been found to affect the difficulty of colonoscope insertion, such as age, gender, body mass index (BMI), history of abdominal surgery and operator etc. However, a scoring system may be more useful to predict the difficulty during colonoscopy. METHODS The individual and procedure-related data of 616 patients undergoing colonoscopy were prospectively collected from...

Management of the difficult Airway

The appropriate airway management is the important point during the anesthesia. For it dose, ‎taking history, physical examination (head and neck, mandible, mouth opening, neck ‎movements …) must be done completely and they are helpful in estimating difficult ‎intubation.‎ It is necessary to note that one case from every ‎‏5000‏‎ cases of anesthesia, not o...

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain

Personality disorders among difficult patients.

OBJECTIVE To determine the association between "difficult" patient status and personality disorder. DESIGN A survey using the Diagnostic Interview for Personality Disorders. PARTICIPANTS Twenty-one patients nominated by 9 family medicine providers who subjectively experienced their care as difficult and 22 control subjects systematically selected from the same practices. MAIN OUTCOME MEAS...

Nurses Perceptions of Difficult Patients

The purpose of this article was to explain and describe how professional nurses in the health services experience difficult patients. A qualitative, descriptive research design was adopted. Data were collected by means of narratives, written by professional nurses who met the sampling criteria. The data analysis was done according to the protocol suggested by Tesch. Four major categories were i...