This is something that I experienced primarily on the Burns placement. There were a only a few patients, thankfully, that I experienced this with. What I basically experienced was having to treat patients that I really didn’t like as people. It’s really quite hard, and it takes quite a bit more maturity than I realized to maintain professionalism in these situations.
The first patient that I experienced this with was not of Australian descent. When I met him for the first time in his ward room, I was startled by the number of family members that had come to visit him. I was a bit in awe, and I was thinking- ‘what a lucky guy to have so much loving family’. However, in the space of a few minutes I witnessed this patient be extremely rude and abusive toward both his wife and daughter, who were completely submissive. I quickly realized that there must be some cultural laws within his family that were different than in Australia. Still, I could not help but dislike the man for his words and actions.
I was surprised at how difficult it became for me to treat him after that. During the assessment and treatment, I couldn’t seem to forget his previous actions toward his seemingly innocent family, and I felt a definite sense of reluctance in helping the man with his problem. Eventually I just tried to visualize fixing the problem rather than fixing him.
The second patient was a young teenage male, who had a history of drug abuse and minor criminal activity. His current history relating to his incident was that he had gotten into an argument with his parents, and then deliberately set himself on fire. His father had had to throw him into their swimming pool to put him out. During his subsequent admission to the burns unit, he had been very abusive towards the staff and had eventually absconded/been kicked out of the ward. The period where I was treating him was several months after this, during his outpatient rehabilitation program.
During my treatment of him I witnessed him do several things that made me dislike him as a person. He very rarely showed up for his treatments as an outpatient, and when he did, it was obvious that his impairments were really quite serious, and it was also obvious that he had not been managing his condition. He would often arrive late to treatments, often still inebriated from the previous nights activities, and during treatments he would make several inappropriate comments towards any female staff in the vicinity. He would often lie to the health professionals involved in his rehab about other treatments he had received, and about his home management. Only upon contacting his family directly did it become apparent that he had been lying to both them and the health care team. In short, he was wasting his time, our time, and his families time. When he did attend treatments, I knew that any treatment that I would do would essentially be a waste of time if he didn’t change his self management (which was not at all likely to occur). On top of this, I really didn’t like him as a person. I got around this by switching off my emotions during the treatment and simply treating the problems, and not worrying about the person.
Im not sure if the way that I manage patients that I don’t really like is the right way to manage people, so if anyone has any suggestions or had similar experiences please let me know.
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2 comments:
Hi Wombat,
I completely understand the point you are making, however, I tend to disagree in part with your management.
It is important to keep in mind that these patients have had multiple life experiences before we meet them for treatment.
We may not understand how people, and why people act the way they do, but we also do not know how they got to that point.
All we can do is attempt to understand, and give patients the benefit of the doubt. Through this, we may find the good in these somewhat difficult patients.
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