Patient’s perception of their well-being during hospitalization.

However, excessive anxiety can be part of Generalized Anxiety Disorder, disrupting and limiting people’s lives, interfering in the way they act and triggering some physical discomfort.

When worries are persistent, unrealistic, excessive, intense and become a habitual way of coping with the various situations of everyday life is when we must open our eyes, because the subject may be suffering from Generalized Anxiety Disorder (GAD).

People with GAD worry more frequently and with greater intensity than most people in the same circumstances. The anxiety is difficult or impossible to cut and can disrupt the individual’s ability to concentrate on other things. GAD can cause memory problems because too much energy is invested in worry and this decreases the individual’s ability to process other information.

GAD can be very difficult to diagnose. It lacks the obvious and dramatic symptoms, such as a panic attack, that characterize some other anxiety disorders. It is not rooted in any specific traumatic experience such as post-traumatic stress disorder, nor does the anxiety respond to a specific stimulus, as is usually the case with phobias.

How should patients be treated?

Sit close to the patient. Gain the patient’s trust. Show respect and treat each person with consideration and without judgment. Determine the patient’s willingness to learn.

What to do if a patient does not want to be seen?

When a patient requires urgent treatment and refuses to receive it, your physician must scrupulously and thoroughly document all actions taken to inform the patient of the risks associated with not submitting to the recommended treatment.

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What does the patient expect from healthcare personnel?

In conclusion, most patients expect personalized attention from us, where they are listened to with interest and where their opinions are valid. … The patient should feel that their opinion is important, and indeed it is, after all it is their health that is being treated.

What are the concerns

The priority health policy considers as one of the most important axes the humanization of care 1. In this sense, nursing is key in the achievement of the formulated objectives, since it recognizes that the patient is a human being subject of rights that requires the genuine interest of the nurse to understand his or her needs or emotions.

Understanding the patient’s circumstances, emotions and needs is crucial to initiate a therapeutic relationship. The foundation of this attitude is empathy, as it is the attribute that gives the nurse the ability to truly understand the other person 2. Empathy is therefore essential in any nurse-patient relationship.

The term empathy comes from the Greek word empátheia, which means ‘appreciation of another person’s feelings’ 3, a definition from which different approaches have been established and it has been discussed whether it is a cognitive or affective attribute. The definition with the greatest consensus in the nursing literature is the one that presents empathy as the ability to understand the experiences, concerns and perspectives of another person, coupled with the ability to communicate this understanding 4.

How to treat a patient in nursing?

As a nurse, you must offer medical care with open arms, as a source of balanced wellness. Keep your facial expressions relaxed. Remember to make eye contact to remind patients that you are there with them.

When a patient refuses an intervention does it not mean that the practitioner will stop providing care to the patient the practitioner will have to provide possible alternatives?

When a patient refuses an intervention, it does not mean that the health professional will stop providing care to the patient; health personnel should offer other possible alternatives, explaining the benefits, risks and limitations of the intervention in relation to the diagnosis.

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What happens if a patient does not accept the prescribed treatment?

If the patient or user does not accept the treatment, he/she will be asked to sign a voluntary discharge form. If the patient or user does not sign it, the management of the health center, at the proposal of the responsible physician, may arrange for forced discharge under the conditions regulated by law.

Exercises to eliminate worries

In this process we must face our own fears, even to contemplate our own mortality. In addition to communicating serious news, physicians often struggle with maintaining the balance between hope and uncertainty in the face of the truth.

The basic principles of patient-centered communication can guide clinicians in their responses to these types of questions and will help us gain the perspective of the patient and their illness, inquire about their concerns, and recognize and explore emotions.

The question “Am I going to die?” may be a reflection of other hopes and fears. It may be an expression of fear, physical pain and suffering, anticipated grief over the loss of loved ones, or existential and spiritual anguish in the face of the unknown and the totality of life.

Exploring the patient’s perspective is critical to ensure that we clinicians adequately address these specific concerns. It is easy for us to treat physical symptoms, but existential and spiritual distress can be an arduous task for many of us when a patient is in the process of dying. Even many clinicians feel that this is beyond their clinical practice.

What do patients expect from nurses?

This vision recognizes that there is a purpose to human existence, and that people have autonomy and decision-making capacity. … Participants in the above studies expect nursing professionals to have a naturalistic view of practice so that they provide humane, competent, and effective care.

What are patients looking for?

The patient wants treatments that do not involve changing habits, i.e. comfortable options. Second-level preferences, i.e., with lower priority: – Efficiency. For the patient, efficiency means not wasting time and having everything done quickly.

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Why is healthcare personnel important?

A healthy person is able to perform to the best of his ability in all areas of his life and thus become a valuable person to society, because his body functions properly and he can perform his daily activities without any problem.

Como quitar las preocupaciones de la mente

Bowman D, Cushing A. Ética, derecho y comunicación. En: Kumar P, Clark M, eds. Kumar and Clarke’s Clinical Medicine. 9th ed. Filadelfia, PA: Elsevier; 2017:cap 1. Bukstein DA. Adherencia del paciente y comunicación efectiva. Ann Allergy Asthma Immunol. 2016;117(6):613-619. PMID: 27979018 www.ncbi.nlm.nih.gov/pubmed/27979018.Gilligan T, Coyle N, Frankel RM, et al. Comunicación paciente-médico: Guía de consenso de la Sociedad Americana de Oncología Clínica. J Clin Oncol. 2017;35(31):3618-3632. PMID: 28892432 www.ncbi.nlm.nih.gov/pubmed/28892432.

Versión en inglés revisada por: David C. Dugdale, III, MD, Profesor de Medicina, División de Medicina General, Departamento de Medicina, Escuela de Medicina de la Universidad de Washington. También revisado por David Zieve, MD, MHA, Director Médico, Brenda Conaway, Directora Editorial, y el equipo editorial de A.D.A.M. Traducción y localización realizada por: DrTango, Inc.

By Rachel Robison

Rachel Robison is a blogger who collects information on court filings and notices.