Recently my Medical/Oncology unit has felt more like a psychiatric unit. This past week we have had patients screaming, throwing things at nurses and other people, threatening anyone that comes in the room, being verbally abusive not only to their nurses, but to the people that need to be constantly sitting with them. In the … Continue reading Psych Unit?
The other night I had a particularly difficult patient. On top of being in acute alcohol withdrawal, this individual also had an extensive psychiatric history and history of previous substance abuse. This is a winning combination that leads to a busy night. First this patient had been getting better during the day, and for the … Continue reading Dealing with Difficult Patients