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Nephrology

CME

The Provocative (and Non-Compliant) ESRD Patient

Physicians learn early in their careers how to cope with reluctant, uninformed and frightened patients. Active resistance and combative behavior, by contrast, is unsettling, at the least, and sometimes provokes despair, anger and hostility in care givers. For patients with end-stage renal disease (ESRD), creating an atmosphere of antagonism and conflict that transforms therapy into conflict that may defeat the physician's primary obligation to beneficence. Faced with a belligerent, threatening and law-suit-minded patient who frustrates efforts to proffer ordinary treatment, the sometimes bewildered nephrologist seeks to break the patient-physician bond by any legitimate means. Consider the following example:
CME credit is no longer available for this conference.

Course Authors

Eli A. Friedman, M.D.

Dr. Friedman has received grant/research support from Alteon within the past three years.

Estimated course time: 1 hour(s).

Albert Einstein College of Medicine – Montefiore Medical Center designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In support of improving patient care, this activity has been planned and implemented by Albert Einstein College of Medicine-Montefiore Medical Center and InterMDnet. Albert Einstein College of Medicine – Montefiore Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 
Learning Objectives

Upon completion of this Cyberounds®, you should be able to:

  • Recognize the tensions induced by patient resistance to a therapeutic regimen

  • Identify potentially correctable stressors

  • Gain an enhanced perspective of what patient non-compliance and antagonism represents and how management may be attempted.

 

TERMS AND CONDITIONS

This conference may include discussion of commercial products and services.

The opinions expressed herein are those of the authors and do not necessarily represent the views of the sponsor or its publisher. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

 

Please click below to accept the terms of this CME activity

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