The Japanese Journal of Clinical Dialysis Vol.16 No.10(9)

Theme Dialysis Patient and Liaison Psychiatry
Title Troublesome behaviors toward the staff members by dialysis patients
Publish Date 2000/08
Author Shiroh Araki Center for Student Health, Kyushu Institute of Technology
Author Nanae Araki Kitakyushu Tsuyazaki Hospital
[ Summary ] In dialysis institutes, many trivial trivial troublesome behaviors toward the staff members by patients are observed daily. Troublesome behaviors can be classified into three categories from the viewpoint on the side of the staff. They are (1) troublesome behaviors that disturb the working procedures (selfish behavior by patients. etc.), (2) troublesome behaviors that are targeted at specific staff members (the expression of negative or positive feelings toward staff members) and (3) troublesome behaviors by patients with personality problems, such as psychic trauma. If a staff member reacts unfavorably to troublesome behaviors by patients, the interaction between the patient and the staff may induce quarrels or other disturbances.
The consciousness of a family is existing, in both of dialysis patients and staff members, in the background where troubles break out. A short tempered person who cannot wait his or her turn has a fear of being abandoned. When he feels rejected by a staff member, he may cry wildly or threaten the staff member with violence by acting out his aggressions. In such cases the staff member should tell the patient the feelig of the self as a help person sincerely. We present some remarks on the art of avoiding troubles and coping with disturbances.
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