Workshop
- Date:
- Time: -
- Track: Clinical Practice
- CME/CE: 1.0
Sponsored by the Home Based Primary Care SIG, Dementia Care and Caregiver Support SIG, SGIM SIG
Moderator: Patricia Harris, MD, MS & Lee Lindquist, MD
Healthcare providers are often confronted with one or more caregivers who express frustration in an aggressive manner. As part of the workshop, attendees will break into small groups to observe the facilitators role-play a "take-retake" scenario that involves a source of conflict. Learning Objectives: (1) identify situations that lead to frustration and miscommunication that occur in the healthcare settings among older adults, their caregivers, and the health care provider; (2) recognize the bidirectional relationship of stress/burden on frustrating situations between caregivers and health care providers; (3) identify (and predict) areas that can lead to conflict, and communication and negotiation tools that can help the health care provider form alliances with caregivers and patients; (4) utilize negotiation skills in the clinical setting.
Scenario 1: A patient has been told she can no longer drive; the caregiver reacts negatively, stating that the patient is fine around her home. "How can you do this to her?" Karina M. Berg, MD, MS & Mia Yang, MD, MS |
Scenario 2: A patient has recently been diagnosed with Stage 4 non-small cell lung cancer. His wife has been told that he is not eligible for treatment due to his low rating on some "performance scale" that she does not understand. She is agitated while waiting for the clinician Rachel Chalmer, MD & Melissa Dattalo, MD, MPH |
Scenario 3: A patient with advancing Parkinson's disease presents to the clinic with her wife. Over the past few months, the patient has become more dependent in all activities of daily living. Her wife is tearful and accuses the medical profession of not doing their job. She is the only caregiver for this patient and has shown reluctance to engage outside resources. Again, there will be a "take"--health provider and patient's wife discussing the patient's functional decline; and a "retake" after feedback from the audience, with brief follow-up Ann Datunashvili, MD, CMD & Shahla Baharlou |
Scenario 4: An 86 year old man has been in the hospital after sustaining a hip fracture for three days. Repair was successful, but he developed an agitated delirium that has upset his son and daughter. His symptoms are now controlled but his orientation waxes and wanes. The family refuses to engage in a discussion about discharge to a nursing home for rehabilitation Anupama Gangavati, MD, AGSF & Therese Morrissey, MSW, LCSW, CCM |