Due to cellulitis, a 38-year-old lady is taken to the hospital for the night. The next morning, the hospitalist on call presents herself to the patient and inquires as to how she is doing. The patient screams angrily, "It's already midday, and I haven't had my breakfast yet. How am I meant to improve if you're starving me?" A normal diet has been ordered for the patient. Which of the following is the most suitable medical response?

Question

Quizplus · Accepted Answer

Eductional Objective: In this scenario, the physician has a first interaction with an irate patient who is furious about a component of her treatment over which the physician has no direct influence. Nonetheless, it is the physician's obligation to respond to the patient's urgent concerns, alleviate her anger, and strengthen the physician-patient connection. The doctor should acknowledge the source of the patient's suffering (e.g., hunger), stay nondefensive, and offer to get further information that may assist fix the problem (eg, confirming correct diet was ordered; checking with the nursing staff).
The doctor should keep a professional approach and avoid making dismissive, defensive, or sarcastic comments in response to the patient's rage.   Being responsive to the patient's immediate concerns is more likely to build rapport, help the patient feel understood and lay a positive foundation for the physician patient relationship.

Due to Cellulitis, a 38-Year-Old Lady Is Taken to the Hospital