Confrontation

If you are persuaded that the patient has been producing the symptoms, and if you have ruled out all of the other reasonable possibilities, it is usually best to engage the patient in a compassionate and nonjudgmental discussion of the evidence together with the psychiatric consultant as well others who have been consistently involved in the patient's care (nurses and even family members) and who have observations to contribute. This is always a difficult and often a painful process. There is a widely circulated idea that confrontation of factitious behavior precipitates suicide; however, although patients may leave the hospital or fire their doctors when challenged or confronted with evidence, instances of suicide have not been reported.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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