Self-destructive deniers-whilst
suffering from a potentially serious condition will make no effort to alter
their self-destructive behaviors, eliciting and then frustrating medical
efforts to help them. Only a small amount can be done for these patients. Consultation for depression in chronic ill
patient can help. Patient with severe non-proliferative diabetic reinopathy
with IHD with hemiplegia making no effort in taking a medicine or following
instructions.
TRY THIS
Counseling a patient for how much pain he is giving to care takers
might help in some cases. Educate at each step. Importance of treatment should
be told.
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