Hi Mireille, Im so sorry you have to go through this with Mrs Bini. Dealing with difficul= t patients is very common and unavoidable in nursing, and learning to deal w= ith them with empathy, patience, and professionalism takes time. The differe= nt ways that I have dealt with patients like this is always to remain calm a= nd try to defuse and divert the situation, being empathetic and telling them= you understand but also setting boundaries and saying that you will be back= in five or ten minutes when they calm down, come back and acknowledge her c= oncerns and hopefully she will have calmed and can speak about the loss of c= ontrol and anger she feels. Fred has told me that she has been like this, angry and aggressive most of h= er life. Mrs Bini never dealt with her past, with her dad, and her negative e= motions properly throughout her life. Mrs Bini has some very deep rooted pro= blems that will be difficult to address at this point. I will suggest that the Vista doctor sees her and I think a psychiatric cons= ult is necessary. She could also be starting some dementia, but the anger is= definitely a part of her personality and has been all of her life.Perhaps w= ith medication as well, she can become less panicky, angry, aggressive, and c= almer. I will speak with Fred, and will give you feedback. I am concerned for you too, I know that Mrs Bini is very attached to you and= only wants you. You have done an amazing job with her, and are very profess= ional. I would like you to let me know if you would like to continue working= with her. If you are feeling very stressed, I would like you to let me know= and I would understand completely. Thanks for be being a great caregiver, you are going to be an amazing nurse.= My best, Maria Maria Licoudis, Registered Nurse, C.N.C.C, N.M.C Care Manager Home Care Assistance mlicoudis@homecareassistance.com www.homecareassitancemontreal.ca Office: 514-907-5065 > On Jul 29, 2017, at 12:07 AM, Mireille Dufour = wrote: > > Hi Maria, > > I wanted to add to the report i gave you yesterday. > > Yesterday afternoon, Mrs.Bini was very verbally aggressive towards me tell= ing me to shut up, that I didn't care that she was a sick person, and that I= overall "didn't give a damn". She got very angry when we were coming back f= rom outside as a PAB was vacuuming and cleaning the floors in her appartment= but she was talking to a resident in the hall so I took that opportunity to= sit down and spend some time with the resident since Mrs.Bini does like her= . As soon as I sat down, she got very verbally aggressive and she wouldn't l= et me say anything, telling me to shut up. > > The resident did tell me before we went to lunch (we walked into her) that= she was very very unhappy, even more than usual. I do agree with her that h= er mental health has declined quite a bit in the past few weeks and she has b= een more and more verbally aggressive with me. I do tell her that I don't li= ke to be talke