(1) Patient reactions. The patient may:

(a) Replace denial with questions, feelings of anger, rage, resentment, and envy.

(b) Blame, complain, find fault, and be extremely critical of the care he is receiving.

NOTE: These actions may be characterized by "Why me?" or "Why should this be happening to me?" or "What did I do to deserve this punishment?"

NOTE: The patient may attack the health care worker or his family physically or verbally. Be aware of these negative feelings of the patient and do not take them personally.

(2) Health care provided by the medical specialist.

(a) Have patience and tolerance.

(b) Acknowledge to the patient that you understand how he feels.

(c) Allow the patient to express anger and other feelings.

(d) Respect the patient's need to rave against his fate. Do not take the attack personally.

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