Changing perspectives: Reflections on managing ‘challenging behaviours’ towards haemodialysis with an older person in an acute neurology setting

This reflective piece examines the psychological management of challenging behaviours in an older adult undergoing haemodialysis in an acute neurology setting from the perspective of a Senior Assistant Psychologist. It explores the use of cognitive-behavioural and attachment-informed approaches, highlighting the importance of systemic involvement, MDT communication, and culturally sensitive practice. Key challenges included balancing therapeutic rapport with boundaries and navigating assumptions about age and psychological progress. These reflections aim to highlight the value of psychological input in acute care and call for greater training and integration to support vulnerable patients effectively.