MDU advice: keep it in context

It's important to be able to show compassion for patients and comfort them when they need it. But bear in mind that if you initiate a hug, there is a chance it may be misconstrued – particularly if the patient reads into something else you say or do and considers it inappropriate. Another scenario to avoid is if a patient initiates a hug because they have amorous feelings towards you.

It often comes down to the context for the hug and the patient's individual preferences. There are plenty of people who can be visibly upset but prefer to avoid being physically comforted, even by close friends or family, so it's important to make a judgement based on the situation and your knowledge of the patient. You can also consider whether their age or gender means they're more or less likely to accept or offer a hug.

If a patient initiates a hug which you are not comfortable with, you can always extend a handshake and a smile while explaining that you feel that hugging oversteps a professional boundary. This way you are making it clear that it's nothing personal, while also offering an alternative which can help avoid any feelings of embarrassment. On the other hand, if you're happy to be hugged by a distressed or grateful patient, then you don't need to feel that you should reject their advance.

Make a note

It's always a good idea to make a full note of your consultation with the patient, including physical interaction, as it may help with the patient's ongoing care and in case it ever comes up in the future. You could include mention of the circumstances surrounding the hug, who initiated it, and any verbal consent given by the patient.

While giving or receiving a hug may be a genuine human reaction to seeing another person in distress, erring on the side of caution can help prevent inadvertent misunderstandings and the medico-legal issues that could follow.

Is it OK to hug a patient?

Dr Ellie Mein

Is it OK to hug a patient?