Anne the community nurse was not using effective communication whilst communicating with the patient John. This was evident throughout the duration of Anne’s conversation with John, as she was asking various questions at one time and did not give him a reasonable time to respond.
A communication issue that has been identified in this scenario is that John has a cognitive impairment and suffers from Alzheimer’s disease, this is causing John to have difficulties with memory and thinking. Anne is not effectively dealing with this situation with the correct communication. Whilst attending to a patient with a cognitive impairment, enough time must be allowed for them to respond, as well as only asking one question at a time, with the use
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The technique of ISBAR is a tool that allows a transfer of information efficiently (Government of South Australia SA Health 2012). Anne did not use this technique whilst handing over John to the paramedics, instead she gave minimal details about his current situation. Anne being John’s community nurse who is making monthly visits would have background knowledge about John, in which she could have provided to the paramedics using the ISBAR framework. An example of where this may have been an issue is with John’s Alzheimer’s disease, by not letting the paramedics know this detail they would not be able to effectively communicate with him due to his cognitive impairment (Hill 2016, p. 1-3). As a result of Anne not using the ISBAR framework, vital information about John may not have been handed over between Anne and the …show more content…
Paramedics Phil and Steve handled the situation correctly through Steve gaining consent before taking John’s blood pressure. This allowed John to understand what was happening through Steve’s use of clarity and brevity by giving a simple question, as well as ensuring his voice was clear and the pace appropriate so John could understand (Berman, Kozier & Erb 2012, p 525). Phil also assisted in making John feel more comfortable by the use of nonverbal communication, using hand and body gestures. These gestures emphasise and clarify the spoken word, overall making the patient feel more comfortable in the environment (Berman, Kozier & Erb 2012, p 528). Phil effectively uses this technique through the use of touch, as touch provides a form of emotional support and encouragement, overall contributing to John feeling safe in the hands of both Phil and Steve (Berman, Kozier & Erb 2012, p
3.2 list different techniques that can be used to facilitate positive interactions with an individual with dementia
As stated in a Communication in Nursing Practice article: “Barriers to effective listening include making assumptions before one hears the communication; non-interest in the topic or issue, history of problems with the sender; and feeling as if the sender is dictating to the receiver.”
In this essay, the interactions of the nurse, doctor and patient in the video clip will be discussed from a communication perspective. Supported by the Australian Nursing and Midwifery Council (ANMC) standard and scholarly articles, the essay will also highlight how communication can affect the quality of patient care, health outcomes and the ability to meet individual patients' needs.
McCarthy, B., 2011. Hearing the Person with Dementia: Person-centred Approaches to Communication for Families and Caregivers. [Online]
Firstly, communication is the most essential component in nursing profession. In every workplace, communication contains writing, speaking, listening and identifying others ways to interact. According to Dwyer 2012, communication is the process of sending and receiving information between two or more people. In nursing profession, communication plays a crucial role in patient’s health and workplace to run smoothly and effectively. In this field nurses have to interact with patients, families, doctors and health professionals to provide information and quality care. In nursing profession nurses have to deal with different types of patient. For instance; deaf, disable, you...
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Communication involves the exchange of information between two or more people. Whether verbal or nonverbal, communication serves as the bridge that allows people to share ideas and thoughts. Clinical professionals converse with patients, relatives, and other professionals daily. Conversely, despite having multiple encounters with patients every day, physicians fail to enact the necessary communication and interpersonal skills to effectively listen, instill confidence, and promote following medical advice in patients.
As Alzheimer’s disease progresses, People become less able to carry out usual functions and activities. This is due to the death of large number of brain cells. One of the functions impaired by the disease is communication skill. Since people with AD have trouble remembering things, communication is hard for them. It may be hard for them to find words or forget what they want to say. When talking, the disease also causes people to talk without train of thought. The listening role is also affected by the disease. People can have problems with understanding what words mean, paying attention during long conversations and even find it very hard to block out backgr...
There were a number of nursing priorities identified, the patient also has hypertension. The key priority for nursing care with this patient is her learning disabilities and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication for these reasons I will focus this assignment around communication barriers with people with learning disabilities, the importance of good communication between the multi-disciplinary team within the unit. I will also explore any issues with consenting to the procedure as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications.
In the provision of a high quality care, many factors influence the way it is provided; however, IC is crucial. A healthy work environment would result from open communication among the staff, it would increase the employees and patients’ level of satisfaction and sense of well-being. Good communication is the cornerstone for the IC, it is a complex process which requires to develop some skills to learn how to transmit some information. One of the most common factors leading to medical errors, are due to miscommunication, sometimes because the message is not clearly sent, and others because it is not clearly received or it is misunderstood (Danna, 2015). In terms of communication non-verbal communication must be taken into consideration as well; body language, facial expressions, use of space, and touch, entail conscious or unconscious movements and gestures, also impacts the communication among the staff and
When looking back on the event, I can now acknowledge how unprepared, and unsupported, I was when first introduced to Mrs X. There are many barriers to communication that can lead to the message becoming distorted, and I feel my lack of knowledge and understanding, played a big part. Therefore, as mentioned by Lishman (2009) in order to achieve effective communication, it is important to be aware of the physical, psychological, and social barriers, that could affect the communication process. Being able to effectively communicate, is an essential skill in providing person-centred care. Therefore, it involves learning to communicate effectively even when various barriers to communication are
While routinely preparing the patient for his procedure, which involves placing multiple ECG leads and cardiac mapping patches, this nurse noticed the patient looking very apprehensive. This nurse stopped preparations and asked the patient if he was okay and if he had any questions. His eyes became a bit teary. This nurse reached for his hand, which he squeezed, gratefully. An explanation ensued regarding the purpose of each piece of equipment in the room, the placement of each patch and the purpose of the same, and why so much equipment was needed. At this point, the patient squeezed this nurses hand and related that he had just needed that moment to connect with someone. He was having an anxiety attack and just did not know how to let anyone know. After a quick squeeze, preparations resumed, and the procedure started. Later in the day, the patients’ wife stopped this nurse to let her know how much she helped her husband calm his fears before the procedure. Being present for the patient does make a
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
However, after my instructor left from the room, I reintroduced myself, and started a conversation, stating my objectives for the day. As I began to speak my actions while I administer vital sign, I was promptly damped by an expectedly attitude from my patient. Whenever I attempt speaking, I...