communication Flashcards

1
Q

why is good communication important in palliative care?

A
  • to foster relationships and promote optimal support in care management
  • positive impact on emotional health
  • motivates and creates satisfaction for the HCPs
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2
Q

nursing responsibilities (professional):

A

demonstrate caring, respect, deep listening, authenticity and trust
- assess own communication ability
- continuous improvement of communication skills
- utilize alternate strategies for communication difficulties
- convey accurate information
- maintain interprofessional team communication

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3
Q

what is emotional intelligence?

A
  • correct identification of emotions in oneself and others
  • the use of emotion to facilitate reasoning
  • understanding emotions, managing emotions
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4
Q

nursing roles (behaviour):

A
  • being present
  • connecting
  • affirming and valuing
  • acknowledge vulnerability
  • utilizing intuition
  • providing serenity and silence
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5
Q

what is self awareness?

A

knowledge about ourselves, our motives and how these translate into our behaviour

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6
Q

communicative skills in palliative care

A
  • active listening
  • summarizing
  • paraphrasing
  • empathy
  • clarifying
  • silence
  • acknowledgement
  • encouragement
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7
Q

why active listening?

A

it allows the message to be heard and acknowledged

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8
Q

what is summarizing?

A
  • stopping at intervals throughout the conversation (and at the end) to summarize what has been spoken
  • to check the patient/loved one and yourself have shared common understanding and agreement
  • provides additional time to think
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9
Q

what is paraphrasing?

A
  • repeat what the patient/loved one has said, using your own words
  • demonstrates active listening
  • allows patient/loved one to correct any inaccuracies/misunderstandings
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10
Q

what is empathy?

A
  • to recognise how another person might be feeling
  • “experience of walking in another person’s shoes”
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11
Q

what is clarifying?

A
  • to ensure clarity about what has been said and the meaning is well understood by the professional
  • provides opportunity for patient to reflect on what they said and make sense of the situation
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12
Q

why silence?

A
  • can be uncomfortable to many of us
  • allow quiet reflection and taking stick of the conversation
  • make some sense of what is happening and form next questions
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13
Q

how do we acknowledge the patient?

A
  • words, expression and intonation that demonstrates interest or understanding
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14
Q

how do we encourage the patient?

A
  • positively encourage patient to continue talking
  • promote further possibility of disclosure
  • “could you tell me more?”, “please go on”, “help me to understand”
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15
Q

non-verbal communication: positive & negative: TOUCH

A

+ve: to reassure a distressed patient
-ve: when the touch is misinterpreted or inappropriate

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16
Q

non-verbal communication: positive & negative: BODY MOVEMENT

A

+ve: head nodding to encourage a patient to talk about their concern
-ve: shrugging shoulders in response to a question

17
Q

non-verbal communication: positive & negative: USING SPACE

A

+ve: coming down to the patient’s level to talk to them
-ve: standing at the foot of the bed to hold a conversation

18
Q

non-verbal communication: positive & negative: PHYSICAL CHARACTERISTIC

A

+ve: wearing a clean uniform, appropriate hair, nails etc
-ve: appearing untidy, paying little attention to physical appearance

19
Q

non-verbal communication: positive & negative: SURROUNDINGS

A

+ve: a quiet conversation in a private room
-ve: having a conversation in an open, non-private space

20
Q

non-verbal communication: positive & negative: VOCALICS

A

+ve: using a soft, gentle, slow tone to break bad news
-ve: loud, aggressive tones

21
Q

SPIKESS protocol

A

setting
patient
perception
invitation
knowledge
emotions
summary
strategy

  • to gather information from patient and family
  • to provide medical info
  • to support patient and family
22
Q

ask-tell-ask protocol

A

ask patient and family what they know and understand

tell the patient medical information

ask about their emotions