Evidence Informed Assesment Flashcards
What is subjective data?
It is how the person perceives what they are saying, it comes from opinions, experiences and perceptions. History is an example of subjective data.
What is objective data?
It is when you use senses to gather data. An example of this would be a physical examination.
What is diagnostic reasoning?
Attending to cues, formulating hypotheses, gathering data and evaluating hypothesis and data.
What is the nursing process?
Start with assessment (come back to this), diagnose, outcome identification, planning, implementation, evaluation… then back to assessment if the outcome was not what was planned
What is the critical thinking model?
Identify assumptions, identify an organized and comprehensive approach, validation, distinguishing normal from abnormal, making inferences, then clustering related cues. Also be able to say if something is not significant, recognize inconsistencies and identify patterns or missing info.
Evidence informed assesment?
Evidence evolves, so got to newest evidence
Work to build trust
Pay attention to social context of patients
Do not be judgy, understand the climate now (maybe they only have access to this care and not a different one)
Interview process?
Ask relevant questions
Help them towards optimal health
Remember to be in an appropriate place with privacy, and think of the time
Factors to consider during patient interviews?
Time and place
Introduction and explanation
Purpose
Length
Expectations
Presence of others
Confidentiality
Costs
Communication process?
Make sure what you sent is received in the way you wanted it to be
Show patience - you have all the time in the world to listen to them
Let the patient know you are documenting
What are some challenges of note taking?
Impedes eye contact
Shifts attention away from patient
Interrupts patient’s narrative flow
Impedes observation of nonverbal behaviour
Can be threatening to patient
How can you make note taking less stressful
Listen, then write down, then validate
Communication techniques? (verbal)
Open and closed ended questions
Silence, reflection, empathy, clarification, confrontation, interpretation, explanation, summary
Silence makes patients want to elaborate more
Communication techniques? (Non-verbal)
Physical appearance
Posture
Gestures
Facial expressions
Eye contact
Voice
Touch
What are 10 traps of interviewing
- providing false assurance
- Giving unwanted advice
- using authority
- Using avoidance language
- Engaging in distancing
- Using professional jargon
- Using leading biased questions
- Talking too much
- Interrupting
- Using “why” questions
Interviewing in challenging situations
Always speak to the patient
Cultural and social considerations?
Communication
Perspectives on professional interactions
Etiquette
Space and distance
Gender and sexual orientation
