Topic 9 Flashcards
Caring
A caring relationship facilitates health and healing from a natural response to meet the needs of others. A caring nurse recognizes and assists the patient in their struggle for health and wellness.
empowerment
Assisting the patient to take charge of their own lives, helps the patient feel valued and involved in care which can lead to better health outcome.
Empowerment should extend to the family as well
trust
BASIS OF ALL RELATIONSHIPS IS TRUST. A nurse-patient relationship is dependent on the development of trust and a sense of safety.
Trust is also key to an effective teamwork relationship.
empathy
Ability to be sensitive and convey an understanding of the patient’s feelings. Putting yourself into another’s position
mutuality
Agreement between the nurse and the patient on the health problem and the care needed for resolution. Both nurse and client are committed to health promotion practices that lead to the best patient outcome.
Nursing communication begins with __________ and managing healthcare information
establishing a safe environment
TeamSTEPPS says that _______ is the bedrock of safe care
clear, accurate communication
diagnosis
Do not shut the client down, they are coming to terms with their diagnosis
demographic factors
Cultural Communication: Ask the patient about cultural beliefs, values, and health care practices
developmental factors
Consider a patient’s developmental level when assessing communications.
(Example: An infant’s self-expression is limited to crying, body movement, and facial expression. Older children express their needs more directly)
Pay attention to your nonverbal behavior when working with children.
Sudden movements, threatening gestures and loud noises can be frightening.
Include the parents as sources of information about the child’s health.
Advancing age influences communication. (Examples: Problems with hearing or speech are barriers to communication.)
Assess the hearing ability of older adults.
Get an older adult’s attention before you begin your assessment questions.
Face the patient, and stand or sit on the same level so the patient can read your lips.
Speak slowly and clearly.
Give older adults enough time to ask questions.
Do not assume an older adult has communication impairments.
[Assessment]
cognitive issues
Touch is useful (especially in the case of an anxious or demented patient). Gentle touch tends to get their attention or focus them
***anxious, demented, NOT psychosis
Nurse may need to fill in missing words to clarify if the patient forgets the words
Think about what is the best time of day to approach this client, it is okay to ask the family these types of questions
Language barriers
Can use interpreter
Speak directly to the patient, not the interpreter
Avoid using family members
Hearing impairment
Use the clients chosen method of communicating
Make sure hearing aids are in place and working
visual impairment
Patients with visual deficits may miss subtle non-verbal behaviors (hand gestures, shaking or nodding of head, facial expressions)
Make sure glasses are clean and clear, schedule eye exams
Inform patient of steps, curbs, uneven surfaces
Acclimate the client to the environment, keep the call light within reach, keep the bed in a low position, keep environment clutter free
Offer the patient your arm
anxiety
High levels of anxiety decrease perceptual ability which can make the patients comprehension and problem-solving skills nonexistent
stereotyping
Attributing a characteristic to an entire group
overfamiliarity
Unreasonably friendly, informal, or intimate behaviors or attitudes
intrusion of personal space
Personal space is an invisible boundary. Maintain 4 feet when providing care
limited time
Nurse may feel rushed and cannot spend adequate amount of time that they need with the patient. The patient may feel rushed or that the nurse doesn’t care as well.
assistive devices for those with physical disabilities
Mobility Aids: wheelchairs, scooters, walkers, canes, prosthetic devises, orthotic devices
assistive devices for those with cognitive disabilities
Cognitive assistance can include computer or electrical assistive devices (can help people function following brain injury)
assistive devices for those with hearing loss
Hearing aids can improve hearing ability
Closed captioning to enjoy movies or TV programs
assistive devices for those with vision loss
Glasses
Screen enlargement applications
Title VI Civil Rights Act
Mandates the use of a TRAINED interpreter for any client experiencing communication difficulties relates to language, should NOT be a family member
1962 Civil Rights Act
prohibits discrimination on the basis of national origin-discuss ethical concerns
Americans with Disabilities Act
this act banned discrimination against the disabled in employment and mandated easy access to all public and commerical buildings.
The rehabilitation act
Bars discrimination by those providers receiving reimbursement from federal government including Medicare
