Unit 2 Palliative Flashcards
Nursing Roles
(Professional)
Demonstrates caring, respect, deep
listening, authenticity, and trust.
- Responsible to:
- Assess own communication ability
- Continuous improvement of
communication skills - Utilize alternate strategies for
communication difficulties - Convey accurate information
- Maintain interprofessional team
communication
Emotional Intelligence
Correct identification of emotions in
oneself and others.
* The use of emotion to facilitate
reasoning
* Understanding emotions; and
* Manage emotion
Self Awareness
Our knowledge about ourselves, our
motives and how these translate into our behaviour.
- Become aware of how we are
interpreting the signals of others. - Crucial factor in forming a therapeutic relationship with others.
Nursing Roles
(Behaviour)
Valued by patient and family
* Being present
* Connecting
* Affirming and valuing
* Acknowledge vulnerability
* Utilizing intuition
* Providing serenity and silence
(Ferrell & Paice, 2015)
Communication Skills in
Palliative Care
Active Listening
* Summarizing
* Paraphrasing
* Empathy
* Clarifying
* Silence
* Acknowledgement
* Encouragement
Active Listening
Requires concentration
Allows message to be heard and
acknowledge
Summarizing
Stopping at intervals throughout the conversation
(and 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
Paraphrasing
Repeat what patient/loved one has said, using
your own words
* Demonstrates active listening
* Allows patient/loved one to correct any
inaccuracies or misunderstanding.
Empathy
To recognise how another person might be feeling.
* “Experience of walking in another person’s shoes
Silent
Can be uncomfortable to many of us.
- Allows quiet reflection and taking stock of the conversation.
- Make some sense of what is happening and form
next questions.
Acknowledgement
Words, expression and intonation that
demonstrates interest or understanding.
Encouragement
Positively encourage patient to continue
talking.
Promote further possibility of disclosure
Forms of non-verbal communication and their use in palliative care
Haptics - touch.
Kinesics- body movement
Proxemics- using space.
Physical characteristic.
Environmental factor- surroundings.
Vocalics-paralinguistic aspects.
Haptics - touch.
Positive
Negative
To reassure a distress patient.
When the touch is misinterpreted or
inappropriate.
Kinesics- body movement.
Positive
Negative
Positive
Head nodding to encourage a patient
to talk about his/her concern.
Negative
Shrugging shoulders in response to a
question
Proxemics- using space
Positive
Negative
Coming down to the patient’s level to
talk to them.
Standing at the foot of the bed to
hold a conversation
Physical characteristic.
Positive
Negative
Wearing a clean, uniform,
appropriate hair. Nails etc.
Appearing untidy, paying little
attention to physical appearance.
Environmental factor- surroundings.
Positive
Negative
A quiet conversation in a private
area.
Having a conversation in an open,
non private space
Vocalics-paralinguistic aspects.
Positive
Negative
Using a soft, gentle, slow tone to
break bad news.
Loud, aggressive tones.
SPIKES Protocol and Ask-Tell-Ask
SPIKES (setting, patient perception, invitation, knowledge, emotions, summary and strategy).
- Goals:
- Gather information from patient and family.
- Provide medical information.
- Support patient and family.
Ask-Tell-Ask
Ask patient and family what they know and
understand
* “Tell” the patient medical information.
* Ask about their emotions.