Unit 3 Part One - Communication Flashcards
Communication
Continuous circular process by which info.is transmitted btwn ppl & their environment
Goal directed interchange of information
Ongoing, interactive, dynamic, irreversible, built on trust
Types Of Communication
Intrapersonal *
Interpersonal *
Public
Critical Components of Communication
Sender (encoder) Message - verbal or nonverbal Sensory Channel (medium) Receiver Feedback ( positive or negative response)
Intrapersonal Communication
- SELF-TALK
- automatic (w/o being aware)
- sorting & organizing of thoughts
Sender
Initiates transaction to exchange information, convey thoughts
Referent
Incentive/ motivation for communication to occur
Types of Feedback
Informational-exchange ( … # of procedures)
Corrective
Reinforcing (positive or negative)
Majority of communication is ….
Nonverbal
Set of words that has meaning
Language
Congruence
verbal & nonverbal fit together;
Intimate space
- 0-1.5
- confidence & gentleness
Nonverbal
-80% of communication; does not replace verbal
Personal Space
1.5-4 ft
Conduct interviews
Allows accurate visualization & INTERPRETATION OF NONVERBALS
Social Space
4-12 ft
Vocalizations can be overheard
Formal
Expedient communication with several people
Public
- > 12 ft
- individuality lost
Admission
Administrative process from time pt enters door until settled in
Increases stress
Transfer
Transfer from one room, unit, or facility to another
Discharge
Official procedure helping pt to leave healthcare institution
Requires physicians order
Planning Starts at admission
JCAHO
assures public agencies accredited to provide quality of care
Advanced directives
Written instructions concerning medical treatment… “And end of life care”
Living-will
Specifies end of life decision when pt NO LONGER ABLE, varies w/ state
Power of attorney
Agent to make medical decision if pt is not able
Referral
Request for service outside scope of REFERRING profession
I.e. social worker, hospice, home health aide, housekeeper
AMA
Against Medical Device
Documented in nurses notes
MD & Supervisor Called
Pt Right
Language
Set of words that has meaning
Tool of verbal communication
Largely concise
Transference
Pt transfers feelings and attitudes held towards significant other to the nurse
Phases of the Nurse-patient relationship
Preinteraction
Orientation/ introduction
Working
Termination
Source Charting
Separate sections for each discipline
Easy to locate, but information is fragmented
-includes narrative
Problem Oriented Charting
Emphasis on Client
*constantly needs to be updated
PIE
charting
Problem
Intervention
Evaluation
Computerized
(Charting)
Advantages
**Saves Time –> more time for the client
Request & Results sent quickly
Standard of care improved (legibility, sharing of knowledge)
Able to keep statistics
If you write it….
It can and will be used against you!
If you don’t write it, ….
It can and will be used against you
If you document everything,….
You will NOT be able to do ANYTHING
nursing should be centered around pt care, not around documentation
Charting requirements
All should contain assessment, intervention, responses/ changes, accurate accounts of events, objective descriptions, recorded in a TIMELY manner
NEVER CHART
Labels to describe behavior (I.e do not call combative, etc.) Staffing issues Incident reports Explain a mistake using accidentally Chart informed when only mentioned NEVER refer to another pt by name
SOAP notes
Progress notes
Subjective data- what pt says
Objective data
Assessment
Plan
Difficult in fast pace environment; specific problem focus
