Teach Learn Med. Spring;19(2) Patients speak: what's really important about bedside interactions with physician teams. Fletcher KE(1), Furney SL. The Health & Family franchise has been sharing patient stories for years because we have always valued and respected the patient viewpoint. Today, we. Patients Speak - Messages. All our patients come with immense hope and belief that them get completely cured. Every day we strive hard to live up to their faith.
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For instance, if you know that a person crying will effectively make your communication skills disintegrate then try to actively practice ways to manage these situations better. It might sound strange, but learning a new language puts you in better touch with your native tongue and can open your eyes to the way you use the words you already know. Choose an appropriate time to speak with the person that is, avoid approaching them during a favourite television program, when leaving for work, when stressed about an unrelated issue, and so on or negotiate a time.
Do not try to speak about important issues if one or both of the parties are intoxicated. For teenagers, talking in the car or using issues on a contemporary television show might provide a good springboard. I know you have been busy but when could we catch up properly? Think about small, less emotionally charged topics as a way of opening the door to more significant conversations.
Sometimes, if you talk about what you think and feel, others will slowly follow. Use questions beginning with why, what, when, where and how. Limit the Expressing of Assumptions and Opinions for a Time Reverting to old patterns of communication can block new ones. People who have known each other for many years, if not all of their life, will feel as if some albeit important discussions are no longer worth having as they always seem to end in the same way.
Not responding in the same way they always have can help others to be more tolerant and to try to reach new ground. For those that have avoided communicating so far, this is confronting and enormously challenging.
Communication about difficult issues is much easier if the small steps have been taken first. Try to use the valuable time you have now to open discussion slowly. Be Assertive When You Need to. I feel pretty tired most days. I want you to help around at home by making your own lunches.
Communication evolves and there are nearly always other opportunities to talk. Be realistic in your expectations — set realistic goals for communication and be patient, yet motivated, to create even small changes. Communicate Without Words Loving and supportive communication does not need to revolve around words.
Simply being there, holding hands, smiling, sharing meaningful eye contact and showing physical affection are all meaningful ways of demonstrating respect, concern and support.
Technically, the only one with the rights to patient information is the next of kin. Large families, though, pose a problem as there may be a number of next of kin. It is simple and easy to turn someone down under those circumstances.
That number can very easily be disseminated to numerous people, and this means the nurse has to spend a great deal of time explaining the same information to ten or twelve different people. It takes time to make non-medical persons understand the situation, and the problem can get quickly out of hand. In large family situations, someone should be appointed the main contact.
This way, the nurse only has to explain the situation once. Ideally, it should be the next of kin; but some families may want a member with a medical background to handle updates and check-ins.
Another possible management tool is to tell the next of kin to guard the privacy number closely. Explain to them that it takes away from the care of their family member to have several people with the privacy number.
Even though you are not in charge of the family, you will have to step in and make suggestions that they may or may not comply with. However, even in the best of situations, it may be difficult to get the amount of contacts down to one. Mrs Jones is an year-old woman who has come into the intensive care unit with an acute stroke. She is the proud mother of five children, all of whom are married, and a grandmother of ten.
Some of these grandchildren are old enough to have spouses of their own. The relationship between Lisa and her siblings is complicated, and all of them have insisted on obtaining the security code for themselves. Lisa, not wanting to start an argument, has given it to her brothers and sisters, who in turn, gave it to a few grandchildren. Although the nurse tries to be concise, often these conversations can take up to twenty minutes.
It is decided that all information will flow through Lisa, although this does not make everyone happy. In the end, you will inevitably engender bad feelings, even in small families. Even those without the privacy code may try to bully you into telling them something, and your assertiveness as a nurse has to override that impulse to please.
There are no easy answers in cases like this, and the nurse has to make a judgment on a case-by-case basis. You can help minimise bad feelings by actively listening, keeping your cool and assuring callers that you understand they are concerned about the patient. If you have someone who is angry with you, that may be necessary for the good of the patient.
If that person goes to your manager, be sure to back up your actions so that you can prove you are merely respecting privacy laws and protecting your ability to care for the patient. Sometimes, despite our best intentions, things can get a little out of hand and patients may demand to speak to a higher authority — your nurse manager for example.
Families in crisis may react in ways that they normally would not. The stress and worry over a patient in danger can cause them to say and do things that are offensive, violent, loud, and intimidating. A great deal of the attention will be focused on you because you are at the bedside, caring for their family member.
As in most communication situations, it is important to remain calm in the face of whatever the family may present. In that case, you need to work on calming the relative. Once you have established that they are privy to the details, tell them the truth about what is going on with their loved one. Be prepared for a wide range of reactions. Some will react with anger, but most will react with neutrality or sadness. In some cases, this can be more difficult to deal with than hostility.
Offer yourself as a sounding board for the relative. Make it a point to be there for them, a presence of peace and understanding. Comfort them and do not betray their trust in you. Patients have the right to competent care, protection from reasonable risks, and advocacy from their nurse. If the relatives are disturbing the patient, working them up, or causing more stress, the nurse has to step in and remove the family. It is a difficult situation to be put in because no one wants to separate a family from their loved one.
Is this helping them or hurting them? Most families will not cause stress, but sometimes even the most laid back family may cry, focus only on the negative, or in other ways upset the patient.
In these cases, it is important to talk to the patient and the family member. Ask the patient if they are comfortable with their family and if they would like the family to have restricted access to them. Most will decline, but at least you are offering the opportunity to the patient.
Next, talk with the family. Explain that their behaviours are upsetting the patient and that a different approach is needed. There is no reason to be falsely happy, but tell them to simply be with the patient instead of focussing on the negative. In the end, talking to a patient may be easier than talking to their family.
Patients may not understand what is going on with them, and their relatives are basically in the same position. However, they also have the added stress of not knowing if their loved one will make it through. Acknowledge the fear they are feeling and offer them the same compassion you would offer your patients. Nurses encounter many older people in the course of their careers.
This makes sense, because as a person ages they may require more frequent care. Communicating with patients is a skill that you need to practice. Memory and cognitive disturbances can also make talking to this population challenging. One of the most important considerations when talking with older people is time.
It is hard to dedicate the time necessary to talk properly to an older person, but this is the way to open the communication channel. It is only over time that you get the whole story. This is especially true of doctors, but they may feel the same reticence when talking to nurses.
If you are there and available for their concerns, they may be more willing to talk to you than to the doctor who might only spend five minutes in the room.
You may find out something that is vital to the care and comfort of that patient just by spending an extra few minutes with them. Yes, nurses are busy, but older people need time to express their pain, fear, and questions, and you need to allow for that in your schedule. As with children, it is best to avoid medical jargon when speaking with older people.
It is a fine line to walk, and you need to base your language on the questions and cognitive ability of the patient you are speaking with. Try to use language that is simple, clear, and non-threatening. You should also strive to be as honest as possible. Or filter your current search. Revue des Maladies Respiratoires [05 Nov , 32 5: English Abstract, Journal Article lang: Abstract The aim of this study was to hear COPD patients about their condition, their symptoms, the course of their condition and their knowledge about their disease.
Questionnaires were offered to COPD patients attending pulmonary physicians, rehabilitation centers and patients associations from February to June A total of patients mean age 66 years completed the questionnaire.
Singing Therapy Helps Stroke Patients Speak Again
Apollo Hospitals, Kakinada launches the Neuro Navigation system, a first-of-its- kind in the coastal districts of Andhra Pradesh, for better patient care · neuro-. Patients Speak About. Nutritional Therapy. NEW EDITION. Using this book in your practice will build your reputation, practice, and success. The electronic health record indicated that the patient required a Spanish interpreter to communicate with health care providers. A non–Spanish-speaking .