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FON exam 3
communication
| Question | Answer |
|---|---|
| communication and clinical reasoning importance | pt safety - sentinel events ethical responsibility legal ramifications |
| types of communication | intrapersonal and interpersonal verbal and nonverbal open and closed |
| intrapersonal | internal, within an individual |
| interpersonal | between two or more individuals or groups |
| verbal | what is said, how it is said |
| nonverbal | eyes, posture, positioning |
| open | what, when, how, tell me more |
| closed | do, did, does |
| factors influencing communication | developmental level, sociocultural differences, use of medical terminology, lack of role clarity, fear/insecurity, pain, LOC/alertness |
| effective communication | active listening, eye contact, tone, facial expressions, noise, distractions, privacy, barriers, timing, location, restate/reflect |
| setting the stage | S - sit facing client O - open posture L - leaning into the conversation E - eye contact R - relaxed posture |
| pts: clear role and expectations | provide role clarity, communicate expectations (mutual respect), communicate with intention |
| pts: therapeutic communication | compassion, caring/concern, empathy, no judgment, silence |
| use caution with | humor, helping vs. friendship, touch |
| family: collaborative comunication | acknowledge visitors in the room do not assume relationship ask visitors to step out of room - if pt requests visitors stay, then address both pt and family and give opportunity for questions |
| communicating to educate | include caregiver when possible, start by identifying focus of education, assess current knowledge/understanding/motivation, break information into smaller sections, teach back!!!!, do not wait until discharge |
| communicated to educate cont'd | purpose - provide info for informed decision making not your personal stance or opinion pt has right to follow or reject - may not result in behavior change document all education provided and result |
| healthcare team: communication methods | clear communication saves lives - medication/surgical errors, missed care, unnecessary care, trust/rapport with the healthcare team/system |
| must be able to communicate with | the healthcare team clearly, concisely and effectively |
| ISBAR | introduction situation background assessment recommendation |
| nurse to nurse handoff | occurs any time care is transferred from one nurse to another between shifts, another nurse is providing a portion of the clients care, transferred to another unit or facility |
| safe handoff components | name and age, PMH/PSH, admission Dx, brief summary of care since admission, brief summary of previous shifts events, physical assessment findings by system (VS, neuro, CP, MS, skin), care needed during next shift |
Created by:
leh195