nurs 1112 midterm 1

symbolic communication

the verbal and nonverbal symbolism used by others to convey meaning

Metacommunication

broad term that refers to all factors that influence communication

Nurse-Patient Relationship

the professionally intimate relationship that is built on communication within a specific setting

Nurse-Family Relationship

communication within families requires additional understandings of the complexities of family dynamics, needs, and relationships

Interprofessional Team Relationship

communication geared toward team building, facilitating group process, collaboration, consultation, delegation, supervision, leadership, and management

Nurse-Community Relationship

participating in local organizations and volunteering.

ex: neighbourhood news letter, newspaper, radio, TV, and social media

Pre-interaction Phase

occurs before meeting the patient. Nurse reviews available data, including medical and nursing history, identifies a location and setting that fosters comfortable, private interaction, etc.

Orientation Phase

when the nurse and the patient meet and get to know each other

assess patients health status

set goals

Working Phase

when the nurse and the patient work together to solve problems and accomplish goals

Termination Phase

end of relationship

evaluate achievement of goals

Autonomy

ability to be self-directed and independent in accomplishing goals and advocating for other people

primary intervention

designed to prevent of reduce the risk of disease from occurring by improving or maintaining general health, boosting the immune system or preventing injury

ie: immunizations

Secondary prevention

Focuses on early detection of disease or conditions in a particular population, with the goal of either achieving a cure or minimizing the severity of the disease

tertiary prevention

occurs later in a disease process and focuses on reducing loss of function, maximizing health, and minimizing disability

SOLER

Sit facing the patient

keep and Open posture (legs and arms uncrossed)

Lean toward the patient

Establish and maintain eye contact

Relax

Ways nurse communicate professionally

Courtesy

Use of names

Trustworthiness

Autonomy and responsibility

Assertiveness

therapeutic communication approaches

active listening

sharing observations

sharing empathy

sharing hope

sharing humour

sharing feelings

using touch

using silence

providing info

clarifying

focusing

paraphrasing

asking relevant questions

summarizing

self-disclosure

confrontation

non-therapeutic approaches

asking personal questions

changing the subject

automatic responses

false reassurance

sympathy

asking for explanations

approval or disapproval

defensive response

passive or aggressive response

arguing

Swanson's theory of caring

knowing

being with

doing for

enabling

maintaining belief

Roach's 5 C's of caring

compassion

competence

confidence

conscience

commitment

providing presence

being with, eye contact, body language, tone of voice, listening, positive and encouraging attitude

Touch

comforting when in pain physically or mentally.

Lets the patient know you're there

Listening

Makes patient feel important and cared for

Knowing the patient

To get to know a patient allows the patient to see you're not here just to make money but because you care.

Spiritual caring

Recognize and support spiritual need of the patient in the health care setting.

Family care

if you care for not only the patient but the family as well, you are able to get to know more about your patient and their life

Health promotion

the process of enabling people to increase control over, and to improve, their health

components of general survey

physical appearance

mental status

mobility

Behaviour

ingredients to a collaborative partnership

sharing power

being non-judgemental and accepting

being open and respectful

living with ambiguity

being self-aware and reflective

critical thinking skills

interpretation

analysis

inference

explanation

self-regulation

critical thinking competencies; scientific method

a systematic ordered approach to gathering data and solving problems

critical thinking competencies; Problem solving

involves evaluating the solution over time to be sure that it is still effective

critical thinking competencies; decision making

Is a product of critical thinking that focuses on a problem resolution

critical thinking competencies; diagnostic reasoning

A process of determining a patient's health status after you make physical and behavioural observations and after you assign meaning to the behaviours, physical signs, and symptoms exhibited by the patient

Clinical Inference

The process of drawing conclusions from related pieces of evidence

Clinical reasoning

describes the cognitive process of thinking about patient issues, making inferences, and deciding on the actions to be implemented in a particular situation

critical thinking competencies; clinical decision making

focuses on defining problems and selecting appropriate interventions

high priority issues/concerns

if untreated result in harm to the client or others

Medium priority issues/concerns

non-life threatening needs

low priority issues/concerns

not related to specific illness but affect the clients will-being in the future

criteria of goals

client centred

singular

observable