(Q1) communication/boundaries

parts of an encounter

1) initiating encounter = prepare, greet, comfortable environment
2) gathering information = CC, history of CC (FIFE)
3) performing physical assessment
4) explaining + planning = discharge, *teach-back/”show me,” use layman terms, handouts
5) closing the encounter = answer all questions

disparities in healthcare and how it is tackled?

• healthcare affected by social determinants (education, economic status, social context)

• racism and bias can occur

  • solve with cultural humility

what is the center of communication? how are filters involved?

• effective communication is patient-centered!

• filters (affected by eye contact, body language, paralinguistics):

  • personal

  • environmental

  • relationship

what is a therapeutic relationship? what does it contain?

meant to enhance patient growth, meet goals, identify/explore needs, problems are discussed. patient benefit only

a therapeutic relationship needs:

• dignity and respect

• information sharing

• patient/family participation

• collaboration

roles of nurse and patient in a therapeutic relationship?

• nurse: assuming responsibility for conduct, consequences of actions. caretaker/caregiver. professional

• patient: understands that nurse is safe/reliable/confidential/follows boundaries. has to also be cooperative in receiving care

helpful tools for effective communication

• active listening: paraphrasing, clarifying, listening, encouraging/questioning, validating

• verbal: reinforcing, feedback, informing

• nonverbal: body language (eye contact)

things to avoid when communicating with a patient

• advice

• focus only on patient! especially feelings

• cliches/promises

• opinions

• assumptions