ipr 8 communication & nurse pt relationship

communication process

verbal communication: speaken or written

nonverbal communication: w/o words

• gesture, body posture, intonation, general appearance

cultural differences

personal space, eye contact, meaning of words, cultural norms, religious beliefs

best way to ensure understood communication

feedback

close vs open minded question uses

closed: direct questions that answers aren’t necessarily variable

open: need more elaboration

therapeutic touch

signify support to a person when words are hard to find

therapeutic communication technique

general leads: eg. please continue

offering self: eg I'm here for you

encouraging elaboration

giving info

looking at alternatives

summarizing

communicating w hearing impaired

speak distinctly and slowly. don't shout.

face person & get their attention.

short sentences. paraphrase for clarification

maintain a good distance 2 ½ - 4 ft

watch for nonverbal feedback.

communicating w an aphasic patient

difficulty expressing / understanding language

speech therapist can help

communication boards/ writing

speak slowly & give time to respond. 1 question at a time

communicating w older adults

assess for hearing and visual deficits

give time for elders

wait for answer before answering another q

obtain feedback

communicating w children

eye level. calm, friendly voice

parent in room when possible

short simple sentences & demonstrations

allow child to handle equipment

end-of-shift report

walking rounds. audiotape. computerized sheets. ISBAR-R

ISBAR-R

aka sbar

introduction

situation

background

assessment

recommendations

readback

should be specific

telephoning primary are providers

have pt data on hand. lab data, vital signs, I&o, meds recieved, allergies

keep chart handy

prepare a concise problem statement. document cal & response

laissez-faire leader

allows team members to function independently

does not attempt to control the team and offers little direction