N320 - Communication

forms of communication

• verbal (language)

• non verbal (body language)

• visual

• electronic

  • email

  • chats

  • texts

  • voice

the helping relationship

• nursing as a therapeutic interpersonal process based on Peplau’s theory of interpersonal relation

• characterizations

  • does not occur spontaneously

  • characterized by an unequal sharing of information

  • built on the patient’s needs

  • the nurse id the helper and the patient is the person being helped

  • communication is the means used to establish rapport and helping-trust relationships

Phase 1: preinteraction (4 phases of the therapeutic relationship)

• goal: preparing for the interaction

• actions: looking over charts, information, etc

Phase 2: orientation

• goal: establish trust, rapport, and the structure of the relationship

• actions: meet the client, define the roles of both parties, establish parameters like confidentiality and meeting frequency and idnetify intital needs and goals

Phase 3: working

• goal: work together to solve problems and accomplish set goals

• actions: implement strategies, provide education or therapeutic internvetions, encourage the client to express feelings and practice new coping or problem-solving skills

Phase 4: termination

• goal: conclude the relationship and evaluate progress

• actions: review achievements made forward goals, disucss plans for discharge or future care, and address any mixed feelings or grief regarding the end of the relationship

Patient- nurse relationship

• trust is the foundation for this relationship

• trust is the base in which compassion, shared decision making, and effective communication are formed

• benefits of a positive nurse patient relationship include

  • reduce tx time

  • increase job satisfaction

  • encourages trust and honest communication

Nursing History

• a collection of data/health history

• purpose: organize information and promotes the collection of holistic data

  • works to formulate during diagnosis, collaborative problems and or referals

• when/where is this done

  • at the beginning of a visit, intake, or appointment

  • usually at the PCP

  • focused by specialty

• misc

  • can look like the collection or transfer of medical records

COLDSPA

• Character - how does it look/feel/smell/sound

• Onset - when did it begin/is it better or worse

• Location - where is it.does it radiate or shoot

• Duration - how long does it last/does it recur

• Severity - how bad is it on a scale of 1-10

• Pattern - what makes it better/what makes it worse

• Associated factors - what other symptoms do you have with it