NURS

emotional and social intelligence (ESI)

vital components of effective communication and leadership

professional communication

empathy, equality, openness, positivity, supportiveness, respect, dignity

past experiences, context, precipitating events, environment, preconceptions

how do we interpret nonverbal communication?

verbal communication

talking, listening, tone of voice, inflection, attitude

T

temperature

BP

blood pressure

HR

heart rate

VS (VSS)

vital signs (vital signs stable)

RR

respiratory rate

Ht

height

Wt

weight

I/O

intake/output

Dx

diagnosis

communication process

message sent, message interpreted, information filtered, response

message interpreted

the receivers belief about what the message means and influenced by context, environment, precipitating event, transmission, past experiences

information filtered

can lose valuable information during filtration

response

feedback loop

each message is interpreted

what is the biggest and most important thing about the communication process

therapeutic communication

develop trust (clear communication in words they understand, keep promises, protect privacy, avoid negative communication, be available, eye contact, sit down, express empathy, open communication with open-ended questions, clarifying information, be aware of body language, use touch)

we do not listen to understand. we listen to reply

what is the biggest communication problem?

active listening

paraphrase, reflect, open questioning, acknowledging, summarizing, framing, reframing

look interested (be interested)

L in LISTEN mean?

involve yourself by responding

what does I stand for in LISTEN?

Stay on target

what does the S mean in LISTEN?

test your understanding

what does the T mean in LISTEN?

evaluate the message

what does the E mean in LISTEN?

neutralize the feelings

what does the N mean in LISTEN?

nonverbal communication

facial expressions, eye contact, posture, body movement, how one dresses, lifestyle, material possessions

conflict resolution styles

avoidance, accommodation, force, compromise, collaboration

actively listen, dont take it personal, work together, dont make it personal

active listening

improves the likelihood of receiving the correct message

written communication

accuracy, attention to detail, thoroughness, conciseness

documentation, white boards, emails, texts

forms of written communication

accuracy

concise, descriptive, truthful. no judgement or perceptions

clear and accurate documentation

essential to safe, quality nursing care

negative communication

yes or no questions (closed communication), blocking, false assurances/false hope, conflicting messages

negative communication: blocking

•“Nurse, I’ve never had surgery before. I’m afraid I might not ever wake up.” Mr. Clayton is twisting the bed sheet as he speaks.——-NEVER respond like this: “Oh, Mr. Clayton, many people feel that way. It’ll be okay.” Makayla Butler, RN, smiles brightly, pats his hand, picks up the dirty line bag, and bounces out of the room

information and perception

what causes conflict?

misunderstandings and emotions

what makes conflict worse?

passive, passive aggressive, aggressive, and assertive

four basic communication styles

decubitus ulcer

pressure wound or bed sore

staged by order of severity

only those with specialty training stage…otherwise describe!

passive

emotionally dishonest, indirect, inhibited, self-denying, blaming, apologetic

passive aggressive

emotionally dishonest, indirect. self-denying at first. self enhancing at expense of others later

aggressive

inappropriately honest, direct, expressive, attacking, blaming, controlling, self enhancing expense of others

assertive

where we should be as a nurse; appropriately honest, direct self enhancing, expressive, self confident, empathic to emotions of all involved

handoff report

transfer and acceptance of patient care; vital for effective communication; poor handoff reports can result in medical errors; standardized methods; use of SBAR

situation, background, assessment, recommendation

SBAR stands for? p. 347

always use when calling the doctor

closed loop communication

sender initiates message to receiver repeats message back to sender verifies the message REPEATS

used in an emergency situation especially

subjective and objective

what is described when you explain the assessment information to the doctor?

example of SBAR

integumentary system

skin (epidermis, dermis), hair, nails, nerves, glands (sweat, sebaceous)

adip/o

fat

lip/o

fat

steat/o

fat

cutane/o

skin

derm/o

skin

dermat/o

skin

hidr/o

sweat

seb/o

oil

sebace/o

oil

-rrhea

drainage

pil/o

hair

trich/o

hair

nails

clubbing of the fingernail

kerato-

hard

xero-

dryness

crypto-

hidden

leuko-

white

erythro-

red

xantho-

yellow

melano-

black

cyan/o-

blue

pruritus

an itch

urticaria

hives (raised/splotchy areas of skin, could be d/t allergic reaction)

dermatalgia/dermatodynia

rash

diaphoresis

sweating

hyperhidrosis

excess…

anhidrosis

lack of…

depigmentation

loss of pigmentation

vitiligo

disease causes loss of skin color

hypermelanosis

a darkening area of the skin

alopecia

hair loss

hypertrichosis

too much hair

comedo

white head or blackhead

macerate

very wet, soggy to the touch (exposed to moisture, poor wound healing)

urticaria

swollen raised, itchy area

dermatolysis

skin broken away from the body

location, size, color, texture, filling of the rash (pustules)

what is apart of the description of a rash?

generalized or spreading

location of rash?

papules

< 1 cm

nodules

> 1 cm

true

plaques are large and flat

vesicles

< 1cm and filled with clear fluid

bulla

> 1cm and filled with clear fluid

pustules

filled with pus

abscesses

large pustules

macules

freckles; small flat spots

nevi

mole is a what?

patches

large macules (freckles)

burn

exposure to a harmful agent; heat, radiation, chemicals, electricity, or friction

first degree burn

affects only the epidermis (outer layer) of the skin