Diraimondo, a registered nurse writes her own story of diagnoses vividly. She described the first stage of being diagnosed as a “refusal to accept diagnoses” and “ the need for immediate treatment to push one through the denial phase”. She goes on to describe the second phase a “anger or sadness”. One can imagine a individual being saddened especially because of the pain caused by the treatment. The third stage “involves bargaining”.
Facing death can be a fearful and emotional time for all involved. The dying patient will have gone through huge life transitions leading to this final life transition. The registered nurse caring for the terminally ill patient in their last days of life must draw on not just their professional skills but also their human skills in order to help the patient die with dignity and as comfortably as possible and to help the family begin the bereavement process. In 2006, Johnston and Smith carried out a study of patient’s perceptions of expert palliative nursing care and found that “the patients’ perceived that expert palliative nursing care consisted of effective interpersonal skills and caring skills” (Johnston & Smith, 2006, pg 707). The study also found that psychological aspects of care, in particular interpersonal communications were more important to the dying patient than the
In the case of Mr. J his daughter noticed a red, depressed area over Mr. J’s lower spine while the CNA was getting him out of bed. If the nurse and the CNA would have used nursing sensitive indicators they would have known prevention is the key and would have been turning the patient on a turn schedule. The CNA also would have been able to identify that the red area is the beginning of a pressure ulcer and known to report it to the nurse. Mr. J also had restraints in place and it is not noted if the nurse and CNA were following a restraint protocol and were checking the restraints properly. Another concern is the restraints Mr. J is wearing.
on TASK 1: Understanding Factors that Influence Communication In this task, I will be giving specific examples to health and social care, in the examples I will be explaining how this communication cycle may be used to communicate difficult, complex and sensitive issues in a one to one situation. Example 1 Imagine that you were a NHS doctor in a hospital. One of your patients has sadly died while giving birth in labour. The mother’s child also died 5 minutes after it was delivered by the nurses. You have been asked to inform the patient’s mother and there family what happened How do you communicate this information to the patient’s mother?
Health and social care M1 How these theories may be used to communicate difficult, complex and sensitive issues: It is important on how sensitive you are when speaking to someone and giving them news. For example a doctor has to think carefully to what he says for example if a doctor has to tell a patient that he has cancer spreading around his whole body and they have to operate him before it is too late it is really bad news so it has to be broken down gently to them so the communication cycle would be used. The doctor will start to think about what he is going to say to the client how he is going to say it. He will start by saying he has got some important news to tell him he will say this in a calm tone to relax the patient so
You sponge her in bed. You have checked the bed and room, but you are concerned because she appears confused and you feel she is in danger of falling when she tries to get out of bed. Her daughter and husband are in attendance. You have explained what tests will be carried out, when the doctor will be coming and explain about visiting hours. You ensure that they understand what you have just explained to them.
P2 – Describing the Stages of Communication Cycle Explaining how it might be used in a difficult, complex and sensitive situation. Communication Cycle Communication cycle is one of the theories of communication which deals with how two people interact in a given situation. For communication to be effective, it must consist of a “two-way” process, where each person tries to make sense of what the other is saying and give back an adequate feedback. Effective communication involves the process of examining the understanding of the exchanged words, while listening thoughtfully or actively. Communication is a fundamental part of all our lives.
This scenario shows that the doctor is caring about the patient and trying to comfort her as she has just found out some bad news. Adapted from health and social care book 1 “this communication cycle because when two people communicate they need to check that their ideas have been understood” pg
Marianne’s husband needs to know that once she undergoes surgery there is a good chance that they will need to have some lifestyle changes. As nurses, we should be able to provide the family with an objective view of the importance of each action as well as provide some emotional support that Marianne’s family need to deal with to their current situation. In the second case, with Nurse Jane having witnessed acts of negligence from her colleague, there may be things to consider that might make Nurse Jane’s decision. Examples of these may be fear from her coworkers, her sense of loyalty to her employer (the hospital), as well as her concern for the patient. Reference Gilliland, M. (2010).
My question was: Mrs. Thompson, I would like to know from your experience which is better for the patient and his/her family, hospice at home or in a hospital setting. Sometimes, there are many problems for the family to care for their love ones at this time due to emotional feelings and physical burden. What do you think is best? Mrs. Thompson answer: Philosophically and practically, the goal of hospice care is to stabilize the patient's condition in order to permit him to return home, where most people say they would prefer to die. There are several points to note, in this context: 1.