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Group 3
Brandon
Ileana
Joelle
Lourdes
Priscilla
Communicating with a patient with a new colostomy (4)
therapeutic communication/Clarification(4)
Therapeutic communication is always the nurses goal
Effective techniques
Verbal communication
Closes questioning
Open ended questioning
Restating
Paraphrasing
Clarifying
Focusing
Reflecting
Stating observations
Offering information
Summarizing
Non-verbal communication
Active listening
Silence
Encouragement
Touch
Conveying acceptance
Clarification- stating back to the speaker important information that was understood by listener of what they just said, to make sure that the listeners understanding is correct and leaving no room for confusion.
False Reassurances
Response that blocks communication (Barrier)
Using falsely comforting phrases in an attempt to offer reassurance
- Examples: “It will be okay.” Don’t worry. Everything will be just fine.” or You’ll be fine.”
- Outcome: You promise something that will not occur or is unrealistic
Communicating with Hearing Impaired
❖ Impaired Hearing
-physiologic factor that impedes communication
-may lead to misinterpretation of messages and frustration for the sender and the receiver
Things to keep in mind
1. Get patient’s attention when entering the room before speaking
2. Make sure patient is wear hearing aids and/or glasses if they have them
3. Make sure patient can see your lips because many can lip read
4. Face the patient
5. If patient hears better from one ear make sure to stand near to that ear
6. Reduce noise such as TV or radio
7. Rephrase comments rather than repeating if patient cont. To have difficulty understanding
8. Speak at normal volume rather than shouting
9. Try lower your tone of your voice. They might have difficulty with high pitch sounds
and voices
10. Use sign language or provide a sign language interpreter if needed
False reassurance /
communicating with hearing impaired (4)
Personal Space:
Western cultures recognize four zones of personal space. From the face to about 18 inches away is the intimate space. The nature of many nursing interventions require you to enter the patients personal space. Bathing,dressing, in continent care are to name a few examples. Entering these spaces can cause uneasiness for both the nurse and patient. Sitting and talking with the patient is also examples of interaction in the personal space
Cultural Aspects to Communication:
Communicating in a culturally appropriate way means finding a way to communicate effectively that also respects and accepts cultural differences. Communication is a two-way process, so all parties need to work together to achieve culturally appropriate communication. Therapeutic communication is one of the most valuable tool that nurses have to use to build rapport and trust. ... It has been highlighted that nursing is an significant healing interpersonal process by using good communication skills the nurse can develop and maintain a helping nurse patient relationship
Personal space/Cultural aspects (4)
Communicating with a patient with a new colostomy
-you will inform and teach the patient how to be careful when pulling the pouching system regularly away from the skin and don’t remove it more than once a day unless there’s a problem..
-Use the right size pouch and skin barrier
-Change the pouching system regularly to avoid leaks and skin irritation
-Clean the skin around the stoma with water
Proper body mechanics for the nurse(8)
Proper body mechanics for the nurse
-Keep the lower portion of your back in its normal position at all time
-move as close to the patient bed as possible
-don’t twist your body
-set your feet into a comfortable and solid wide base of support when lifting in order to secure and ensure the patients safest transfer without any injuries for the patient and for yourself as well