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Enhanced Communication Skills In Nursing

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This assignment will critique the enhanced communication skills between a registered nurse and service user. For the purpose of this assignment the service user will be referred to as Iris. Confidentiality will be maintained throughout, as stated by the nursing and midwifery council (Nursing and Midwifery Council [NMC], 2015). The physiological assessment being observed was blood pressure and will critique the communication skills, active listening, non-verbal, verbal communication and dignity. Verbal, non-verbal, visual and written communication are the four main types of communication (Boyd & Dare, 2014). During this observation Iris was having her blood pressure taken prior to commencing haemodialysis. Rapid removal of fluid increases the chance of hypotension during and towards the end of dialysis (Cormier, Magat, Hager & Lee, 2012). This is why it is important to monitor Blood pressure before, during and after haemodialysis. I observed Iris’s Blood Pressure being monitored prior to commencing haemodialysis.
Blood pressure (BP) as defined by Marieb and Hoehan (as cited in Peate & Wild, 2012) is the pressure that the blood puts on the blood vessel walls as the blood travels around the body controlled by the heart. The strength of the blood pushing on the blood vessel wall is the BP reading. According …show more content…

The nurse took Iris BP prior to being attached to the dialysis machine. The nurse made sure Iris was settled on the bed before attaching the BP cuff. However evidence suggests that a BP reading should be taken while the service user is in a seated position with their legs uncrossed and flat on the floor (Dougherty & Lister, 2015). The nurse obtained consent but continue to communicate to the patient during the BP reading therefore this encouraged Iris to communicate back best practice states that the service user should remain quiet during the BP for a more accurate reading (Dougherty & Lister,

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