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
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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,
The interview was conducted with a registered nurse with more than 10 years’ experience. Her current role is working in the Medical Assessment and Planning Unit, in particular, the palliative care area. On a regular basis, her role involves providing safe and quality care to her patients, and more specifically end of life care. In doing so, two predominant skills of communication
This essay is set to explore the importance of developing effective communication skills in nursing. It will give a short overview on what communication is and what it involves. Then it will explain the importance of effective communication in nursing. Furthermore, the essay will briefly present some challenges surrounding communication in nursing and suggestions on how they can be addressed before it concludes by summarising the needs for nursing students to develop effective communication skills.
Blood pressure is a measure of the force of blood that is against the arterial walls.
In this assignment, I am going to review four cases, which will require a number of different communication skills focusing primarily on; developing a therapeutic relationship, communicating assertively, communicating effectively with an individual with a disability/impairment and communicating with individuals from another culture. I will discuss building a therapeutic relationship and effective communication with each patient.
As a paramedic, midwife, nurse or other medical professional, it is one's responsibility to gain a full scope of understanding as to the patient's immediate medical condition. Essential to this process is checking the individual's vital signs for indicators of stability, trauma, chronic conditions or signs of imminent concerns. Because factors as important as diagnosis and course of treatment may be shaped by this information, recording vital signs is time sensitive, calls for accuracy and should be accompanied by communicative bedside manner where appropriate. This latter factor is especially important in making connections between occurrences in a patient's vital signs and feelings or experiences that the patient can describe. In the course of this term's applied lessons, I gained a great deal of experience checking temperature and blood pressure in patients. The discussion here measures my own experiences against the existing standards and procedures in practice today.
This essay will highlight one of the key concepts of nursing .The concept that will be discussed in this essay will be communication, the reason for this chosen concept is that communication plays a vital role in everyday occurrences which defines how a situation is perceived by yourself, others and how communication is effectively handled . There will be a definition on what communication is also an evaluation of the chosen concept will be explored throughout this essay.
This essay discusses the benefits of the interpersonal communication skills of questioning, listening and feedback within nursing practice, and details the benefits of these skills in establishing and maintaining the therapeutic relationship between nurses and patients within the various healthcare settings. The patients’ perceptions relating to the quality of the healthcare they received within healthcare settings are determined by the quality of their communication with their healthcare team, specifically with nurses who likely to be the health professional dealing with the patient regularly. Communicating effectively with patients contributes significantly to role in nursing care, and if practice correctly can attain a great patient and nurse communication relationship. Questioning patients is an effective tool in identifying relevant information regarding the patients’ health and wellbeing. To effectively implement the skill of questioning requires a trusting therapeutic relationship. Listening to the patient demonstrates that the nurse is genuinely interested and respects what the patient is saying. Feedback from patients is an invaluable tool in implementing quality improvements and ensuring that patients are receiving the best quality care possible and in term contributes to the overall patient satisfaction. Additionally, feedback can benefit the professional development aspect of the nurse’s role, and provides nurses with the opportunity to reflect on their
Blood pressure is a measure of the pressure exerted by the blood against artery walls. Blood varies with heartbeat strength, age, blood volume, health and fitness. Blood pressure is measured as two numbers, e.g. 120/80 these numbers represent systolic and diastolic the big number is systolic which the blood pressure is during a heartbeat and the smaller number is diastolic which the blood pressure in-between heartbeats is. The numbers show pressure reading in mm of mercury.
As stated by the Australian Health Practitioner Regulation Agency (AHPRA, 2014), when using social media, health practitioners should be aware that National codes of ethics and professional conduct apply. The British journal of Nursing (Farrelly, 2014) articulates that as a student nurse and future health professional, I have a responsibility to understand social media and confidentiality in the health care context. To become a successful nurse I will need to build trusting relationships with my patients, which will involve them being confident that their personal information will be protected by myself as a nurse. To achieve this it is essential that I adjust the ways I use social media and become more cautious of what I am posting online. For example, as a student and future RN, it is crucial that I do not discuss patients or post pictures, case studies or sensitive material which may enable patients to be identified. The misuse of social media may also have a negative effect on team-based patient care, for example if it is used as a tool to “cyber bully”
When the blood pressure of a patient is taken, it is common practice to measure it with the patient sitting in the up-right position with the arm resting on the arm of a chair and feet flat on the floor. The reference point for the measurement of BP is the right atrium, the so-called ‘heart level’ (Guyton, 1986). Though, the guidelines of the World Health Organistation/International Society of Hypertension (WHO/ISH) recommend that the BP be measured with the patient comfortably seated with the arms supported at heart level (1993). It has been proposed that BP should be measured in the sitting, standing, and the supine position (Netea 2003). It is suggested that the BP measurement from the sitting and supine position will produce similar results if the extremity is at the level of the heart. Because the upper extremities are easily accessible by medical professionals, they are utilized more-so than the lower extremities. In order to obtain an approximant heart level in the sitting or standing position, resources suggest that we use the level of the midsternum as a point of reference when taking blood pressure measurements (Netea 2003). For the supine position, resources suggest that the heart level lies approximately half the distance between the surface in which the patient is lying on and the top of the sternum (Netea 2003).
(Marieb and Hoehn, 2010, p 703) defined Blood Pressure (BP) as ‘the force per unit area exerted on a vessel wall by the contained blood, and is expressed in millimetres of mercury (mm Hg)’. BP is still one of the essential and widely used assessment tools in healthcare settings. Nurses generally record the arterial BP which is the forced exerted blood that flows through the arteries, to establish a baseline and to determine any risk factors. BP
This situation is just a good example of poor communication and lack of patient knowledge. The nurse received report from the off going nurse and was not told a code status of the patient. She then did not attempt to learn of the patient’s code status after receiving report, going about her daily tasks and med passes. Since she was uneducated about the patient’s status, she was unable to be a proper patient advocate and inform the code team that this patient did not want life saving measures
D-The patient was placed on HOLD and this writer cleared the HOLD. This writer addressed with the patient about her recent AWOL, referring to yesterday. According to the patient, she missed her medcab and did not have any other form of transportation. The patient was in tears as she also reported that she used crack cocaine (smoking) from 8/1/2016-08/4/2016. When asked as to how much she used, she says, " I spent $300 worth......I was doing so good, so good. I didn't want to use. It's too much." This writer asked the patient to what happen recently because during the last individual counseling session, the patient was clean from illicit drugs for a week and 3 days. According to the patient, her son had turned against and lied to her sister
Discussing potential risk issues associated with using automated blood pressure/pulse machine in relation to contemporary practice.
Abstract: This report explores communication techniques that is used between nurses and their patients. It highlights the significance of effective communication in nursing care. This report is based on a video showing two different scenarios of how a nurse and her patient are communicating amongst one another. It breaks down both scenarios and discusses how communication is essential to nursing. The report explores and concludes that showing compassion and empathy as a nurse really supports and reassures patients as appose to being unempathetic and not providing patients with support, can make situations difficult.