Wednesday, May 6, 2020
Patient Centred Care for Raymond-Free-Samples for Students
Question: Discuss how nurses use professional communication skills to develop a therapeutic relationship with patients. Answer: Introduction: Professional communication is the effective exchange of information as well as thoughts and feelings among two or more individuals involved in a conversation. Professional communication in the clinical setting has the capability to develop therapeutic relationships between nurses and patients that in turn have positive impacts of patients. Nurses communicating with patients in calm, compassionate and empathetic manner have the capacity to develop trust in the patient that helps them to comply with the interventions. Patient centred care is one of the most modern approaches that provide high quality care to patients and maintain their dignity and autonomy successfully. It helps professionals to ensure patient satisfaction and provide culturally safe care. The assignment would be explaining how these attributes provide ensure high quality care through a case study based on patient named Raymond. Patient centred care for Raymond: The main goal of the patient centred care is to develop care approach to treat patients in a way by which they are kept that the centre of decision making in their own treatment procedures. This approach encourages patients to become active participants in their own care and tries to understand the perspective of the patient to develop proper care interventions that they can align with. This approach respects the autonomy and dignity of the patient. It also respects the uniqueness of the patients and believes that every unique aspects of their life history influence their healthcare experiences (Levett-Jones et al., 2014). The nursing professional who would be treating Raymond should respect the culture of the patient and should try to provide emotional as well as emotional comfort to the patient. Values and personal believes of Raymond should be cared by the professionals. The professional would also guide the patient about the ways that he should follow to develop to protect his he alth and to prevent occurrence of the disorders 9Liberati et al., 2015). It is seen that the patient has developed chesty cough and therefore the professional would provide him solutions like taking proper medication at the right time, staying hydrated, trying lozenges and hot drinks, taking steamy showers and suing humidifier, removing irritants from the air in his house and similar others. The professionals should take care that the interventions are such that the patients can comfortably align with them. Moreover, Raymond should be compassionately made to understood that her smoking behaviour is raising his blood pressure. The patient should be educated that smoking increases heart rate, also narrows the arteries, and thereby hardens the walls making blood to clot. This would help Raymond feel that the professional genuinely want to care for him and therefore details to him the health risk factors. This would help Raymond to comply with the care as he would feel respected and gen uinely cared by the professionals. Effective communication with the patient: In order to develop therapeutic relationship with the patient named Raymond, it becomes extremely important for the nursing professionals to engage in effective communication. Researchers are of the opinion that culturally competent communication skills both in verbal and non-verbal modes have huge contribution in development of rapport with the patient. Better the rapport is built, the patient would feel more comfortable with the professionals and would develop trust on them (Hall, 2016). While communicating, it should be kept in mind that Raymond is from a Vietnamese background and is a strong follower of his cultural traditions. This could be assessed by the shrine he has set up in his residence, as he is Buddhist by faith. The professional should take care that he or she knows the non-verbal skills of communication followed by the Vietnamese people. For example, the Vietnamese people do not prefer eye contact where they believe that it is a rude behaviour whereas the westerners b elieve that individuals who do not maintain eye contact may be dishonest, unconfident, or unreliable. The professionals should keep this in mind. Moreover, Vietnamese people prefer addressing others with Mrs., Mr. And similar others whereas the westerners do not mind being called by name after rapport is built. So the professional should never summon Raymond by his first name. Moreover they frown when they are angry, worried or frustrated and this clue can be used by nurses to understand whether Raymond is liking the conversation or not. The healthcare professional should also avoid any form of hug with them on any contact as they like hugging people who are only their relatives. The professionals should shake hands and bow a little to show a respectful gesture 9OHagan et al., 2014). Thse are liked by Vietnamese people. Pointing to people while talking is also disrespected by them. Therefore, while the professionals would be communicating with Raymond, such non-verbal cues should be maintained. Documentation: While interacting with the patient, different information is fathered that professionals should document in details. Documentation can be described as any written as well as electronically generated legal record of all the significant interactions that the professionals have with the client. This describes the care as well as the services that are provided to the person. Detailed documentation has become one of the most important attribute in professional nursing as it helps to prevent any kinds of errors in treatment of the patient and ensures that no legal obligation arises. Sophisticated management information systems also called MIS are helpful for facilitating person centred care, support decision analysis; serve as legal records, help in clinical research and many others (Hill, Hall glew, 2017). Nursing professionals should follow the ISBAR format to help the patient named Reynold to provide most efficient, effective as well as cost effective quality care to him. This document ation would help the professional who would be attending to Reynold in the next appointment so that he gets all the important information about the patient in details. Conclusion: Reynold has come to clinic for developing his lifestyle to live better quality life. The professional who would be attending the client should engage him in a person centred care and communicate with him in ways by which his cultural traditions, preferences and inhibitions are respected. Moreover, all the information should be documented properly so that he may get proper high quality safe care not only in the first meeting but also in the following appointments. References: Hall, H. H. R. T. C. (2016). Fundamentals of Nursing and Midwifery. : Wolters Kluwer Health Hill, R., Hall, H., Glew, P. J. (2017).Fundamentals of Nursing and Midwifery: A Person-Centred Approach to Care. Levett-Jones, T., Gilligan, C., Outram, S., Horton, G. (2014). Key attributes of patient safecommunication.Critical Conversations for Patient Safety: an Essential Guide for Health Professionals. Pearson, Sydney. Liberati, E. G., Gorli, M., Moja, L., Galuppo, L., Ripamonti, S., Scaratti, G. (2015). Exploring the practice of patient centered care: The role of ethnography and reflexivity.Social Science Medicine,133, 45-52. O'hagan, S., Manias, E., Elder, C., Pill, J., Woodward?Kron, R., McNamara, T., ... McColl, G. (2014). What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients.Journal of advanced nursing,70(6), 1344-1355.
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