Effective And Effective Communication

This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role

Communicate is essential in health and social care settings because without a good communication to patients, families, colleagues and management is very difficult to deliver good service of care.

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

Communication is primarily an exchange of information, ideas, or thoughts. This paper will focus on the process of verbal and nonverbal communication as well as the components of each. It outline the formal and informal channels of criminal channels. This paper will also list the different barriers to effective communication within a criminal justice organization. Finally it will cover strategies that can be implemented to overcome communication barriers within criminal justice organizations.

The purpose of this paper is to examine communication strategies related to palliative and end-of-life care with a focus on Aboriginal clients. Firstly, I will explain the role of cultural competence in the nursing care of an Aboriginal client. Secondly, I will argue the cultural challenges a nurse may face when caring and communicating with Aboriginal clients receiving palliative end-of-life care. Thirdly, I will present solutions to the aforementioned communicative challenges. Lastly, I will discuss the impact I believe this experience may have on my future practice.

Nurses: Assist the patients and families to cope with the end-of-life process such as assessing and

Communication is a two way process and is the basis of all relationships irrelevant of the nature of communication. There is an array of reasons why people communicate such as to develop relationships or to share information with one another. People communicate in order to reach out to one another and express feelings, emotions and their opinions. These different reasons stated, amongst others, are important in the work setting and no more so than as a practitioner working with vulnerable young

Many patients and families in this situation have understood that all treatment options have been exhausted, and the focus then shifts to a peaceful, respectable, and comfortable dying process for the patient. The healthcare team desires what is best for the patient. As members of the health care team, nurses may often find themselves in situations where establishing patient wishes and preparing for end-of-life care decisions falls on them. According to evidence-based guidelines for initiating end-of-life care planning “discussions should be driven by the philosophy of hope for the best, prepare for the worst.”

Nurses are the hospice team members who spend a lot of time with dying patients and their families. “The World Health Organization has characterized the need for expert, palliative and end-of-life care as a top priority for global health care. The specialty of hospice and palliative care nursing embraced a humanistic caring and holistic approach to patient care.” (Wu, Vilker, 2011).

To understand some of the differences and issues specially related communications among nurses and caregivers providing palliative care and end of life care to aboriginal patients who has been diagnosed with terminal illness.

Nurses and other health care member rendered the five (5) interventions mentioned in this theory to our dying client. Through assessments, nurses made sure that our client is free of any discomfort, such as pain, hunger, thirst, or even at least give her a quiet time. As a student nurse, I assessed the client if she is in any discomfort and do not insist if she do not want to eat. My preceptor, give her narcotics when observed to have discomfort. As explained by this theory that client should be keep an eye on any pain and give relief to any of it, rendering not only medical treatment but also non-medical treatment, such as bathing, feeding, as well as comfort measures (Allingwood, 2014 p.706). Furthermore, nurses always update the significant others of the resident everyday, as it is also defined maintaining dignity and respect not only to resident alone but also to family members (Allingwood, 2014 p.706). In addition, according to Gallagher & Krawczyk (2013) that over a half of the their respondents said that communication between the family members and health care members should be preserve on a dying client to attain the needs of both client and significant others.

However, often the nurse will find herself dealing with difficult family dynamics with family members having differing expectations of the type of care that the patient should be receiving, staff conflict over treatment methods or strategies and high workloads. These issues can only compound the stresses on the Palliative Care Nurse and to cope

Communication between the patient, family, clinicians, and nurses is important in inquiring the needs and wants of the patient and family. Noome et al. (2016) recognized that ICU nurses described their role during end-of-life care as a professional who communicates information to patients and family on treatments, procedures, and prognosis while providing comfort. Effective communication about advanced directives and disputes over end-of-life care decisions may lead to acceptable compromise and solution between all parties involved (Blackler, 2016). Clear communication and understanding is needed in order to provide high quality care.

Nurses have been at the bedside of the dying since the beginning of the profession. At any given time a nurse may face someone in the last stages of life, whether they are newly diagnosed with a terminal illness, currently fighting a terminal illness, in a traumatic accident, etc. Since end of life care has been a controversial issue, many laws have been enacted to protect health care professionals and to respect the wishes of the patient. End-of-life choices are a quality of life issue. Nurses, individually and collectively, have an obligation to provide comprehensive and compassionate end-of-life care, including the promotion of comfort, relief of pain, and support for patients, families, and their surrogates when a decision has been made

Within nursing, there is a very delicate balance between a nurse and her patient that must be maintained if the patient is to receive the care that he or she is entitled to receive. The patient must feel comfortable trusting his nurse to hear his needs and respond to them appropriately and in order for this to be the case, the nurse must first provide therapeutic communication effective enough to elicit such a response in her patient. There are both verbal and non-verbal components within the nurse-patient relationship. These components greatly influence how a nurse and patient will relate to each other and, ultimately, greatly influence the care that the patient receives.