Non-Therapeutic Communication
Quote: “You need to fix yourself up. You remind me of my dogs when they come in out of the rain.” (page 189, Baier)
Background: Sue is in a wheelchair having a hard day and aware of her current greasy and unkept appearance. Dr. Birmingham approaches her and studies her unhygienic condition and verbally degrades her.
Technique: Patronizing
Rationale: Dr. Birmingham’s comment to the patient is inappropriate and talking down to the patient stating she looks like a wet dog. If the patient was able to communicate she would have addressed his unprofessional comment and stated she still depends on the health care staff to tend to her personal hygiene needs.
Social Communication
Quote: “It’s cold out tonight.It gets cold in here when the temperature goes down…There those will keep your feet warm… There have a good night’s sleep and I’ll see you in the morning.” (p. 116-117, Baier)
Background: Off duty Charles stopped at the hospital to make sure Sue was being tended to. Charles used his own personal time to come to the hospital to put socks and a blanket on Sue to make sure she would not get cold during the night.
Effect: Positive
Rationale: Sue was baffled that Charles would leave a personal event to tend to her needs. This over the top care by Charles makes Sue feel personally connect to Charles. Sue stated, “My heart filled with smiles. What a kind man.” (p.117) Social Communication
Quote: “I’m really concerned. I’ve never
At Care Springs, SSA visited with Kathy. Also present was Judy Baldwin and Kathy’s Aunt Jane. Jane is also a patient of Care Springs and is Kathy’s assigned roommate. We discussed that Kathy is doing well. Kathy shares details of her fall which resulted in her injury; sharing while walking up the ramp to her apartment she made a sudden stop and turned to greet the Maintenance Man for the complex, lost her footing because of the sudden stop and fell. She shares that the pain level of the injury is for the most part tolerable, while Judy shares that Kathy is currently on a routine dosage of pain medication for the injury. Judy explains the pain medication has been prescribed routinely because Kathy wasn’t requesting the medication when it was
Philly should have knocked on the door, before entering into patient`s room. She should have then greeted and introduced herself and the student nurse to Rudd. She should have then started the conversation by addressing him by his name. She should have also enquired about his pain. Philly should have finished her shift assessment and should have assured him that she will come back with the morning medications and then left the room. The behavior was very unprofessional.
The resident was uncivil by calling the patient a “She-Male.” It is possible for the patient to delay seeking testing and treatment due to insensitivity among health care professionals.
Dr. Amir repeatedly tried to show more authority and sometimes disrespectful to the workers in front of patients such as:
Also the nurse was spot on when she enquired to know how the patient would like to be addressed. After the patient indicated clearly that he would like to be addressed by his surname the nurse proceeds to respond “alright darling”. The use of the pet name “darling” against the patient’s wish placed the nurse in a position where she run the risk of making the patient feel infantile and did not respect Mr Jones individuality as prescribed in the Standards of conduct, performance and ethics for nurses and midwives (IBID).
“Let no one say communication is a cantword. They had to lift her hand from the bedside telephone.”
And the fact he deemed it unnecessary to speak to the patient is a huge violation of the doctrine of consent and portrayed him to be an insufficient health leader by not following the guidelines put forth in all hospitals to abide by to ensure it’s best to the patients. His incompliant ways can affect the future of the hospital putting in jeopardy many jobs and lives.
Sue spends the greatest amount of time with the nurse and discussing her diabetes and acknowledges that the nurse is the face of the MDT. She has always seen the same nurse so it is easy for her to discuss her diabetes with him and for that reason the nurse and she have a good rapport.
When Willie was growing up and he found the calf that he raised by himself butchered in the barn, he did not talk to anyone for three or four days because he was so shocked and filled with anger (Cameron, 2010, p. 16). Not only did some people think that Willie was a strange individual, but one woman, Karen Kaufman, had some negative experiences with him and has seen his “vicious side” (Cameron, 2010, p. 51). Although Pickton could remain controlled most of the time, he was annoyed by his brother's and brother's girlfriend's invasion of his privacy (Cameron, 2010, p. 51). When he saw his brother and his brother's girlfriend enter his room he exclaimed “if she ever comes into this room again, I will kill her” (Cameron, 2010, p. 48). Evidently,
The patient has a status post right great toe amputation and has sores on his buttocks and left residual limb. The patient 's daughter believes the sores are caused by poor hygiene, nutrition, and poisoning. Sean reports that he bathes and changes his clothes twice a week, and stays in his wheelchair all day, even sleeping in it on occasion. Following series of hospitalizations due to Sean not taking care of himself, he now lives in a nursing home.
The ‘A’ accounts for the healthcare providers’ attitude towards the patient. In applying this concept, I would seek to ensure that I do not judge the patient for their appearance or circumstance but rather treat the case as it presents itself and to the best of my medical ability (Chochinov, 2007:185).
It was precisely 0500 and I could hear the cadres yelling from outside the tent. I frantically jumped out of bed and but my combat boots on. This was just the start of Basic Expeditionary Airman Skills Training Week (B.E.A.S.T. week) in week five of Basic Military Training for the United States Air Force. B.E.A.S.T week is a deployment simulation during our basic military training course.
There are several controversies surrounding capital punishment. Some people are in favor of the death penalty and some people are against it. Capital punishment is the death penalty for a crime. It is not right to seek revenge on another person’s life, and we have the right to live. There should be justice for the crime but not take the life of the person that committed the crime. Many people are not aware of how wrong, painful, and costly an execution is, and above all, it is possible to kill innocent people.
The five following questions are a great way to discuss today’s communication in the health care field; this paper will give a better explanation on what therapeutic communications are, cultural blindness as well as cultural competence, and identifying cultural backgrounds. Working in the health care field we use these very few things every day without even realizing it. It is important that health care professionals have a clear understanding about these concepts to provide the proper care to patients.
Therapeutic Communication has a huge impact on patients, whether, we, as nurses, see it or not. It is very important for a nurse to gain a patient’s trust. Many patients are already filled with sadness, nervousness and unsure thoughts of their current situation. Such thoughts may make a person scared to trust or open up to a nurse or doctor. Developing a close rapport with a patient can help to create a safe, warming environment, resulting in a positive experience throughout their time in the hospital or even nursing home. In “Therapeutic Communication”, Anna Lauria opens saying, “What we say or do not say can influence whether a client is able to quiet his mind, relax his body and initiate a healing response” (Lauria). Being a nurse, we automatically have the opportunity to create a strong influence on patients’ lives during, and even after, their hospital experience.