Essay on Psych Nursing Communication

647 Words3 Pages
Journal Number Two:

An important primary goal of nursing is to facilitate the development of trust and to build upon a therapeutic relationship between the patient and members of the health care team. Demonstrating the skill(s) of effective communication is key. Assessment of a patient’s ability to communicate includes gathering information about the ‘contextual factors’ that influence communication itself. A context includes all the factors that influence the nature of communication and interpersonal relationships. This includes the patient’s internal factors and characteristics (psychophysiological) the nature of the relationship (relational) and the situation prompting communication (situational).
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Many altered health states and human responses can limit communication. Often, it can be an easy fix such as checking for hearing aids and or eye glasses; however, quite often, unfortunately it’s not this easy. As a result, a comprehensive review of the patient’s medical record helps provide relevant information about his/her ability to communicate. Throughout the health history and physical examinations, the health care team documents not only physical barriers to speech, but neurological deficits and pathophysiological conditions such as hearing and/or vision as well etc. For example, patients with aphasia after a stroke or late-stage Alzeimer’s disease often cannot understand or form words, nor can dementia patients often cannot make sense of what is being said. Other mental illnesses such as psychoses or depression can cause the patient to demonstrate ‘flight of idea’ where words do not keep up to rapidly changing thoughts, rambling of the same single word or phrase, loose association of ideas or even slowed speech pattern. Patients with severe anxiety sometimes are unable to perceive environmental stimulus or hear explanations and unresponsive or heavily sedated people cannot send or respond to vernal messages. Reviewing the patient’s medication record is also as important, as opiates, antidepressants, neuroleptics, hypnotics, or sedatives may cause a patient to slur words or use incomplete sentences. Finally, the nurse’s progress notes
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