Nursing Miscommunication Case Studies
Some people may be unable to answer questions in general because they may not know the answer as specifically as doctors would. Most patients’ knowledge of diseases is limited in itself to what they observe and experience. Thus, it is more general since the majority of the time they are not themselves physicians. In other situations, patients may become irritated when asked these questions because they expect the doctor’s to know and determine the answers because it is their job to treat them. After all, the doctors are the ones who went to medical school.
What they often forget is that their patients may not have the same level of education as they do and that they may not be able to comprehend the information. Low health literacy can hinder the patient's decision making when it comes to understanding their health status and recognizing the health risks associated with medical procedures. Most medical facilities expect patients to understand the risks and benefits that happen to their health when they want treatments/experiments to be performed on them. Before they receive treatments from doctors, the patient is first given an informed consent. It is standard procedure for the patients to sign an informed consent while being supervised by a medical employee.
The author is also a professor at Emory University School of Medicine which adds to the credibility of the information. The data from this source supports the
Leila Sara Khan, Unit 1 Task 1 Criteria 1.1 Communication methods relevant to health and social care. One to one A one to one is a verbal communication that can be used in many environments such as, a school, nursing homes, CAMS and nursery’s.
A moral dilemma that arises in a doctor-patient relationship is whether or not the doctor should always tell their patient the truth about their health. Although withholding information was a common practice in the past, in today’s world, patient autonomy is more important than paternalism. Many still are asking if it is ever morally permissible for a doctor to lie to a patient, though. David C. Thomasma writes that truth-telling is important as a right, a utility, and a kindness, but other values may be more important in certain instances. The truth is a right because respect for the person demands it.
Because of these characteristics, many patients avoid asking not even minimal questions, they will not express any disagreement or express concern, and they will not communicate intentions that are not in agreement with the physician's recommendations or instructions. If the patient is not in agreement with the doctor or if the patient does not understand, they just listen, and they respond yes to everything, but they will not come back to complete treatment or for further evaluation or to follow up with any treatment (EthnoMed, n.d.). Space orientation There is no private space in public and at home, it is very limited. Cities in Vietnam are crowded, streets are very busy venues and people appear less polite because they are not seen as individuals.
Patients were followed for 7 to 10 days. RESULTS: In the study there were 46 males [24 in Group 1 and 22 in Group 2] and 14 Females [6 in Group 1 and 8 in Group 2]. The mean age of Group 1 was 43.20 ± 13.8 and mean age of group 2 was 40.27 ± 17.7. There was no significant difference in the sex and mean age between two groups.
According to PAULA GRALING who is a DNP, RN, CNOR, FAAN CLINICAL NURSE SPECIALIST, DEPARTMENT OF SURGERY, INOVA FAIRFAX MEDICAL CAMPUS ,FALLS CHURCH, VA; “Nurses become the champion of change should work with your doctor to develop an atmosphere of mutual respect and stroke and other medical colleagues. We need to get used to using the vocabulary and evaluation tool that is used to measure the quality of the communication. Nurses, thoughtful, in the case of stakeholders for collaboration and interdisciplinary teamwork can we create and maintain with our environment and safety culture.”
Each patient represents a specific case who has different background, personality, preference and conditions. Thus, it is important for practitioner to learn from each patient and document it for future reference. Scene
The patient may not be able to communicate whether he has a problem, so it is highly recommended that they be taken care. Their inability to say what may be wrong with him or her may be taken as there being no problem or just that there is no drive in the person to do anything. The patient needs to be engaged in the treatment in order to feel that the treatment is working and to avoid discouragement in continuing the treatment and being able to change their life
Individuals with Lack of Self confidence to interact with the doctor, individuals who are disempowered in the society are some of the widely effected victims. Inadequate staff facilities, low levels of motivation and lack of medical training restricts the doctors and care givers from building an effective and efficient relationship with the patients, refraining them from dealing with patients expression of values, ideas and feelings, which restricts them within the understanding of only the patients
The patient is a moderately built white Caucasian female, well-groomed with a steady gait. The patient has fair eye contact; language: intact. Speech is regular rate and rhythm, Thought process: logical and goal-directed; Association is intact but tangential and circumstantial. She is alert and oriented to time, place, person and situation; concentration is intact, recent, remote memory and fund of knowledge is intact and average; mood and affect: anxious, worries about her children and continued relapse on alcohol. She denies suicidal or homicidal ideations; no psychosis, Insight is poor, verbalizes understanding of mental health status, and necessity of treatment, judgment is poor, agreed to comply with treatment.
According to Patterson & Krouse (2015), It is important to transfer the message in a good way, for that the communication skills is one of the most important basic skills of nursing leadership. More than that, communication in nursing can make their job efficiently and help them to communicate with a wide range of people, including the patient, patient 's family, and healthcare providers. However, unlike bad communication, which increases nursing staff problem and can lead to worsening the patient health condition, a good communication saves time and reduces the problem of nursing staff in resaving and deliver the right information. Furthermore, communication is not only talking with the patient it’s also listening to what the patient 's family and healthcare providers are saying to collect more information that helps the nurses to save lives. In this paper, I will reflect my communication that goes well with one patient.
A short history In a study done by Dr.
I was working a day shift and there was about 10 minutes left of my day shift and I received a transfer from another floor on a patient that wasn't stable. no report was given prior to the transfer. In addition to not having a report or nursing notes given from the nurse who was caring for the patient prior, the patient was transferred last minute in an unorganized matter and left carelessly in his assigned room. The only piece of information that I received on the patient's status was that he was on a 100% rebreather mask, which had me already presuming that this patient had some kind of respiratory distress if he needed a 100% rebreather mask.
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