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Chamberlain University NR 226 Fundamentals of Patient Care - Reflective Communication

 

Reflection: Communication

Healing verbal exchange with my affected person was an achievement in that, at the start, he did not need me to evaluate him because he felt that I was a pupil. However, I asked him if he would love to understand blood strain and that I could pay attention to his lung and bowel sounds and words so that they are clear as a result of the fact he is being handled with constipation and breathing hassle. I furthermore informed him that I am an expert as a scholar nurse.

Effective Communication in Patient Assessment

The conversation was restored as a result of the fact that I used it to get his consent and belief. It was once nontherapeutic communication as quickly as I counselled him that I was a pupil and that I was going to check and do his fitness assessment. I should have attempted in the first place to take advantage of his self-belief by pronouncing that I am a pupil nurse assigned to him to do his checkup. At some diploma in the assessment, I noticed that he was once as soon as not attentive, so I spoke up a bit loud and short and smooth (Torres et al., 2017).

Improving Patient Communication Skills

Now and then, I might use some nonverbal sign to speak, including elevating my arms at the same time as he did not recognize me. There are techniques to enhance my technique for my affected man or woman if I can assess him all over again. I might first introduce myself as an educated pupil nurse assigned to test him. Before I begin any bodily evaluation, I might ask him about health and treatment. I might ask him if he is feeling any pain. I might build up the desired self-trust first. I may also exercise extra listening and assess the patient equally to order time.

Reflection: Safety

The priority nursing evaluation was lower cardiac output related to elevated peripheral vascular resistance secondary to excessive blood strain, as evidenced by blood stress of 140/100 mmHg, and the affected person complained of blurred vision and headache. The safety hassle for the affected person may be the threat of falls. A good way to reduce the danger is to take his remedy, even before going to bed.

Nursing Considerations for Patient Safety

Owing to the reality, the drugs can cause drowsiness. He does not feel pressure when his blood stress is above ordinary and while taking remedies. The second one is a nursing evaluation with an impaired bowel movement related to constipation as evident via the use of everyday bowel motion and pain on defection; the protection scenario is at the same time as an affected individual now not having had a bowel motion for three days. To lessen the hazard, he needs to call the nurse or 911 whilst there may be no bowel movement after 3 days. For the duration of the evaluation, the nurse has to auscultate bowel sounds continuously and, without delay, name the medical scientific health practitioner if there may be no bowel sounds.

Nutritional Imbalance and Precautions

As regards the state of affairs of imbalance nutritional as evidenced through the use of weight benefits that leads him to turn out to be overweight, to reduce the hazard, he ought to be careful of turning obese as it can result in a cardiovascular hassle (Balderrama, 2018). So, he strongly wishes to undergo the care layout. For the motive that has urinary incontinence and has a folly catheter, and he is dealt with for a respiratory sickness, he needs to be on precaution touch. All sundry moving into

his room ought to be positioned on a gown and glove, and before leaving the room, they should wash their arms.

References

Balderrama, D. R. M. (2018). Knowledge deficit. cinahl nursing guide. Retrieved from

https://chamberlainuniversity.idm.oclc.org/login?

url=https://are trying to find.ebscohost.com/login.aspx?

direct=real&db=nup&AN=T904694&internet internet site on line=eds-live&scope=internet website online

Torres, G. M. C., Figueiredo, I. D. T., Cândido, J. A. B., Pinto, A. G. A., Morais, A. P. P.,

Araújo, M. F. M., & Almeida, M. I. de. (2017). restoration conversation inside the

The interplay amongst health workers and hypertensive patients within the circle of relatives fitness

method. Revista Gaucha De Enfermagem, 38(four), e2016–e2066. https://doi

org.chamberlainuniversity.idm.oclc.org/10.1590/1983-1447.2017.04.2016-0066

 

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