NURSE-PATIENT INTERACTION

BY:ABIGAIL M. MADRIAGA,RN

Study question
Roy has come to the ER complaining of severe chest pain. He states, It feels as if an elephant is sitting on my chest. Im having trouble breathing. Its probably indigestion. You note that he is pale, diaphoretic (perspiring), and restless. His wife tells you that her husband has been feeling this way for the last 3 hours. 1. Which of the ff data are considered subjective and objective data? 2. Name some primary and secondary data stated in the situation. 3. Name some nursing diagnoses that are applicable in the situation above.

Additional info..

Aside from dependent, independent and interdependent nsg responsibilities, interventions can also be classified as to:

Dx= diagnostic (assess, check, monitor, ausculatate, percuss, palpate) Tx= therapeutic (perform, administer, elevateetc) Ed= educative(inform, teach, describe, educate, demonstrate, encourage)

EXAMPLES
MEDICATION ADMINISTRATION TSB BED BATH DIET OF THE PATIENT FOR X-RAY DEEP BREATHING EXERCISE VITAL SIGNS TAKING

Characteristics of a Helping Relationship

Is

an intellectual and emotional bound between nurse and the ct and is focused on the ct. Respects the ct as individual. Respects clients confidentiality. Focuses on the clients well being. Is based on mutual trust, respect and acceptance.

PHASES
1. Pre-interaction Phase
?

Nurse has anxious feelings. Identify topics to be discussed.

2. Introductory Phase
ORIENTATION/PRE-HELPING PHASE 3 PHASES

OPENING THE RELATIONSHIP

CLARIFYING THE PROBLEM STRUCTURING AND FORMULATING THE CONTRACT

CONTRACT
PURPOSE AND CONFIDENTIALITY

TASKS TO BE ACCOMPLISHED

LOCATION, FREQUENCY, LENGTH

DURATION AND INDICATION OF TERMINATION

3. Working Phase

1.

Major Stages: Exploring and understanding thoughts and feelings

Empathy, Respect, Gunuineness, Confrontation, Selfdisclosure

2.

Facilitating and taking action

4. Termination Phase

Nurse and Patient accepts feelings of loss

Communication Process
FEEDBACK
MESSAGE

SENDER

RECEIVER

FEEDBACK

Factors influencing the communication process

Ability of communication
Attitudes Perceptions Environment Territoriality

Time

Personal Space
1-1 ft
INTIMATE 12 ft or PUBLIC

1 -4ft

PERSONAL
4-12 ft SOCIAL

Developing Helping Relationships

Listen actively.
Help to identify what the person is feeling. Put yourself on others shoes. Be honest. Do not tell a person not to feel.

Do not tell a person what to feel.

Do not make excuses for the other person.

 Be genuine. Use your ingenuity. Be aware of the cultural differences that may

affect meaning and understanding. Maintain client confidentiality. Use communication techniques. Focus on info needed to formulate an individualized plan of care. Know your role and limitation.

Nursing is a caring profession. As a unique profession, it is practiced with an earnest concern for the amount of care and the science of health. The profession involves a humanistic blend of scientific knowledge and holistic nursing practice.

PRACTICE NURSING WITH GREAT COMPASSION AND CARE. THAT IS THE TRADEMARK OF OUR NOBLE PROFESSION.