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Chapter 4 Communications and Documentation (Communication Tools (silence,…
Chapter 4 Communications and Documentation
Therapeutic communication
Factors & Strategies to consider during communication
body language
clothing
age
culture
eye contact
facial expressions
education
gender
posture
voice tempo
volume
environment
ethnocentrism:
considering your own cultural values more important than those of others
cultural imposition:
forcing your values onto others
non verbal communication
body language
facial expressions
eye contact
verbal communication
ask open-ended questions
Communication Tools
silence
reflection
facilitation
clarification
explanation
summary
interpretation
confrontation
empathy
Golden Rules
make and keep eye contact always
provide your name and use the patients proper name
tell the patient the truth
use language the patient can understand
be careful what you say about the patient to others
be aware of your body language
hard of hearing patients make sure you face them so they can read your lips and learn small sign language
speak slowly, clearly and distinctly
allow patient time to answer/respond
Communicating with older patients
identify yourself
dont assume older patient is senile or confused
dont assume hostility, irritability and some confusion is normal behavior
approach them slowly
allow for plenty of time to respond to your questions
be patient
older patients
may not be fully aware of important changes in their body systems
you must be vigilant for objective changes
often do not feel much pain
allow for them to gather their items such as
glasses
dentures
hearing aids
Patient Care Report (PCR)
6 functions
continuity of care
legal documentation
administrative information
essential research record
evaluation and continuous quality improvement
education
info collected on PCR
initial assessment
patient demographics
chief complaint
level of consciousness or mental status
vital signs