NSB103 Health Assessment Lecture PDF

NSB103 Health Assessment Lecture: Professional Communication and Health Assessment Special Acknowledgements to Dr Pauline Gillan Dr Helen Donovan ACKNOWLEDGEMENT OF TRADITIONAL OWNERS QUT acknowledges the Turrbal and Yugara, as the First Nations owners of the lands where QUT now stan...

NSB103 Health Assessment Lecture: Professional Communication and Health Assessment Special Acknowledgements to Dr Pauline Gillan Dr Helen Donovan ACKNOWLEDGEMENT OF TRADITIONAL OWNERS QUT acknowledges the Turrbal and Yugara, as the First Nations owners of the lands where QUT now stands. We pay respect to their Elders, lores, customs and creation spirits. We recognise that these lands have always been places of teaching, research and learning. QUT acknowledges the important role Aboriginal and Torres Strait Islander people play within the QUT community. Learning objectives Understand how to practice safe professional communication Understand the process of developing a caring relationship with patients and their families. Safely and effectively take a patient’s health history using health assessment interviewing techniques (Joining, working, termination stages). Understand how to legally and professionally document a holistic health assessment https://www.freepik.es/vector-premium/gente-sentada- en-la-computadora-portatil-grande_1253706.htm Communication (O’Toole 2020)  Effective communication Effective communication is vital to ensure that nursing care provided to an individual meets their needs and wishes. It is not just about sharing information but should also encourage the person to talk freely about their concerns without fear or judgment. Communication is essential for quality healthcare and an individual’s safety and is a key component of the Australian Charter of Healthcare Rights Resources for the Australian Charter of Healthcare Rights | Australian Commission on Safety and Quality in Health Care  Professional Communication Communication that promotes the best possible health care; that is person-centred. Within the the nursing codes of conduct and ethics, Nursing standards for practice, and professional policies. Courtesy and use of names (introduce self and role) Privacy and Confidentiality Trustworthiness Respect (Stien-Parbury 2021) http://slideplayer.com/slide/8040095/ Hello my name is... “Hello my name is…” is a simple phrase that should be used at the start of a healthcare relationship. It recognises, above all, that healthcare is an interaction and relationship between two human beings. Hello my name is (nsw.gov.au)  Therapeutic communication Therapeutic communication occurs when a nurse uses verbal and non-verbal communication techniques in a goal-directed way, ensuring the healthcare needs of patients remain the central focus. Therapeutic communication is built on Trust Authenticity Empathy and Self-awareness| https://rcni.com/keywords/nurse-patient-relationship Nurses who communicate therapeutically listen to understand, establish appropriate professional boundaries, maintain a non-judgemental stance and are ‘fully present’ with the patient. Therapeutic Communication Techniques Active listening Sharing Humour observations Sharing Clarifying Facilitative feelings communication interventions: Paraphrasing Using touch Stein-Parbury (2021), p. 294-296 Asking relevant http://what-when-how.com/nursing/therapeutic-communication-skills-client-care-nursing-part-1 Using silence questions Therapeutic Communication Techniques Providing information Persuading/Encouraging Focusing Instructing Authoritative Summarising communication interventions Advising Self-disclosure Stein-Parbury (2021), p. 294-296 http://what-when-how.com/nursing/therapeutic-communication-skills-client-care-nursing-part-1 Suggesting Confronting  Building Rapport in a Caring Relationship The nurse should: Introduce themselves Explain who they are, their role in the organisation and the purpose of the interaction Explain to the person that their needs are central to the relationship. Always enable informed choice Gain informed consent Strategies to build rapport: Relaxed but interested and non judgemental approach; open attitude Overriding respect for the client’s perspective https://www.registerednursing.org/articles/importance-nurse-patient-relationship-care/ (understanding their perspective) Engaging behaviours of looking attentive, leaning forward, open body posture, eye contact, encouragement Similar facial expressions, intonations, emotions, speech rates, mirroring body postures and gestures, mannerisms. 11  The Concept of Care in Nursing and the Caring Relationship Multidimensional Nursing care: actions nurses undertake to take ‘care’ of a person. Feeling ‘cared for’- feeling safe and valued. Caring relationships – therapeutic, collaborative. Positive emotions & reduced stress lead to improved physical health Patient-centred care Enables nurses to: identify health care needs collaborate effectively, mutually problem solve continuously learn be innovative, and advance nursing practice (Duffy 2013) https://davidsmemoirs.wordpress.com/2017/05/15/compassionate-care-were-nothing-without- it/ 12 Person-centred care & NSQHS Person-centred care is embedded throughout all of the Standards developed by the Commission, including the National Safety and Quality Health Service (NSQHS) Standards and the Primary and Community Healthcare Standards, reflecting its importance to the safety and quality of health care. A wide range of resources and information are available to help healthcare organisations understand and implement best-practice person-centred care. Family Centred Care and Communication (health.qld.gov.au)  Family Centred Care Family centred care recognises that the health care of a patient happens within the context of their family. Initially from a paediatric perspective, but has been extended to all ages. Family as Context Primary focus is on the individual/person Family – how the family may support and influence the individual’s health and well being. Family as client. Family functioning as the focus of care Family assessment Genogram (family tree; genetic links) Ecomap (contact between family members; quality of relationships)