What are the concepts of developing a relationship with the patient? - *To prevent
misinterpretations and misperceptions, you must make every effort to sense the world of
the individual patient as the patient senses it.
*The first meeting sets the tone for a successful relationship.
*Be open flexible and eager to deal with questions and explanations.
*Trust evolves from honesty and candor. (Explain boundaries of your practice and the
degree of your availability).
* A primary objective is to discover the details about a patient's concern, explore
expectations for the encounter, and display genuine interest, curiosity, and partnership.
*Never forget that each time a patient sees you they are having and experience with
you that is very important to them. Think of actors in a long running play. Every
performance is new for the actors and the persons paying to be in the audience.
What are effective communication strategies when obtaining a health history? -
Establishing a positive patient relationship depends on "communication" built on:
Courtesy, Comfort, Connection, and Confirmation.
What is a patient-centered question? Give examples. - A patient centered question
revolves around the patient. Examples include:
How would you like to be addressed?
How are you feeling today?
What would you like for us to do today?
Do you believe treatment will help?
Do you want or expect emotional support from the health care team?
(All about YOU)
What are potential barriers of patient and provider communication? - *Curiosity about
you
*Anxiety
*Silence
*Depression
*Crying and Compassionate Moments
*Seduction
*Anger
, *Avoiding the Full Story
*Financial Considerations
What is the structure and the components of a patient history? What kind of patient
information is obtained in each section? - The history is built on the patient's
perspective, not yours.
Components include:
*Setting for the interview
*Structure of the History (eg., The identifiers; Name, Date, Time, etc., Chief concern,
History of Present Illness, Past Medical History, Family History, Personal and Social
History, and Review of Systems)
What is the difference between objective and subjective data? What components of the
health history are objective and subjective? - Subjective data: your patient's verbal
descriptions of their health problems
Objective data: observations or measurements of a patient's health status
How do you approach sensitive issues when interviewing a patient? - Introduce
sensitive topics with the "common concern" approach: "Many of us have more trouble
with..." or "Some people taking this medication have trouble with...
What does it mean to be culturally aware and culturally competent when caring for
patients with diverse backgrounds? - The term culturally competent care refers to
nursing care that is sensitive to issues regarding culture, race, gender, heritage,
socioeconomic situation and sexual orientation. Cultural competence is a process in
which the nurse strives to achieve the ability to effectively work within the cultural
context of an individual, family, or community from a diverse cultural/ethnic background.
Cultural awareness is the process by which the nurse becomes aware of, appreciates,
and becomes sensitive to the values, beliefs, life ways, practices, and problem-solving
strategies of other cultures. During this process, you examine your own biases and
prejudices toward other cultures as well as explore your own cultural background.
What are examples of questions to explore the patient's culture? - These questions,
appropriate in any culture, allow you to gain insights about an individual. They help to
avoid the stereotype and lead to a true individualization of care.
What do you call your problem?
What do you think caused it?
Why do you think it started when it did?
What does your sickness do to you?
How does it work?
How bad is your sickness?
How long do you think it will last?
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