Communication Skills in Assessment of Service User

Communication Skills in Assessment of advantage UserAn Evaluation of the talk skills demonstrated in the assessment of a service userThis assignment leave alone analyse the chat skills of a physical skill that has been detect by a member of lag whilst in practice. Further more than(prenominal) relevant literature will be explored to correspond if the communication skills that were used were the roughly rough-and-ready including that of twain oral and non- oral communication skills. All bring outs perplex been changed for long-suffering confidentiality in accordance with the NMC guidelines (NMC, 2008). The name will be changed to Mr. smith.Any form of interaction is done through with(predicate) communication as a skill. To human interaction it is pivotal. Communication is a process which enables people to relate with those around them and to make concerns and inescapably get along very strong indeed. Communication can be literal and non- verbal.Peate (2005) state s that non- verbal communication reinforces a verb every last(predicate)y communicated means. Non-judgemental interactions be focused on therapeutic communication, admirers settle emotional conflicts and supports heart to heart talks suffering a affected role to feel safe and free to sh be their true tinctures, fears, values, hopes and ideas.This assignment is leaving to be discussed near virtually a physical observed assessment which was observed during practice at placement. Mr. smith was a gentleman who admitted to the ward with a viral infection. This infection caused his stomach and his intestines to become inflamed. At the same prison term Mr. metalworker suffers development dis mogul were he could brut every last(predicate)y impairs both verbal communication and cognition. Due to Mr. .metalworkers gibe he lives in a c be home .he had lived at this cargon home for ten years. Mr. Smith had been eating pureed diet food and his drinks used to be thickened and he begun to vomit.The tolerants bloods were done and showed that his renal function was go severely damaged followed by dehydration. Therefore Mr. Smith immediately ask a cannula to administer IV fluids intravenously. My instruct went to cannulate Mr. Smith. My mentor was instructed of Mr. Smiths fragile and was to a fault certified that his level of thoughtful was impair and he would not be capable of verbal accede collectible to his setting.My mentor went to Mr. Smiths bed side as he was in a bay not in side room. She move the curtains first for the dignity of the patient. She explained to him as to what she was going to do, she took his left arm which was nestled to her and began to look for a clear vein, she could see so that she will be able to administer the cannula. The patient became distressed and started to shout and shows that he was in pain. After the cannula was in position my mentor left the bay and propounded the person who was in charge that Mr. Smith can n ow realise IV nark and IV fluids could now be started.My mentor who cannulated Mr. Smith failed to introduce herself which is important when conducting nursing skills. First impressions last, by identifying yourself as well as your role pass ons patients with the feeling that you are genuine and that they are being respected (Henderson, 2004). Kate G drawr, a medical registrar who is terminally ill effectuate that many round failed to introduce themselves during her stay in hospital. This revelation brought in the hello my name is campaign in found to prompt staff to introduce themselves to all patients (NHS England, 2014). However (Parahoo 2006) stated that The process of agreeing to take ploughshare in a take aim based on access to all relevant and easily digestible teaching about what participation means, in particular, in terms of harms and benefits.Although Mr. Smith suffered with severe learning difficulties he as yet should confirm been addressed the same as any other patient on the ward. Nurses should evermore maintain a therapeutic think about-client relationship by establishing and maintaining nursing knowledge and skills as well as applying caring postures and behaviors (Forchuk etal, 2000). curative nursing services based on trust, respect, empathy and professional intimacy tally bluely to the patients wellness and wellbeing (Hupcey etal, 2001).Mr Smith was attached a verbal informative account of the cannulation process and the reason for doing this by the mentor. communicatory language is one of the principal ways in which we communicate and is a successful method in both gathering and informing patients of their condition (Berry, 2007). It is usually a two way process where a message is sent, understood and feedback is given (Apker, 2001). It also successful for a patient to expound their level of pain (Stevenson, 2004).Ensuring a patient has understood what has been s precaution is rattling (Grover, 2005). This process nor mally involves both open and closed questions and practicablely cast off the ability to ascertain a vast derive of factual information. The nurse who cannulated Mr. Smith did verbally tell Mr. Smith what she was going to do notwithstanding this method alone failed to ensure that Mr. Smith had understood what was happening to him. She was sensitive of his condition but failed to ensure that he understood the process.There are grouped together into two categories which is Open questions and closed questions. Open questions are used when you want to help someone to open up about themselves, or to give you some insights into how they feeling or to explore a situation in more depth. Open questions do not allow a straightforward yes or no response, but it will adjure the patients to talk about the topic like what Mr. Smith did to my mentor. Not everyone will feel able to open up easily and share their deep thoughts and feelings. Some people needs to go smell by step and to be led by interviewer until they gain confidence to go deeper. This is why closed questions also bring an important role to play. Closed questions bespeak a straightforward yes or no answer, they are necessary in gathering factual information in as straightforward a way as possible.Poor listening skills and conducting skills without the patient fully apprehension can affect the therapeutic relationship and often form a barrier to communication (Andrews Smith, 2001). Environmental barriers such as a interfering ward or a stressed nurse can often reduce the level of empathy and influence effective communication (Endacott Cooper, 2009). However nurses should always remain compassionate towards patients regardless of stress levels and workload (Von Dietze Orb, 2000). My mentors technique did not comply with the NMC guidelines in regards to accept as she failed to inform the patient of the process therefore Mr. Smith would not have cognize what he was consenting too.Consent in respect of people with learning disabilities is compound and can turn back a step of risk for both patients and healthcare professionals. In this situation Mr. Smith was unable to provide consent and the cannula that he acquired was in his best interest. However, nevertheless of the patients clearing the offer of consent should still be attempted (Green, 1999). Timby, (2005) stresses that a patients dependable to autonomy should be upheld and respected regardless of gender, race, religion, culture and stultification.Communication is indispensable in all aspects of nursing. However well practiced communication techniques are ineffectual if the central notion of the interpersonal connection goes unacknowledged (Arnold Boggs, 2007). Charlton etal (2008) moot that there are two different communication styles, biomedical and biopsychosocial. The biomedical style concentrates on specific information concerning the patients condition that is information focused. The biopsychosocial style is a patient centered approach which is conducted by determining patients needs to provide the nearly effective communication method.My mentor ideally should have formed an action plan to determine the most effective way of communicating with Mr. Smith in order to ask out the cannulation process. As every patient is different their needs must be assessed prior to carrying out any invasive procedures. A patient centered approach is said to have a more positiveimpact on patient outcomes. However there is piddling research that discusses interpersonal skills in contrast to a vast amount of rich research that discusses basic communication skills despite evidence suggesting that patient centered care is the most effective method (Jones, 2007).Patients with learning difficulties who have difficulties with both verbalising and thoughtful often have barriers in relation to communication. This suggestions to a breakdown in communication and in turn can lead to their health needs not bein g met (Turnbull Chapman, 2010). Kacperek, (1997) defines nonverbal communication as the term used to use to describe all forms of communication not controlled by speech. Argyle, (1988) suggests that the nonverbal component of communication is five times more influential than the verbal aspect. When Mr. Smith was cannulated my mentor lacked the use of nonverbal communication. Studies have often indicated that language has no real occurrence when communicating with patients (Foley, 2010). sign-language(a) action such as body language, pass, posture, facial expressions and eye touch modality show many emotions without having to verbalise (Foley, 2010).Furthermore Crawford et al (2006) states that sometimes patients just need you to be there, quiet and listening and this can also be achieved using the acronym SOLER. Consequently, a good listener will always knuckle under attention to non-verbal cues too and this encourages the patients to open up giving more information and express ing their concerns. (Alberts et al 2012) suggest that from this it can be deducted that respect is given to a patients contribution best when they are listened too.The Soler acronym is also an aid to identify and remember the behaviors that should be implemented in order to achieve effective communication (Burnard, 1992). This tool comprises of position of seat, open posture, proclivity towards the patient, eye contact and relaxation. If these techniques of non-verbal communication were used Mr. Smith may have felt less anxious and more reassured (Mason, 2010). Dougherty Lister, (2008) is in accordance with this theory as he argues that remaining eye contact, lowering placement to the patients level and gently touching the patients hand whilst verbally communicating has a great effect at reducing symptoms of anxiety. Although touch is seen to be an effective form of nonverbal communication which can help put a patient at ease if they are feeling anxious or upset.It is important to note that this technique is not set aside for all patients as not all patients will feel at ease with closeness can interpret this as invasion of personal position (Heidt, 1981).Cooperating with people with learning disabilities appears to contemporary difficulties for health care providers (Thornton, 1999). According to Angermeyer, (2005) a significant stigma exists in regards to learning disability patients as it tends to carry the label of different (Angermeyer, 2005). Schafer etal, (2011) says that this negative stigma is due to a range of factors such as ignorance and misinformation stemming from lack of knowledge. However, the NMC, (2015) competency standard instill that all nurses are to deliver advanced quality compassionate care embrace ethical and cultural issues as well as disability.Jormfeldt, (2010) has shown that a high level of nursing education in both theoretical and practical settings can positively influence attitudes of nurses perceptions towards learning disability. In addition, reflection is seen as a vital component of coping in these environments as it offers a process where student nurses can challenge, compare and follow-up their value systems and embrace the process of change to a positive attitude towards patients with disabilities.Dodd Brunker, (1999) argue that by forming collaborative partnerships with both carers and professionals who are tangled in the patients care can enable you to assess the patients communication skills and their preferred method of communication. Furthermore, in accordance with the NMC (2015) guidelines it is essential that all nurses must treat all patients with respect and dignity and not branch in any way regardless of their age, gender, race and or disability.To mend the situation the nurse who cannulated Mr. Smith could have liaised with the nursing home where Mr. Smith resided. This could have given the nurse vital information regarding Mr. Smiths likes and dislikes and could have provide d her with the most effective way to carry out the procedure. tuitionrs or family members could have been asked to espouse the nurse which could have put Mr. Smith at ease. Passports are becoming increasing popular which accompany patients who suffer with learning disabilities into the hospital environment. These documents are customised to each individual and summarise the patient and can often aid in providing the best patient centered care. health care professionals are legally able to access essential information which carers possess in relation to communication with an individual with special needs or challenge behavior (Michael, 2008). Nurses should always put patients individual needs first and understand what is best for the patient ethically rather than that of a professional touch alone (Mencap, 2007).In conclusion, this assignment has explored the communication skills that were observed during the cannulation process. It is diaphanous that communication is important in nursing care and that assessments of patients are preponderating in providing patient centered care. However, communication is certainly a ruler commanding for the real caring. Performance and communication of caring and capability at this time have a main effect on the ability of patients and relations to adjust the update, reflect choices, and adjust to anything deceptions forward.Lack of awareness in regards to the best way of communicating with patients can pose a high risk to patients as many people working within the healthcare sector may not have a clear mind of learning disabilities unless they are specialised. Further training may be inevitable to ensure that all health care workers are able to provide compassionate care to patients with learning disabilities. Individuals with learning disabilities have the right to be treated the same way as others, regardless of the severity of their disability as all patients should be entitled to a professional and effective serv ice during their experience within the healthcare environment.REFERENCESAndrews, C., Smith, J. (2001). Medical nursing. London, coupled farming Harcourt publishers.Angermeyer, M.H. (2005). Labeling, Stereotyping Discrimination. Psychiatric Epidemiology, 40(5), 391-395.Apker, J. (2001). Role development in the managed care era A case of hospital-based nursing. journal of Applied Communication Research, 29(2), 117-136.Argyle, M. (1988). Bodily Communication. London, United commonwealth Methuen.Arnold, E., Boggs, K. U. (2007). Interpersonal Relationships Professional communication skills for nurses. 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