The Assessment ASET Nursing - Communication, Assessment Process, and Strengths-based Nursing

Running Head: THE ASSESSMENT ASET NURSING 1
The Assessment ASET Nursing
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Lecturer
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University

THE ASSESSMENT ASET NURSING 2
The Assessment ASET Nursing
The Aged Care Services in Emergency Teams (ASET) operate within the healthcare
departments offer quality and professional health care to aged people. Their aim includes
extending improved healthcare outcomes for old people. Healthcare departments that deal with
aged people face difficulties. Staff, ASET nurses, and other healthcare providers involved in
taking care of the aged have communication barriers caused by various reasons (Christenbery,
2018). Effective nursing communication is important in the accurate assessment and diagnosis of
clients as well as the planning of nursing interventions (Melynk and Fineout-Overholt, 2011).
That has since changes because nurses are now viewed as collaborators in patient care together
with doctors and other members of the healthcare team (Ellis, 2016). The nursing profession is
now highly specialized to include various cadres and sub-specialties for nurses.
Among factors contributing to communication, barriers include physical and cognitive
impairment, cultural differences, poor hearing, limited health literacy, poor vision, and
generational beliefs (Ruoff and Hoffman, 2016). However, healthcare service providers and other
staff members have strategies for improving communication among aged patients. ASET nurse is
responsible for delivering quality services to older people. Their role includes offering
appropriate and well-coordinated assessments and care planning to the aged (Ni, 2014). They
also conduct consultation services for including offering health education as well as evaluation of
patient conditions. The operations involve monitoring patient progress and observing her status
from time to time while maintaining social relations by communicating (Ni, 2014).
Challenges Facing Max in Communication
Max has difficulties hearing. He is slow in responding to some questions. Max decides to
keep quiet in some instances especially when he fails to figure out what Robyn asked. Hearing

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problem made the client experience difficulties in understanding. The second challenge is facing
Max background distractions such as noise. There distracting noise coming from next rooms.
The sounds are hindering communication as well as making it difficult for max to comprehend
the communication. The third problem is inadequate literacy in medical terms. He does not know
specific names for equipment used in assisting him to walk. Technical language is a challenge
and has little understanding of common medical conditions.
The relationship between Physiological age and communication
Older people need special clinical care due to issues associated with the functional
decline of body organs, none- acute care needs, and complex comorbidities. Age affects
cognitive abilities thus making their bodies less sensitive and less active. Most studies have
revealed that most of the cognitive capabilities decrease with age. Hearing and vision
deficiencies increase with age thus making old people develop physical deficiencies (Ruoff and
Hoffman, 2016). Old people have various complications associated with aging such as including
but not limited to fear, emotions, anger, anxiety, apathy, and uncertainty. Aged people have a
perception that other people are after controlling and managing their lives. The condescending
and patronizing issues increases as one get aged.
Person-Centred Communication Strategies used by ASET Nurse
ASET Nurse applied a straight and involving introduction session and initiated a dialogue
by asking open-ended questions (Ruoff and Hoffman, 2016). She actively employed good
communication skills through listening and gauging patient preferences. ASET Nurse applied
several techniques to deal with Max’s hearing problem. The first approach was the use of a clear
voice (Ruoff and Hoffman, 2016). She was calm and smooth in communicating. She was not
rushing what she intended to say. ASET Nurse always maintained eye contact with Max while

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speaking to ensure that he could see her mouth moving and clearly understand. She applied none
verbal cues such as hand gestures and facial expressions to explain and elaborate to Max. ASET
nurse was capable of discovering various emotional responses from Max. She responded to
emotional reactions with much understanding. ASET nurse tried to use clear descriptions on
various medical terms. During their conversation, Robyn gave the patient an opportunity to
explain some of the information in their own words to integrate their knowledge and
understanding in the interview.
Assessment Process of Old People
The first step is considering the patient situations by giving patient attention, such as
welcoming tone, guidance to the right waiting for the section, offering first aid services as well
as determining if the patient can follow queue or require getting taken to an emergency room
(Levett-Jones, 2013). The second step includes the process of collecting cues and information
through various medical skills such as observation, asking questions, intermediaries assistance or
through machine analysis (Levett-Jones, 2013). The session involves obtaining essential
information that provides patient’s detailed data and information to assist in the evaluation of
patient’s conditions. The third step consists in processing the data and information provided to
attain an understanding and meaning that can get explained to a specific individual (Levett-
Jones, 2013). Processing step should integrate all relevant data and information essential for
helping the physician to analyze the physiological, psychological, and social functionality of old
person.
The fourth step involves identifying problems and issues as indicated by the information
gathered (Levett-Jones, 2013). The session includes evaluating risk as well as the nature of the
issues. The session involves comparing various possible dangers with specific tools to acquire