Mrs Pamela Jones Case Study 2022

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Mrs Pamela Jones Case Study
Student’s Name
University

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Mrs Pamela Jones Case Study
Introduction
Working with the aged population can be challenging since the nature of clients present
different challenges to the nurse. This implies that nurses have to use the best of their nursing
communication and therapeutic skills when working with such patients. In most cases, this
nature of patients presents different interpersonal communication needs that have to be taken
care of by the nurse. Chichirez & Purcarea (2018) suggest that interpersonal communication in
nursing is important since it helps nurses to establish therapeutic relationships with their patients
thus improving the caring process. This essay presents the case of Mrs. Pamela Jones who is
experiencing episodes of confusion and disorientation which seems to be greatly affecting her
quality of life. This will be done through analysing ineffective communication, justifying the
concept of care that best reflects the scenario and a reflection of what this case has on a nursing
student.
Body
1. Provide an analysis of the chosen scenario showing where there is ineffective
communication between the nurse and patient.
In the case study, the graduate registered nurse has been handed over to Mrs. Pamela
Jones a 75-year-old patient with episodes of confusion and disorientation. This has made it
difficult for her to find her bed and thus making her feel frustrated due to her changing condition.
From the case, there is an instance of effective communication from the nurse when approaching
the patient. In the first instance, we see no rapport being built between the nurse and the patient.
To establish therapeutic relationships nurses are supposed to get into the world of the patient

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through building rapport and making the patient feel that they understand what is happening in
their life (McEwen & Wills, 2014). What we see here is the nurse approaching the patient and
asking her directly what could be the problem. Here the patient pushes the GRN away and asks
for the nurse who has been caring for her.
In a therapeutic relationship, the nurse is supposed to use effective communication skills
to create a mutually exchanging environment that allows exchanging information with the client
who is at the center of care. This implies that when ineffective communication is used like I the
case, the client views the healthcare professional as one in a position of power and control which
can make the patient overreact (Kalfoss & Cand, 2016). This is the reason why when the nurse
asks the patient what the problem is, she pushes him away and asks for the nurse who just
handed over. This is because the ineffective communication made it difficult for the nurse to
understand what was going on (Vertino, 2014). To remove this barrier, the nurse was supposed
to establish trust with the patient which leads to conveying an equality and mutuality position
that eliminates the power dynamics. This makes it easy for the patient to trust the nurse and thus
share the concern.
2. Explain the concept of care that is relevant to the chosen scenario and how it
contributes to achieving effective therapeutic communication.
In nursing care compassion is an important element of nursing that allows the nurse to
understand the state of the patient and put measures in place to address them. Henderson &
Jones (2017) suggest that in a healthcare environment, patients are always suffering and
overwhelmed by the disease which makes them uncomfortable. Through compassion, the nurse
is supposed to make the patient feel comfortable when suffering mental related problems that
affect their overall health. This means that it is a nursing environment, compassion is used to