Effective Communication and Patient Care Strategies in Nursing

Diploma in Nursing

a. How would you make Mrs Jackson feel comfortable, using appropriate non-verbal
communication (discuss at least three (3) points)?
Three types of non-verbal communication would be effective for a Parkinson’s patient, are:
 Direct eye contact would be helpful to understand what the patient wants to express
through eye ball movement.
 Monitoring the patient's facial expression: facial grimacing, crying of the patient indicates
some sort of discomfort feeling. Monitoring these feelings may help nurses to understand
what the patient wants to express.
 Sign language use: nurses can educate patient some necessary sign languages through
which patient can communicate with nurses easily.
b. How would you make Mrs Jackson feel comfortable, using appropriate verbal
communication (discuss at least three (3) points)?
In order to make the patient comfortable through verbal communication, nurses can use the
following communicative strategies. These are:
 Clear and slow communication is important for Parkinson's patient as they need extra
time for processing the information and response.
 Parkinson's patient cannot understand complex sentences. Thus, short and precise verbal
communication would be helpful for them.
 patient with Parkinson’s can not understand commands and information by one chance.
Thus repetition of sentences can make them easier to understand the communication.
c. Referring to the Core standards for nurses who provide support to people with
disability, outline three (3) strategies that you could use to aid communication with Mrs
Jackson giving consideration to her vision and hearing impairments.

 Getting the attention of the patient: absence mindedness is observed in a Parkinson's
patient. Thus, it is important to grab their attention to communication. Slower and clear
approaching, gentle touching in hand and arm, facing directly is the best way to get their
attention.
 Communication exchange through code language: sign language or code language is the
most effective way to communicate with a parkinson’s patient with vision and hearing
impairments.
 Have patience during communication: as Parkinson's patient needs time to understand the
messages. They can not respond on an immediate basis because of their nervous rigidity;
holding patience is an important aspect of nursing care.
d. Provide a definition of ‘open disclosure’ and discuss the principles of open disclosure
referring to the Australian Open Disclosure Framework (2013) .
Open disclosure indicates an open communication with the patient and her family members
when care provision does not go according to the nursing plan. Open disclosure ensures a
patient's right during care service distribution. If any unusual circumstances occur during the
period of care, open disclosure critically evaluates the faults discuss about the effective
communication and care services in order to provide safety and security to the patient. The main
purpose of any open disclosure is to attribute high-quality care services with the help of a patient
and family members.
e. Provide an example conversation of what you would say when communicating the
incident to the patient and son (min 100 words).
Nurse: sir/ Madam, first of all, we are really very sorry that we could not be able to protect Mrs.
Jackson from falling.