Nursing - Case scenario of Ineffective Communication
Added on 2022-08-21
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Running head: NURSING
Case scenario 2
Name of the Student
Name of the University
Author Note
Case scenario 2
Name of the Student
Name of the University
Author Note
1NURSING
Introduction- Nursing professionals are expected to adorn the role of patient advocates,
while maintaining a professional and therapeutic nurse-patient association, within the boundaries
of their role. With the aim of delivering excellent quality health care facilities to patients in
hospital settings, it is imperative that nurses should be able to appropriately communicate with
the patients, interdisciplinary team members, and family members (Arnold & Boggs,
2019). Therapeutic communication is an umbrella term that refers to the face-to-face procedure
of converting and interacting, and it places an emphasis on improving the emotional and physical
wellbeing of a patient (Annoni & Miller, 2016). This assignment will analyse a scenario that is
characterized by ineffective communication between the patient and the nurse, following which
will explain the relevant concept of care and the skills and approaches that best support
communication in healthcare settings. Communication strategies such as, SBAR, active listening,
eye contact and use of simple words will also be discussed, in relation to therapeutic
communication.
Body- An analysis of the case scenario suggests that ineffective communication occurred
with patient when the assistant in nursing (AIN) left while showering the patient, without
informing the latter about her sudden disappearance from the setting. The case involved an
elderly adult who required assistance while performing activities of daily living, and also
suffered from hearing impairment. Taking into consideration the fact that the patient did not
carry the hearing aid during showering, and that the AIN gestured to leave the bathroom, it was
not possible for the patient to be aware of the situation.
Sudden disappearance of his caregiver made him agitated and he started shouting, and
behaving in an uncontrollable manner. Therefore, it can be stated that inadequate informed
consent of the patient prior to assisting the AIN during his showering, no information given to
Introduction- Nursing professionals are expected to adorn the role of patient advocates,
while maintaining a professional and therapeutic nurse-patient association, within the boundaries
of their role. With the aim of delivering excellent quality health care facilities to patients in
hospital settings, it is imperative that nurses should be able to appropriately communicate with
the patients, interdisciplinary team members, and family members (Arnold & Boggs,
2019). Therapeutic communication is an umbrella term that refers to the face-to-face procedure
of converting and interacting, and it places an emphasis on improving the emotional and physical
wellbeing of a patient (Annoni & Miller, 2016). This assignment will analyse a scenario that is
characterized by ineffective communication between the patient and the nurse, following which
will explain the relevant concept of care and the skills and approaches that best support
communication in healthcare settings. Communication strategies such as, SBAR, active listening,
eye contact and use of simple words will also be discussed, in relation to therapeutic
communication.
Body- An analysis of the case scenario suggests that ineffective communication occurred
with patient when the assistant in nursing (AIN) left while showering the patient, without
informing the latter about her sudden disappearance from the setting. The case involved an
elderly adult who required assistance while performing activities of daily living, and also
suffered from hearing impairment. Taking into consideration the fact that the patient did not
carry the hearing aid during showering, and that the AIN gestured to leave the bathroom, it was
not possible for the patient to be aware of the situation.
Sudden disappearance of his caregiver made him agitated and he started shouting, and
behaving in an uncontrollable manner. Therefore, it can be stated that inadequate informed
consent of the patient prior to assisting the AIN during his showering, no information given to
2NURSING
the patient about the sudden absence of the AIN from this scene, and miscommunication due to
absence of his hearing aid were some of the issues that resulted in poor communication in this
scenario.
The concept of care relevant to the scenario is geriatric care management that refers to
the procedure of formulating and coordinating care for elderly patients, having mental or
physical impairment, with the aim of enhancing their quality-of-life, addressing their long-term
care needs and maintaining their independence for the maximum time possible. The care
concept refers to working with individuals of old age, in addition to their family members, in
rendering, managing, and referring countless care services. Geriatric care management involves
psychological and health needs, with other required services such as, assistance with activities of
daily living, socialization or nutrition services. It is based on the basic principle that aging is not
an illness; however it increases vulnerability of the older adults to suffer from diseases (Engel et
al., 2016). Taking into consideration the fact that older adults not only suffer from physical
ailments, but are also emotionally distressed due to their gradual lack of independence, it is
central to establish therapeutic communication with them, through the use of body language,
gestures, written words, and other forms of nonverbal communication, in order to convey them
the willingness to address their health needs.
Several aspects of nurse patient communication, predominantly with the elderly patients
are affected by the characteristics of the latter like their socioeconomic status, income level,
ethnicity, mental health status, and educational attainment (Cappell, 2017). The therapeutic
association between nurse and older patients is under the strong influence of the psychosocial
challenges that are faced by these patients, who primarily depend on their health care providers
to respond to their concerns and needs (Wedgeworth et al., 2017). This calls for the need of
the patient about the sudden absence of the AIN from this scene, and miscommunication due to
absence of his hearing aid were some of the issues that resulted in poor communication in this
scenario.
The concept of care relevant to the scenario is geriatric care management that refers to
the procedure of formulating and coordinating care for elderly patients, having mental or
physical impairment, with the aim of enhancing their quality-of-life, addressing their long-term
care needs and maintaining their independence for the maximum time possible. The care
concept refers to working with individuals of old age, in addition to their family members, in
rendering, managing, and referring countless care services. Geriatric care management involves
psychological and health needs, with other required services such as, assistance with activities of
daily living, socialization or nutrition services. It is based on the basic principle that aging is not
an illness; however it increases vulnerability of the older adults to suffer from diseases (Engel et
al., 2016). Taking into consideration the fact that older adults not only suffer from physical
ailments, but are also emotionally distressed due to their gradual lack of independence, it is
central to establish therapeutic communication with them, through the use of body language,
gestures, written words, and other forms of nonverbal communication, in order to convey them
the willingness to address their health needs.
Several aspects of nurse patient communication, predominantly with the elderly patients
are affected by the characteristics of the latter like their socioeconomic status, income level,
ethnicity, mental health status, and educational attainment (Cappell, 2017). The therapeutic
association between nurse and older patients is under the strong influence of the psychosocial
challenges that are faced by these patients, who primarily depend on their health care providers
to respond to their concerns and needs (Wedgeworth et al., 2017). This calls for the need of
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