Drama Transcript: Communication between Nurses and Patient in Hospital

This assignment presents a drama transcript from an emergency department, focusing on the communication between nurses and a patient named Jane, who has been admitted with breathing difficulties due to asthma. The transcript showcases interactions between two nurses, Sofia and Jessica, and the patient, Jane, detailing the assessment of her condition, medication management, and discussions about lifestyle improvements. The nurses address Jane's concerns about her asthma, medication dosage, and lifestyle adjustments, offering advice on relaxation exercises, breathing techniques, and dietary intake. They emphasize the importance of self-management, healthy living, and the continuity of care strategy, highlighting the roles of effective communication, collaboration, and patient-centered care delivery. The transcript also touches upon the potential causes if patient improvement is not achieved, such as the lack of skilled nurses or poor communication skills. The overall focus is on improving the patient's health outcomes through effective communication, collaboration, and a non-pharmacological model of care.

Running head: TRANSCRIPT
TRANSCRIPT
Name of the Student
Name of the University
Author Note

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TRANSCRIPT
Drama Transcript:
In an emergency department a patient named Jane has been admitted with the complaint
of the breathing issue. Jane is a 45 year old lady. She has asthma. After the admission the patient
has been assessed and her vitals were fluctuating and also the medical history showed that she
has asthma. The patient’s concern has been changed and the improvement of the patient will be
focused on different aspects such as the education development, improvement of the life style
and health behavior as well. The following transcript the communication between nurses and the
patient will be presented. There will be 2 nurses focused on the ongoing care of the patient.
Nurse 1: Hello! I am Sofia. What is your name?
Patient: Hello! I am Jane.
Nurse 2: Hello! I am Jessica.
Nurse 1: What is the issue you are feeling as the most impacting factor on your health?
Patient: I have felt that my asthma is severe issue and it impacts over my health mostly.
Nurse 1: Okay. How long have you been here?
Patient: I have been here for past 5 days. As per the doctor’s opinion I will be here for some
more days.
Nurse 1: It is unfortunate. However, the medication and the medical reports showed that you
have asthma and the lungs are affected by the condition as well. Jessica, please tell us about the
care process of Jane as you are in charge of her care.
Nurse 2: Yes. Jane is very much cooperative and her ongoing care is proceeding as per doctor’s
instructions. However, she fells breathing issue at night and I have reported to the doctor. Doctor
told me to change her position so that she can breathe properly.

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Nurse 1: Okay. You have followed all the medications prescribed?
Nurse 2: Yes. I have followed the prescription and also followed the administration process.
However, it seems that at night the effects of the medicines shade off. Hence, I have planned
some interventions for the improvement of the ongoing care process for her.
Patient: Yes. The doctor had also confirmed this. Please, if you can let me know the process of
the medication as I cannot understand the dosage and the timings of the newly prescribed
medicines. However, I also agree with Jessica and I have to trust her plans as I want to be
relieved from the issue.
Nurse 1: Sure. Why not? However, I think you need to move slowly and also practice some
relaxation exercises in the morning along with breathing exercises. This will help you with your
breathing issues. What do you think Jessica?
Nurse 2: Yes. I have planned some relaxation exercise and also movement processes at daytime
and also at night so that her body posture can be relaxed and the increased resistance in the
respiration tube can be reduced.
Patient: Okay. Please teach me the processes of the breathing and relaxation exercises.
Nurse 1: Now, tell me about the other concerns you think should be diagnosed as well.
Patient: There are no such issues other than my asthma. However, please check up my whole
body as I think you can understand if there are any issues present in my body.
Nurse 1: Okay. Jessica can you please conduct a full body check up of Sofia so that the negative
factors can be identified which are affecting her health condition. I think it will help in
determination, if there is any other issue which can be accounted for her asthma and breathing
issues.

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Nurse 2: Sure. I was also thinking about the same for the quality improvement of the quality of
care. It can be marked as important for the continuity care factor. I can provide her effective care
as she is cooperative enough and also the doctor is helping me in the process. I am thankful to
you for your visit and clarifying the aspects of the progress.
Patient: Yes, thank you. Please also let me know about the medication process as well so that I
can take the medicine from shop and ask them as well.
Nurse 1: Yes. Okay, you should also focus on the health condition of yourself. The self
management process should be developed in your case. The medication and the stress
management are the key factors for controlling asthma. Thus, you should learn about the most
important factors that are the medication management. The dosage and the timings of the
medication are very much important. Moreover, this education will help in your health condition
improvement as well. Jessica, could you help her in the medication management and self
management processes?
Nurse 2: Of course. I am more than willing to help her. This will also be the factor which can
also improve the care quality and accounted for the continuity of care which is very much
important factor in this case.
Patient: Thank you very much. I should also ask you about the factors that can improve my
health condition properly.
Nurse 1: Your health concern is a chronic illness and it is infection prone. Hence, I can advice
you that you should focus on healthy living and proper medication management. Moreover,
please try to reduce the health behavior related negative processes. You should focus on the
positive factors, meditate, exercise and also try to avoid pollution and dusty places. This will be
helpful for your health. Furthermore, you should focus on the dietary intake everyday as well.

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The diet should be focused on healthy food and proper amount of food intake every day. Thus,
these factors should be considered and the life style should be changed based on the requirement
and the environment. Jessica, do you agree with me?
Nurse 2: Yes. These are the factors which I am planning to let her know and help her improve
her health condition by herself.
Patient: Do you really think this much of work will help in the betterment of my health issue?
Nurse 1: It can be stated that the proper skills and planning are the basic requirement for
providing improved care that is the continuity of care. This process will help in the proper
collaboration development and also provide the patients and nurses to communicate with each
other and properly plan the care. This process develops the connection between the doctor, nurse
and the patient. These factors should be considered for the care delivery. On the other hand, the
work load would be high. However, time should be managed and the patients should be provided
with highest priority.
Nurse 2: You should be focused on the improvement of the health outcome and I should be
focused on your knowledge development as well as improvement of your health. Hence, I can
also state that the improvement of the health situation is also dependent on the mental status of
the patient. Moreover, I should follow the doctors and their provided advises. The factor of the
improvement is collaboration with you.
Patient: Yes, I agree to that. Hence, you are stating that the continuity of care strategy is provided
with consideration of the improvement of my health.
Nurse 1: Yes. Continuity of care strategy is very much interesting and also focused on the
improvement of the patient’s health. The strategy is developed with the consideration of the
effective communication and the collaboration development with the patient. Hence, the skills of

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the collaboration and the communication play a crucial role. The factorization of the issue is
directed towards the patient centered care delivery. Hence, the approach of this care strategy is
focused on the improvement factors of life. Thus, the patients that are you should collaborate
with them to understand and identify the challenges and issues they are facing. Hence, it can be
stated that the improvement of the patient or the patient safety are the factors which have a role
in this process are following the skills of the nurse. Hence, the knowledge and skills are the basic
factors that are also a factor. Hence, I can say that the nursing continuity of care has actually
non-pharmacological model of care. Thus, it can be stated that the change in the process of the
care regarding patient’s health quality improvement. Thus, the nurse should focus on the positive
directive care delivery process. Jessica, do you agree with me?
Nurse 2: Yes. You are absolutely right about this factor.
Patient: Okay. Now tell me if the patient improvement cannot be achieved then what will be the
causes of this condition.
Nurse 1: If the nurse is not properly skilled or educated then the process of the continuity care
and the important communication skills would be required. Hence, this factor of the care delivery
that is the continuity of care, it focuses on quality and long time service providence to the
patient. Subsequently, the process of the care delivery is totally focused on the health
improvement.
Patient: Okay. Thank you for your time. I will try to collaborate and communicate properly.
Nurse 2: Yes. We will try to help you as well.