Unit 3 Part One - Communication Flashcards Preview

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Flashcards in Unit 3 Part One - Communication Deck (37):
1

Communication

Continuous circular process by which info.is transmitted btwn ppl & their environment

Goal directed interchange of information

Ongoing, interactive, dynamic, irreversible, built on trust

2

Types Of Communication

Intrapersonal *
Interpersonal *
Public

2

Critical Components of Communication

Sender (encoder)
Message - verbal or nonverbal
Sensory Channel (medium)
Receiver
Feedback ( positive or negative response)

3

Intrapersonal Communication

- SELF-TALK
- automatic (w/o being aware)
- sorting & organizing of thoughts

4

Sender

Initiates transaction to exchange information, convey thoughts

5

Referent

Incentive/ motivation for communication to occur

6

Types of Feedback

Informational-exchange ( ... # of procedures)
Corrective
Reinforcing (positive or negative)

7

Majority of communication is ....

Nonverbal

8

Set of words that has meaning

Language

9

Congruence

verbal & nonverbal fit together;

10

Intimate space

- 0-1.5
- confidence & gentleness

11

Nonverbal

-80% of communication; does not replace verbal

12

Personal Space

1.5-4 ft
Conduct interviews
Allows accurate visualization & INTERPRETATION OF NONVERBALS

13

Social Space

4-12 ft
Vocalizations can be overheard
Formal
Expedient communication with several people

14

Public

- >12 ft
- individuality lost

15

Admission

Administrative process from time pt enters door until settled in

Increases stress

16

Transfer

Transfer from one room, unit, or facility to another

17

Discharge

Official procedure helping pt to leave healthcare institution
Requires physicians order
Planning Starts at admission

18

JCAHO

assures public agencies accredited to provide quality of care

19

Advanced directives

Written instructions concerning medical treatment... "And end of life care"

20

Living-will

Specifies end of life decision when pt NO LONGER ABLE, varies w/ state

21

Power of attorney

Agent to make medical decision if pt is not able

22

Referral

Request for service outside scope of REFERRING profession
I.e. social worker, hospice, home health aide, housekeeper

23

AMA

Against Medical Device
Documented in nurses notes
MD & Supervisor Called
Pt Right

24

Language

Set of words that has meaning
Tool of verbal communication
Largely concise

25

Transference

Pt transfers feelings and attitudes held towards significant other to the nurse

26

Phases of the Nurse-patient relationship

Preinteraction
Orientation/ introduction
Working
Termination

27

Source Charting

Separate sections for each discipline
Easy to locate, but information is fragmented

-includes narrative

28

Problem Oriented Charting

Emphasis on Client
*constantly needs to be updated

29

PIE
(charting)

Problem
Intervention
Evaluation

30

Computerized
(Charting)
Advantages

**Saves Time --> more time for the client
Request & Results sent quickly
Standard of care improved (legibility, sharing of knowledge)
Able to keep statistics

31

If you write it....

It can and will be used against you!

32

If you don't write it, ....

It can and will be used against you

33

If you document everything,....

You will NOT be able to do ANYTHING

*nursing should be centered around pt care, not around documentation*

34

Charting requirements

All should contain assessment, intervention, responses/ changes, accurate accounts of events, objective descriptions, recorded in a TIMELY manner

35

NEVER CHART

Labels to describe behavior (I.e do not call combative, etc.)
Staffing issues
Incident reports
Explain a mistake using accidentally
Chart informed when only mentioned
NEVER refer to another pt by name

37

SOAP notes
(Progress notes)

Subjective data- what pt says
Objective data
Assessment
Plan

Difficult in fast pace environment; specific problem focus