Teach Learn Med. Spring;19(2) Patients speak: what's really important about bedside interactions with physician teams. Fletcher KE(1), Furney SL. The Health & Family franchise has been sharing patient stories for years because we have always valued and respected the patient viewpoint. Today, we. Patients Speak - Messages. All our patients come with immense hope and belief that them get completely cured. Every day we strive hard to live up to their faith.
Karliner LS, Mutha S. Achieving quality in health care through language access services: Am J Med Qual. Evaluation of a quality improvement intervention to increase use of telephonic interpretation. Impact of an easy-access telephonic interpreter program in the acute care setting: Satisfaction with telephonic interpreters in pediatric care.
J Natl Med Assoc. Patient satisfaction with different interpreting methods: A comparison of the influence of hospital-trained, ad hoc, and telephone interpreters on perceived satisfaction of limited English-proficient parents presenting to a pediatric emergency department. An exploratory study of language interpretation services provided by videoconferencing. Clinician ratings of interpreter mediated visits in underserved primary care settings with ad hoc, in-person professional, and video conferencing modes.
J Health Care Poor Underserved. Providing a Spanish interpreter using low-cost videoconferencing in a community health centre: Performance of an online translation tool when applied to patient educational material. Engineering a foundation for partnership to improve medication safety during care transitions. J Patient Saf Risk Manag. Patient safety after implementation of a coproduced family centered communication programme: Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians.
Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Principles for Patient and Family Partnership in Care: Check your medical records for dangerous errors. Holding out for an apology. Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. The star of the diagnostic journey: Provider interruptions and patient perceptions of care: Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. Ten principles for more conservative, care-full diagnosis. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. In Conversation With… Sigall K. Failures in the respectful care of critically ill patients. The role of the patient in patient safety: With scarce access to interpreters, immigrants struggle to understand doctors' orders. The doctor doesn't listen to her.
But the media is starting to. Seeking answers, hearing silence. Engaging patients to improve quality of care: Facebook Twitter Linkedin Email. Case Objectives Understand the legal and regulatory obligations to provide language access services for patients with limited English proficiency. Recognize the risk of communication and clinical errors and how that risk can be mitigated by working with qualified professional interpreters.
Weigh the advantages and disadvantages of different interpretation modalities. Part of communicating with children is communicating with their parents. Again, you are likely to be dealing with someone who is in a great deal of distress and fear. It is helpful to try to allay their fears, answering all their questions as honestly as possible. Some parents may get emotional and you need to be aware of possible outbursts of anger or sorrow.
Either of these can upset your patient and that can go against what you are trying to accomplish. Try talking to parents away from the child and use active listening techniques, as you would for any other patient, family and relatives. Daniel was a two-year-old heart patient who was preparing for his second open-heart surgery.
Already, starting the IV line had been a traumatic event. Then one of the nurses from the OR came into the room the night before the operation with a bag of items. She got down on her knees with Daniel and showed him the hairnet he would wear, the tubes that would come out of him, and the mask that would be placed over his face.
Instead of being afraid, Daniel was fascinated with the new toys in front of him and played with them all. During this time, the nurse took the time to talk to the parents about their concerns. She helped them to understand what would happen, explaining the procedure, the heart-lung machine, and the estimated time of the surgery. When the nurse prepared to leave after half an hour of talking, both Daniel and his parents were much more at ease.
Although all of them were still afraid of the surgery, it helped to know a little bit about what would happen so not everything would come as a shock. Finally, it is important to include the child when talking about procedures or their health. It is so much easier to talk to the parents that you may have a tendency to ignore the child. Children are very sensitive to this, and they do not appreciate being ignored. You should address the child at the beginning of your explanation and try to focus your talk on them and their needs.
At the end, you should also ask the child if he or she has any questions. They may not, but it helps them to feel included if you treat them like more than just a parcel to be taken here and there. Talk to the child as much as possible, and then take the parents out of the room for more adult conversation, if needed. Among the most difficult scenarios that can arise for caregivers when communicating with patients is talking with a patient who is dying.
It is challenging and often awkward to face the person. You might be too professional and distant, or you may go the other way, and be more emotional and connected than you should be. Remember, you have a roster of patients, and the wear and tear from becoming too emotionally involved can lead to burnout. How do you successfully balance all of the emotional roadblocks that can arise when dealing with a patient who has a poor prognosis?
It is important for you to be mentally healthy when working as a nurse, but especially when working with a population of patients who are in the process of dying. This means taking care of yourself and having ways to de-stress and unwind. When you go home you need to leave the sadness and emotion of the job at work. If you take it home you could end up becoming a victim of compassion fatigue—a syndrome that can lead to anger, depression, substance abuse, and other problems.
Communicating with dying patients is difficult and taking care of yourself emotionally should always come first. Most people who are dying are aware of what is happening. However, if you enter the room tongue tied and sad the patient could feel as if you pity them. Neither of these approaches will make your patient feel supported through this difficult time.
Instead, you should approach the patient with neutrality. You are an open, loving caregiver. You tend to their needs and answer their questions with honesty. It can be challenging to be open. When a patient asks a difficult question you may be tempted to pass the buck to other caregivers or to gloss over it. However, your patients have the right to know what their condition is.
That is part of ethical nursing. Your patient may also need to open up to someone and trusts you because you are their nurse. Although it may be difficult, always tell your patient the truth when they ask questions.
Sometimes, in this situation the best communication is not saying anything at all. This is not always easy; one part of you may want to draw the person out to explore their feelings while another part of you would just like the distraction of talking to avoid awkwardness. Neither of these approaches is helpful to a dying person. You just need to be present. In some cases, silence is more helpful than talking. Maybe your patient has been talked to so much that the quiet helps to finally give them a chance to talk.
They could also be tired of talking because everyone wants to know everything about what they are feeling. Families of dying patients are also suffering, and it can be challenging to communicate with them as well. Honesty is always the best course of action to take with families. They will know you are hiding the truth and may resent you for telling them something false. One of the best ways to talk to families is through active listening. Since these people may be highly emotional they have the need to be heard as much as the patient.
Active listening means that you reflect back to the person what they are communicating to you. Can you tell me more about that? Is that what you are trying to say? This can help with any emotional situation from anger to sorrow to apathy.
Nurses teach and help patients communicate their needs, but something about silence is therapeutic too. Once again, openness and the willingness to be with the patient will either help them to talk or give them a much-needed rest. That is the best therapeutic gift you can give your patient. Chances are, this strategy of communicating with doctors is not going to get you far. You have a very busy, often impatient, person listening to you.
You have to make the most of your time, and the best way to do that is with organisation. It stands for identify , situation , background , assessment , and recommendation. Merely having this structure in your head when picking up that phone to the doctor can make the call flow a bit more smoothly.
The doctor on the other end will get a clear picture, you will get all of your information out concisely, and the patient will get the treatment they need. The situation part of ISBAR seems self-explanatory, but it can often throw you off when dealing with a patient you are not sure about or just have a bad feeling about. It gets a little more difficult to state the situation when the patient is not presenting something black and white, so you should take some time to think about what is prompting your call to the doctor.
What exactly is it that is bothering you? What do you think the doctor can do for you? In this section of the report, state concisely whom you are calling about and what prompted the call. The background section of this approach has the most variability built into it.
However, if the patient has been going to this doctor for 30 years, you probably wont need to give as much background. The timeline leading up to the situation is important. What was the patient doing earlier in the day that may have an impact on the current situation? Did they have some incident or event that has some bearing on how they are acting now? All doctors will ask for them, regardless of the reason you are calling.
Pathology, recent test data and any other collected information from the history can also be given at this time. Included in this section is other data that may not fit anywhere else. You can insert how the patient looks to you personally.
Do not be afraid to let the doctor know where your concerns lie. If you do not express that your patient is worrying you, then the doctor will not know enough to be worried themselves. They are basing all of their decisions on what you are telling them.
Recommending a solution to a problem might feel a bit awkward to a nurse, especially newer ones, but doctors are often open to collaboration and do not mind working in tandem with a nurse. However, you do not want to be demanding. Often phrasing your thoughts as a question can be a great way of asking for something you think might help your patient. This allows the doctor to understand your line of thinking and opens the lines of communication between the two of you.
If they agree, you got what you wanted. Questionnaires were offered to COPD patients attending pulmonary physicians, rehabilitation centers and patients associations from February to June A total of patients mean age 66 years completed the questionnaire. Two third of the patients had been exposed to passive smoking and half to occupational toxic inhalations.
The Body Mass Index was above 25 for the majority of the patients. Patients reported that symptoms were frequently experienced for a long time before COPD: This survey underlines the role of passive smoking and exposure to occupational inhalation, and the frequency of general symptoms, comorbidities and typical signs of COPD a long time before diagnosis.
Patients Speak Book
Apollo Hospitals, Kakinada launches the Neuro Navigation system, a first-of-its- kind in the coastal districts of Andhra Pradesh, for better patient care · neuro-. Patients Speak About. Nutritional Therapy. NEW EDITION. Using this book in your practice will build your reputation, practice, and success. The electronic health record indicated that the patient required a Spanish interpreter to communicate with health care providers. A non–Spanish-speaking .