Proper Patient Care - Communication Techniques

mesacc

23 Oct 201205:02

Summary

TLDRIn this script, a patient named Mrs. Miller expresses her discomfort and dissatisfaction with the previous night's nursing care. She complains about inadequate pain relief, lack of attention, and a rude nurse. The current nurse promises to address her concerns, check her medication orders, and ensure she is comfortable before an upcoming biopsy procedure. The patient also expresses anxiety about the unknown outcomes.

Takeaways

😌 Mrs. Miller is a patient who is experiencing discomfort and pain, and she is seeking relief from her nurse.
🕒 The nurse mentions that a complete assessment will be needed before providing pain medication, which will take approximately 20 minutes.
😣 Mrs. Miller expresses frustration with the previous night's care, stating that the nurse was only seen once and did not provide adequate assistance or medication.
🔢 The nurse asks Mrs. Miller to rate her pain on a scale of 1 to 10, with 10 being the worst pain, and Mrs. Miller rates her pain as an 8 or 9.
💊 Mrs. Miller has not received any medication for pain relief and has had a sleepless night due to the discomfort.
🏥 The nurse checks Mrs. Miller's medication orders and assures her that she will address her needs as quickly as possible, considering her busy schedule.
😴 After receiving pain medication, Mrs. Miller feels slightly better and is able to rest, although she is still concerned about an upcoming biopsy procedure.
🩺 The nurse explains that Mrs. Miller will be sedated for the biopsy and that there should be no pain during the procedure, but there might be some post-operative pain.
🏥 The nurse reassures Mrs. Miller that she will be medicated post-surgery and that the results of the biopsy will be communicated to her by her doctor in a few days.
😟 Mrs. Miller expresses anxiety about the unknown outcome of her medical situation, and the nurse empathizes with her fear.
😡 Mrs. Miller complains about the night nurse's rude and rough behavior, stating that she did not feel cared for and that her requests for medication were ignored.

Q & A

What is the initial issue Mrs. Miller is facing?
-Mrs. Miller is experiencing severe pain and discomfort, and she is unhappy with the care she received from the nurse the previous night.
How does Mrs. Miller describe her pain level?
-Mrs. Miller rates her pain level as an eight or nine on a scale of one to ten, with ten being the worst pain she ever had.
What was Mrs. Miller's experience with the night nurse?
-Mrs. Miller found the night nurse to be rude and rough, and she felt that her needs were not met as the nurse did not respond to her calls for medication and assistance.
What is the nurse's initial response to Mrs. Miller's request for pain medication?
-The nurse asks Mrs. Miller to wait while she conducts a complete assessment and checks her medication orders.
How does the nurse plan to address Mrs. Miller's concerns about the night nurse?
-The nurse intends to communicate Mrs. Miller's concerns to the night nurse during shift change and ensure that her needs are met.
What procedure is Mrs. Miller scheduled to have?
-Mrs. Miller is scheduled to have a biopsy.
What is the nurse's explanation about the biopsy procedure?
-The nurse explains that Mrs. Miller will be put to sleep with anesthesia during the biopsy, so she should not feel any pain during the procedure. There might be some pain after the procedure, but the nurses will ensure she is medicated.
How does Mrs. Miller feel about the upcoming biopsy?
-Mrs. Miller is worried and scared about the unknown outcome of the biopsy.
What is the nurse's approach to comforting Mrs. Miller?
-The nurse empathizes with Mrs. Miller's fear and assures her that she will be there to care for her and will communicate her concerns to the night nurse.
What is the nurse's plan for Mrs. Miller's care after the biopsy?
-The nurse plans to ensure that Mrs. Miller has her medication and is comfortable after the procedure, and she will also communicate with the receiving room nurses to ensure Mrs. Miller's needs are met.
How long will it take for the biopsy results to be known?
-The nurse mentions that it will take a couple of days for the biopsy results to be known, and then Mrs. Miller's doctor will share them with her.

Outlines

00:00

🤔 Patient-Nurse Communication and Pain Management

In this paragraph, a patient named Mrs. Miller expresses her discomfort and dissatisfaction with the previous night's nursing care. She complains about inadequate pain relief and a lack of attention from the night nurse, who she found to be rude and inattentive. The current nurse, in response, performs an assessment and discusses the patient's pain level, which Mrs. Miller rates as an eight or nine on a scale of one to ten. The nurse also explains the process for administering medication and reassures Mrs. Miller that she will address her concerns with the night staff.

😌 Relief and Upcoming Procedure

After receiving pain medication, Mrs. Miller begins to feel slightly better and almost falls asleep. The nurse informs her about an upcoming biopsy procedure, explaining that she will be sedated and should not experience pain during the process. Post-procedure, there might be some discomfort, but the nurse assures Mrs. Miller that she will be medicated and cared for upon her return to the ward. They also discuss the timeline for receiving the biopsy results, which will take a couple of days and will be communicated by her doctor.

😟 Concerns about Night Nurse and Hospital Experience

Mrs. Miller expresses her concerns about the night nurse, describing her as rough and unresponsive to her needs. The patient recounts a negative experience where the nurse did not return after being called and did not provide the requested medication. The nurse empathizes with Mrs. Miller's situation and promises to communicate these concerns to the incoming night staff. They also discuss the challenges of being in the hospital and the fear associated with the unknown, with the nurse offering reassurance and support.

🛏️ Comfort and Preparation for Rest

Towards the end of the conversation, the nurse offers to get an additional pillow for Mrs. Miller to make her more comfortable and mentions that she will be back to check on her. The patient is informed that she cannot have water at the moment, likely due to the upcoming procedure. The nurse also ensures that Mrs. Miller is aware of the call light for assistance and leaves her to rest, promising to return soon.

Mindmap

Keywords

💡Communication

Communication is the process of exchanging information, ideas, or feelings. In the video, it is a central theme as the patient expresses her dissatisfaction with the previous nurse's lack of communication and care. The patient's frustration stems from the nurse's failure to effectively communicate and respond to her needs, which is crucial in a healthcare setting for patient satisfaction and well-being.

💡Therapeutic Techniques

Therapeutic techniques refer to methods used to treat or alleviate the symptoms of a disease or condition. The script does not explicitly mention specific techniques, but the concept is implied in the context of the patient's pain management and the upcoming biopsy procedure. Effective therapeutic techniques are essential for patient recovery and are a key part of the healthcare professional's toolkit.

💡Communication Barriers

Communication barriers are obstacles that prevent the effective exchange of information. In the script, the patient experiences barriers in communication with the night nurse, who is perceived as rude and unresponsive to her needs. These barriers can lead to a breakdown in the patient-nurse relationship and negatively impact patient care.

💡Patient's Response

A patient's response refers to how an individual reacts to a medical treatment or interaction with healthcare providers. In the video, the patient's response to the night nurse is negative due to the nurse's perceived lack of care and responsiveness. This response is critical as it can indicate the quality of care and the patient's overall satisfaction with the healthcare service.

💡Pain Medication

Pain medication is a drug used to alleviate pain. In the script, the patient requests pain medication due to her discomfort, indicating the importance of pain management in patient care. The nurse's response to the request and the subsequent provision of medication can significantly affect the patient's experience and perception of care.

💡Assessment

Assessment in a healthcare context refers to the process of gathering information about a patient's health status to determine a treatment plan. The script mentions the nurse's need to perform an assessment before providing pain medication, highlighting the importance of a thorough evaluation in ensuring appropriate care.

💡Pain Scale

A pain scale is a tool used to measure the intensity of a patient's pain, often on a scale from 1 to 10. In the video, the nurse asks the patient to rate her pain level on this scale, which helps in determining the severity of the pain and the appropriate course of action. The patient's response of 'eight or nine' indicates a high level of discomfort.

💡Biopsy

A biopsy is a medical procedure to remove tissue or cells from the body for examination to diagnose disease. The script mentions a biopsy that the patient is scheduled to undergo, which is a key part of her medical treatment. The procedure and its potential outcomes are a source of concern for the patient.

💡Anesthesia

Anesthesia is a medical practice that involves the use of drugs to induce a temporary loss of sensation or consciousness. In the script, the patient is informed that she will be put to sleep with anesthesia during the biopsy procedure to prevent pain. This is a critical aspect of surgical procedures to ensure patient comfort and safety.

💡Shift Change

A shift change in a healthcare setting is when one group of staff members ends their work period and another group begins. The patient expresses concern about the night nurse's behavior and the nurse assures her that the issue will be addressed during the shift change, indicating the importance of communication between staff to ensure continuity of care.

💡Concerns

Concerns refer to worries or doubts about a situation. The patient in the script has several concerns, including the pain she is experiencing, the upcoming biopsy, and the quality of care provided by the night nurse. Addressing these concerns is essential for building trust and providing effective care.

Highlights

Patient expresses dissatisfaction with the previous night's nursing care, citing lack of attention and assistance.

Nurse acknowledges patient's pain and discomfort, beginning assessment to address needs.

Patient's frustration with the time required for assessment, indicating urgency of their situation.

Nurse attempts to quantify patient's pain level using a 1 to 10 scale, revealing high pain intensity.

Patient reports lack of sleep and inadequate response from the previous night nurse, highlighting communication barriers.

Nurse checks medication orders, demonstrating procedural adherence in patient care.

Patient threatens to contact supervisor due to dissatisfaction, indicating a breakdown in trust.

Nurse reassures patient and promises to return promptly, attempting to rebuild rapport.

Patient expresses concern about upcoming biopsy procedure and its potential discomfort.

Nurse explains the anesthesia process for the biopsy, aiming to alleviate patient anxiety.

Patient inquires about post-procedure pain management, seeking reassurance.

Nurse assures patient of medication availability post-surgery, addressing concerns about pain.

Patient anxiously awaits biopsy results, reflecting the emotional impact of medical uncertainty.

Nurse empathizes with patient's fear and uncertainty, providing emotional support.

Patient expresses dissatisfaction with night nurse's behavior, citing rudeness and lack of care.

Nurse apologizes for the patient's negative experience and promises to communicate concerns to the night staff.

Patient describes the night nurse's unprofessional conduct, emphasizing the importance of compassionate care.

Nurse commits to ensuring the patient's needs are met moving forward, demonstrating accountability.

Patient appreciates the nurse's support and expresses relief, indicating the value of empathetic nursing.