Proper Patient Care - Communication Techniques
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
🤔 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
💡Therapeutic Techniques
💡Communication Barriers
💡Patient's Response
💡Pain Medication
💡Assessment
💡Pain Scale
💡Biopsy
💡Anesthesia
💡Shift Change
💡Concerns
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.
Transcripts
communication
techniques evaluate these two mettes for
different therapeutic techniques and
communication barriers consider the
patient's response to each
encounter come in are you a nurse Mrs
Miller I am a nurse can you get me some
pain medication that other nurse last
night was just awful she didn't do she I
only saw her once at the beginning of
the shift and I'm really really
uncomfortable and I just don't feel good
at all is there any way you can give me
some relief well first off I need to do
a complete assessment on you before I
how long will that take uh 20
minutes cuz I'm very busy and we you
know we have other I'm very
uncomfortable is there any way she she
didn't do anything for me last night all
right well you know um on a scale of 1
to 10 10 being the worst pain you ever
had one being no pain or zero being no
pain where's your pain level eight or
nine maybe going more it's just I
haven't had any anything to give me any
relief I haven't had any sleep last
night I kept buzzing the buzzer and she
just wouldn't come in well are can you
do anything for me let me go check your
medication orders can you please hurry
well you know you're not the only
patient I have today so I will do it as
fast as I can do it I hope so all right
I'll be back if not I'm going to talk to
your supervisor okay well I don't think
that's really necessary it may be I hope
not okay well I will go check right now
for your payments I'll be back thank
you come
in Mrs Miller you were resting I didn't
know if I wanted to disturb you or not I
almost went to sleep there for a minute
I couldn't believe cuz I didn't sleep
very well last night at all it was up
most the night and so after you gave me
the pain medicine I I felt little bit
better I almost knotted off oh well if
you need to knot off go ahead and we
will we will
I I probably won't cuz they're going to
do it for some kind of procedure they
are this afternoon you're going to have
that biopsy done so they'll come and get
you and take you down yeah I hope
that'll be okay okay are you are you
clear on everything well for the
procedure will it hurt well you know
that they'll put you to sleep we talked
before you took your little nap they
will put you to sleep uh with anesthesia
and it should not hurt during the
procedure after the procedure there
could be some pain but when you get back
to the floor and so right after you get
out of surgery um the nurses in the in
the receiving room will make sure that
you're medicated and we'll get you back
to the floor and we'll make I'll make
sure that you have your payments when
when will we know the results you know
they take a couple days and so your
doctor will receive them and then he
will be sharing those with you okay I'm
just kind of worried I mean I I just
don't know what's going to happen yeah
I'm sure it's it's not a easy thing
right now the unknown is always a bit
scary isn't it it is it really is okay
and I don't want to bother anybody but I
just you know just it is kind of scary
it is it is pretty scary so we'll just
we'll just hang in there and I'll be
here today again to care for you and I'm
on tomorrow as well oh that's wonderful
so and I'll be sure to express to the
night nurse that shift change that you
have you have some concerns about this
is the same nurse on tonight you know
I'm not sure I'm not sure but didn't
like her at all you didn't you know she
was rude she was rough I was just I felt
I just wanted to throw the picture of
water at her really yeah I mean she was
she didn't come back when she did she
just stuck her head in and left and I
just she didn't she
just I don't know why she calls herself
a nurse so you felt like you maybe
weren't cared for very well oh I wasn't
cared for at all I mean she came in and
she did a really quick kind kind of up
and down thing and it was really rough
and then she I I asked for some
medication and she didn't she didn't
bring it back and she stuck her head in
and said glad everything's okay and went
back out again and I I yelled for her
and I buzzed for her and she never came
back at all I mean and I couldn't sleep
and it was really noisy I don't know
there was a bunch of noise down the hall
and you know she was just awful I mean I
it's terrible she's one of the worst
nurses I've ever seen no I am so sorry
that that happened to you last night and
I'll be sure when I give report tonight
to whoever that nurse is coming on that
your needs are are met oh thank you okay
you know you are welcome you're are
welcome because it's hard enough to be
in the hospital let alone have all that
other stuff going on yes okay all right
so I'll be back you try to rest all
right anything else you need no I think
I'm just going to put the bed down okay
all right your call L is here in case
you need us now I can't have any water
or anything right not right now but I'm
going to go grab that other pillow real
quick for you and I'll be right back
thank
you
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