Ivcc Nursing 1201 Unit 1

Ongoing, dynamic series of events that involves the transmission of meaning from sender to receiver. Exchanging words, gestures, and actions.

Self talk, Self verbalization, mental rehearsal.

It improves your self esteem and health . Ex: grocery list

Face to face . Exchanging of ideas, problem solving, team building.

It uses interaction to assess understanding and clarify misinterpretation when teaching a patient about a health problem.

Occurs within a persons spiritual domain.

Many people use prayer, mediation, and guided reflection .

Goal directed, understanding group dynamics. Cohesive and committed.

Committees lead patient support group. Research team, or support group .

Special adaptation in eye contact, gesture, voice, and inflections.

Ex: audience; to talk about health related topics . (Classroom)

Consists of patients (and family) and all healthcare personnel involved in providing care .

Ex: discharge planning meeting

Motivates one person to communicate with another.

Ex: signs, sounds, orders, messages

Person who encodes and delivers the message

Person who receives and decodes the message.

;; senders message acts like a referent. Ex:tone

Content of communication contains verbal, nonverbal and symbolic language. Persons perception can distort the message . Ex:terms can mean 2 different things

Means of conveying and receiving messages through visual, auditory, and tactile senses.

Ex:hands on

The message the receiver returns

Factors within both sender and receiver that influences communication.

Ex: perception; patient might take nurses message differently.

Setting for sender-receiver interaction.

Needs to meet participant needs for physical and emotional comfort and safety.

Ex: education level, cultural background, gender, age, and medication .

0-18 inches.

Ex:dressing change, ABLS, holding a crying infant, performing physical assessment.

0-18 inches.

Ex:dressing change, ABLS, holding a crying infant, performing physical assessment.

18 inches to 4 feet

Ex: sitting on a patients bedside, taking patients nursing history, exchanging info at change of shift

4 feet to 12 feet

Ex: making rounds with a physician, sitting at head of a conference table, teaching a class .

12 feet and greater

Ex: speaking at a community forum, testifying at a legislative hearing, public speaking

Hands, arms, shoulders, back.

Permission NOT NEEDED

Mouth. Wrist, and feet

Permission NEEDED

Face, neck, front of body

Permission NEEDED ; special cares needed

Genitalia and rectum

Great sensitivity NEEDED

Unsuccessful if sender and receiver cannot translate one another's words or phrases.

Ex:children small vocab .

"Dinner" -noon or last meal ?

Some words have several meanings. Meaning made due to shared common language.

A connotative meaning is the shade or interpretation of the meaning of a word influence by thoughts, feelings, or ideas people have about that word.

Ex: same picture but experience might change meaning

Conversation is more successful at an appropriate speed or pace. Talking to fast, pauses, and clear

Tone of voice dramatically affects the meaning of the message .

-ummmm

-you know

Effective communication is simple , brief and direct. Fewer words= less confusion. Also non medical terms

Timing is critical in communication on teaching when patient seems interested vs when they are in pain.

Teaching too soon. Patients have to see relevance

Important often underuse resources in nursing interaction; helps adjust stress.

-know when appropriate

-know good timing

Before meeting a patient .

Ex: review qualible data (nursing history), talk to caregivers

When the nurse and patient meet and get to know each other .

Intervention: set the tone for relationship, recognize that the initial relationship, assess the patients health status

When the nurse and patient work together to solve problems and accomplish goals.

Intervention: encourage and help patients feelings,provide info needed to understand and change behaviors.

During the ending of the relationship.

Intervention: remind patient termination is near.

Culture influences thinking, feeling, behaving and communicating. Be aware of the typical patterns of interaction that characterize various cultures.

Influence communication person with hearing or vision impairment often have difficulty receiving messages. Review patient's medical records. Stop if needed and learn to pick up cues

Cliché conversation. Requires least involvement as it does not require much thought.

Ex: the weather, the TV, how they are . "How are you?"

Fact-reporting. Basically objectives and does not involve much interaction.

Ex:patient reporting symptoms.

Sharing personal ideas and judgment.

Ex: sharing opinions

Sharing of feelings (hopes, illness, dying, sex, death etc)

Most therapeutic level. Empathy and conern self awareness

Socialization into ones primary culture as a child.

Ex: Bilingual

Process of adapting to and adapting a new culture

Ex: Second culture and learning that occurs when the culture of majority is gradually displaced by culture

•••••

To become absorbed into another culture in adapting its characteristics

Ex: immigrants or forced

Occurs when an individual identifies equally with two or more cultures

Ex: Canada

Reject the culture.

Ex: Amish

Fact or state of being different

Ex: race, education, gender, ethnicity, culture, sexuality

Is a major component of one heritage. Vegan is defined as a system of beliefs practices and ethnical values a person's practice to express spirituality.

The thoughts, communications, actions, custom, beliefs, values, and institutions of racial, ethnic, religious, or social groups concept that applies to the group of people who share the same values.

Shared identity related to social and cultural heritage such as value, language, geographic space, and racial characteristics. NOT RACE.

Ex: nursing student

Various ethnic, religious, and other groups with distinct characteristics from the domain culture.

Ex: single parent nursing student

Group similar and financial position or wealth education and or occupation who have similar status life style interest feelings attitudes language usage and or behavior

Refers to type of religious group what have specific values attitudes and or behaviors

Consist of ways of living of thinking that contribute to the family and sexual aspects of group life

Is a major component of one heritage. Vegan is defined as a system of beliefs practices and ethnical values a person's practice to express spirituality.

Insider are native perspective

Ex: seaweed soup; needed for laceration.

Outsiders perspective

Ex: nurse didn't know you needed soup for laceration.

Tendency to hold one's own way of life as superior to that of others

•view life through own culture

Prejudicial out look, action, or treatment

Using one's own values and customs as an absolute guidance and interpreting behavior

Negative believe or preference that is generalized about a group that leads to "pre-judgment"

Assuming all members of a culture or ethnic group or alike

Disorder that occurs in response to your translation from one culture setting to another.

S- subjective data (verbalization of patient)

O-Objective data (that which was measured and observed)

A- Assessment (diagnoses based on data)

P- Plan (what caregiver plans to do)

I- Intervention

E- Evaluation

P- problem (deficient knowledge regarding surgery related inexperience)

I- Intervention (provided booklet on postoperative nursing care)

E- Evaluation (demonstrated TCDB exercises correctly)

Allows you to quickly and easily enter assessment data about patient including VS and routine repetitive care such as meals, weights etc

Portable "flip-over" file or notebook is kept at the nurses station. Most kardex have activity and treatment sections and nursing care plans

Distant discipline developed by Leininger that focuses on the comparative Study of cultures to understand similarities and differences among groups of people

Distant discipline developed by Leininger that focuses on the comparative Study of cultures to understand similarities and differences among groups of people

Karabakh bits people's values life patterns and sets of meaning generated from the people themselves. Sometimes this differs from professional's perspective on care

Distant discipline developed by Leininger that focuses on the comparative Study of cultures to understand similarities and differences among groups of people

Care that fits people's values life patterns and sets of meaning generated from the people themselves. Sometimes this differs from professional's perspective on care

Process of acquiring specific knowledge, skills, and attitudes to ensure delivery of culturally congruent care.

ASK ED .

D-data(both subjective and objective)

A- action (nurse's intervention; med tx)

R- response on patient (evaluation of effectiveness)

Only charting what is abnormal or significant changes.

•multi-disciplinary

•problem identified

•interventions developed

• expected outcomes communicated

Situation

Background

Assessment

Request/Recommendation