Effective Nurse-Patient Communication - Therapeutic Nurse-Patient Relationships - Nursing Case Study Assessment Answer

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 Nursing Case Study Assessment Answer

Case study essay Discuss why effective nurse-patient communication is critical to promote therapeutic nurse-patient relationships and patient safety Assessment ? Choose ONE of the patient scenarios provided (George Pham, Helen Henderson or Chester Abioye) ? Use examples from the chosen scenario AND ? Discuss how the nurse would use verbal and non-verbal communication skills, person-centered care and effective documentation to develop a therapeutic relationship with the patient and promote patient safety. Student (Community – Registered Nurse): Use professional nursing communication with the patient to conduct a 10-minute health assessment video interview taking into account the following: • Introduction – nurse and patient • Situation – reasons for assessment, allergies, and relevant personal details • Background – health history, general health and psychosocial status • Assessment – observations, nutrition/diet, exercise, lifestyle, health beliefs and values, and cultural/spiritual/religious practices • Recommendation – confirm health assessment information and implications for well- being, recommend changes to manage and improve health and suggest timeframes for any plans Assessor (Patient – George Pham): You are cooperative, alert and orientated. You are willing to provide all requested information. You like to ask general questions of the nurse related to the health assessment and like to know your observations and if they are within normal limits. You are open to discuss ways to improve your health through possible changes to your diet, exercise, daily habits, and lifestyle choices. Scenario 1: Patient- George Pham George Pham has come to see a Registered Nurse at his General Practitioner’s Office for a health assessment. George is reasonably active and has a stressful lifestyle with work and caring for his daughter’s children. He has some minor health problems and wants to improve his health through eating well and by making positive changes to his lifestyle. George Pham: male, height 170 cm; weight 71 kg (BMI = 24.6). BP 164/ 92, HR 94, RR 20, temperature 37.0 C, SaO2 98% on room air. • George is a 73-year-old male (D.O.B: 17/01/1946) with no known allergies, and his current address is 52 Homebush St, Central, 2001 • George was born in Vietnam and came to Australia as a ‘boat person’ in 1979 with his wife and daughter. His wife died five years later from ovarian cancer. • George has a 35-year-old daughter and three school-aged grandchildren (Jessica 14 years, Amanda aged 10 years, and Robert aged 6 years) who all live next door to him. He lives in a small two bedroom rented flat near the city centre. He spends time with his daughter and grandchildren each day. • George is concerned that he has a cough that is not getting better after five weeks. He recently gave up smoking but still misses not having his cigarettes - he smoked 20 cigarettes a day for 42 years. • George drinks alcohol at home every night with his evening meal. He often consumes 3 to 5 standard drinks (beer) of an evening. He sometimes drinks socially or on outings with his friends from the club. • George works as a baker, starting work very early in the morning. He looks after his grandchildren after school until his daughter finishes work. • George often takes his grandchildren to the park. On weekends he enjoys talking to his friends at the local Vietnamese Club where they share a Vietnamese meal together. • George tries to cook meals at home but is often so busy that he buys take away from local Asian cafés. He always makes sure he has a supply of take away Fried Noodles or Rice to take to work each day. • George takes his grandchildren to the beach on Sundays in summer. He doesn’t use sunscreen because he says he never burns - he just gets more tanned. He never wears a hat either. • George is very family orientated and encourages the family to come to a local café with him at any opportunity. • George is a Buddhist but there is no temple close to where he lives. He says he misses the chance to go to the temple at Festivals, but he has a small shrine in his flat. Scenario 2 Patient 2: History for Nurse and Patient Interaction – Health Assessment Student (Community – Registered Nurse): Use professional nursing communication with the patient to conduct a 10 minute health assessment video interview taking into account the following: • Introduction – nurse and patient • Situation – reasons for assessment, allergies, and relevant personal details • Background – health history, general health and psychosocial status • Assessment – observations, nutrition/diet, exercise, lifestyle, health beliefs and values, and cultural/spiritual/religious practices • Recommendation – confirm health assessment information and implications for well- being, recommend changes to manage and improve health and suggest timeframes for any plans Assessor (Patient – Helen Henderson): You are cooperative, alert and orientated. You are willing to provide all requested information. You like to ask general questions of the nurse related to the health assessment and like to know your observations and if they are within normal limits. You are open to discuss ways to improve your health through possible changes to your diet, exercise, daily habits, and lifestyle choices. Scenario 2: Patient- Helen Henderson Helen Henderson has come to see a Registered Nurse at her General Practitioner’s Office for a health assessment. Helen is not very active and has a stressful lifestyle with work and other activities. She is well but always feels tired and would like to know how to feel more energetic through regular exercise, eating well and by making positive changes to her lifestyle. Helen Henderson: Female, height 175 cm; weight 94 kg (BMI = 30.7). BP 158/ 90, HR 96, RR 18, temperature 36.4 C, SaO2 99% on room air. • Helen is a 43-year-old female (D.O.B: 24/05/1976) with no known allergies, and her current address is 48 Villahome Drive, Southwood, 2074 • Helen lives with her wife Janine. They have been married for 6 months but have been partners for 21 years since meeting at university. • Helen works as a chief financial controller at a very busy engineering company in the city. She works very long hours and often on the weekends. • Helen is very close to her family however, doesn't see them often because of work demands. • Helen currently feels well but is often too tired to cook meals and she buys takeaway from the local shopping centre trying to choose the healthiest options like a salad or sushi but does eat a hamburger and hot chips sometimes. Presently her only exercise is the 10-minute walk to the bus to get to work every day. One weekend a month Helen and Janine try to get out to the country to escape the city. • Helen does not drink during the week but enjoys a 2-3 glasses of champagne over the weekend. • Helen is very conscious of protecting her skin from the sun as she is very fair. • Helen has always been very religious, and goes to mass at her local Catholic Church when she can. • Helen has come for a health check and would like to know if there is anything she can do to stop her feeling tired all the time. Scenario 3 Patient 3: History for Nurse and Patient Interaction – Health Assessment  Student (Community – Registered Nurse): Use professional nursing communication with the patient to conduct a 10 minute health assessment video interview taking into account the following: • Introduction – nurse and patient • Situation – reasons for assessment, allergies, and relevant personal details • Background – health history, general health and psychosocial status • Assessment – observations, nutrition/diet, exercise, lifestyle, health beliefs and values, and cultural/spiritual/religious practices • Recommendation – confirm health assessment information and implications for well-being, recommend changes to manage and improve health and suggest timeframes for any plans Assessor (Patient – Chester Abioye): You are cooperative, alert and orientated. You are willing to provide all requested information. You like to ask general questions of the nurse related to the health assessment and like to know your observations and if they are within normal limits. You are open to discuss ways to improve your health through possible changes to your diet, exercise, daily habits, and lifestyle choices.

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