Competent work with the patient allows you to build communication in such a way that situational treatment is replaced by proactivity, and one-time sales are replaced by regular preventative care for the patient. Let's look at these issues in our material.
At what age and how to cultivate a culture of caring for one’s health and motivate the patient to take preventive measures?
The culture of caring about one’s own health is passed on to children exclusively from parents. Thus, mothers who trust their health to our specialists eventually bring their daughters for preventive examinations. There must be some continuity of healthy generations, so that from the very birth of children, through their own experience and example, they will be taught to prevent and take care of what is most valuable.
Unfortunately, despite the fact that doctors recommend routine preventive examinations and check-ups, patients, as a rule, turn to a specialist when they are already “sick.” You need to understand that “it hurts” is not the first symptom. The disease is making itself known in full. This means treatment is required, which can be lengthy and expensive. Any doctor will tell you that it is much easier to prevent than to treat, and prevention for a patient is more effective than treatment. For example, baby teeth are susceptible to rapid destruction from caries. If you do not pay attention to small black dots (holes), you can end up with the removal of several teeth, which will subsequently affect the growth and condition of new molars. It is possible to prevent such an outcome only by taking the patient’s prevention and routine dental examinations as a basis.
It is necessary to start cultivating a culture of caring about your health from a very early age. Timely vaccinations, observation by an orthopedist, ophthalmologist, dentist - this is all the key to a child’s good health in the future. And preventive examinations of parents by a doctor mean preserving the most valuable thing: the happiness of a healthy family.
How to build a conversation with a patient about prevention
Work with the patient in the direction of prevention is carried out from the first acquaintance, from the first visit, regardless of the specialist’s focus. A detailed history taking, recording in the medical history information about possible hereditary diseases, pathologies - all this will help the doctor build subsequent communications with the patient, identify or prevent possible diseases. A huge advantage of commercial medical institutions is the time of reception and conversation with the patient. For example, an initial appointment with an endocrinologist takes an hour, a gynecologist – 40 minutes or more. This time is enough not only to examine the patient, but also to establish “partnerships.” The main thing is not to confuse them with friendly ones.
Several significant points in a conversation with a patient about prevention:
- exclude lies. If the doctor feels that the patient is not telling the story or is hiding something, in this case it is necessary to explain how important it is to have truthful and correct information about what is bothering you and what symptoms were observed. An accurate diagnosis and prescribed effective treatment directly depend on the partnership between the doctor and the patient.
- disappointed expectations. The patient complained of some discomfort, and the doctor prescribed long-term, expensive treatment. The patient develops distrust in the specialist and his qualifications, because “it didn’t hurt much.” In this case, the specialist needs to give more information about the disease and possible types of treatment, explain what could be the cause, tell how the treatment will be carried out step by step and how the prescribed drugs work, explain in a conversation with the patient about the importance of prevention. The patient’s speedy recovery depends, among other things, on his organization. If you don’t explain to him how important it is to take exactly these pills and exactly how many times a day, then the significance of the frequency of taking the drugs will not be obvious.
- Don't leave open questions. The patient may be embarrassed to ask questions. The doctor’s task is to satisfy the information needs regarding the patient’s disease. It’s better to once again clarify “Do you have any questions?” We can say that it is a partnership between doctor and patient for the purpose of prevention.
If everything is done correctly, then after effective treatment the patient’s trust in the doctor increases. Recommendations about health prevention and routine visits to a specialist will be made in a conversation between the doctor and the patient.
You might be interested
- Peculiarities of interaction between doctors and patients: how to build effective communication
- Fear of dentists in children: how to relieve stress in patients and improve the work of doctors and medical staff
Patient prevention
Using the example of a women's health clinic, I can say that only a conversation with the patient and conveying to him the correct correct information about the disease and the subsequent need for prevention gives a positive result.
In fact, in Russia, child health prevention is well organized. In school and preschool institutions, mandatory medical examinations and vaccinations are carried out, which help to identify the disease at an early stage. It is young patients who should be instilled with the habit of being healthy from school. It's like brushing your teeth. After all, each of us knows about the need to brush our teeth twice a day: morning and evening. We do this because taking care of our teeth has become an everyday habit.
How to properly maintain the health of adult patients and work on prevention? After all, to the doctor’s question: “Why did they wait so long, why didn’t they contact us earlier?”, we hear standard answers: “There was no time at all,” “No time,” “I thought I’d lie down and it would pass...”, and so on. . Ignorance and ignoring the symptoms of diseases in gynecology lead to serious consequences, one of which is infertility.
Modern technologies and a well-structured notification system help medical institutions remind patients of the need for preventive examinations, without imposing services. For example, examinations by a gynecologist are recommended twice a year.
When choosing a load in the gym and before starting training, it is recommended to undergo an examination, including a cardiologist. Many fitness centers have already begun to cooperate with clinics to receive doctor’s recommendations after examination on the permissible physical activity of the client. For some fitness centers this has already become a mandatory rule, because the client must first of all be healthy.
For narrowly focused clinics, such partnerships are useful for development. The target audience must coincide with the partner and there should be no competition in the services provided. The main thing is that cooperation should be mutually beneficial. If you have a cosmetology business, and there is a nail salon in the house opposite, you can safely discuss joint cross-promotions. Based on my experience, I don’t recommend saving on attracting new clients. Let a cosmetologist's consultation for a nail salon client be free by invitation, the invitation is personal. Further retention of the client depends solely on the competence of the specialist.
The female body is a delicate, special instrument that requires special attention and care. Every age has its own doctor. Therapist, gynecologist, endocrinologist, cardiologist, nutritionist and even cosmetologist are required specialists for beauty, health and healthy beauty.
For example, at the age (45+) it is necessary to visit a gynecologist according to the recommendations of the doctor who is seeing the patient. This is necessary for timely selection or correction of HRT (hormone replacement therapy) in the perimenopausal period and further in menopause. To ensure a comfortable life for women, appointments with an endocrinologist become regular during this period. Everything is interconnected.
Yes, visiting all specialists at once is costly for most patients. It’s also worth adding the need to undergo tests, which also empties your wallet. In this case, special offers and prevention programs, the so-called check-up, are developed. The patient is offered to undergo a comprehensive examination at a discount, and the discount must be at least 25% for the entire package of services in order to feel savings and benefits. “Two in One” promotions effectively motivate. For example, “Consultation with a gynecologist + ultrasound is free.” In this case, by informing patients about the offer, we get those who were already thinking about prevention, but for whom something prevented them from making an appointment. With our advantageous offer, we encourage the patient to maintain health.
Check-up is a comprehensive technology for working with a patient
The organization of support and prevention must be comprehensive, so one of the directions in working with the patient now is check-up.
REFERENCE!
Check-up is a fashionable name today for, in fact, the usual medical examination. Of course, the strange English-language sound of the program is closer to the younger generation, but gradually the check-up is winning the minds of marketers of medical centers, and explanations of what it is and why it exists reach clinic patients of all ages. What is it? These are special programs consisting of consultations with doctors and medical procedures aimed at detecting diseases at an early stage of development. It is worth noting that such a comprehensive examination program costs much less than individual procedures and consultations.
Check-up “Healthy Heart”. The check-up is aimed at returning patients for preventive examinations in the cardiologist’s office. The “Healthy Heart” check-up will allow you to identify signs of cardiovascular disease at an early stage of development, which will help the doctor begin effective treatment on time and prevent the development of severe forms of illness.
What's included in the program:
- Primary appointment (examination, consultation) with a cardiologist
- Repeated appointment (examination, consultation) with a cardiologist
- Electrocardiography in 12 leads with interpretation
- Complete blood count (leukocytes, erythrocytes, hemoglobin, platelets, ESR, etc.)
- General urine analysis
- Total cholesterol
- Triglycerides
- LDL cholesterol (low density lipoprotein)
- HDL cholesterol (high density lipoprotein)
- Na; TO; C.L.
- Glucose.
You can give a 25% discount on the program.
Unfortunately, taking care of one’s own health is not yet a priority for Russians, but a culture of prevention, including through check-up programs, is a healthy future.
The main conditions for the effectiveness of professional communication of a health worker are: demonstration of goodwill, tact, attention, interest, and professional competence.
It is necessary to know the peculiarities of the psychological reflection of their condition by patients of different ages and implement deontological communication tactics towards them accordingly.
For preschool children age is typical:
Lack of awareness of the disease in general;
Inability to formulate complaints;
Strong emotional reactions to individual symptoms of the disease;
Perception of treatment and diagnostic procedures as intimidating events;
Strengthening character defects, raising a child during illness;
Feelings of fear, melancholy, loneliness within the walls of a medical institution, away from parents.
Deontological tactics - emotional warmth, distraction from illness, organization of quiet games, reading, carrying out procedures with persuasion, professional treatment of relatives of a sick child.
For teenagers characteristic:
The predominance of the psychological dominant of age is the “claim to adulthood”;
Bravado as a form of self-defense with internal psychological vulnerability;
Disregard for the disease and risk factors.
Deontological tactics - communication taking into account age-related psychological characteristics, relying on the independence and adulthood of a teenager.
When working with patients efficient age:
It is necessary, first of all, to know the patient’s personality and individuality. Find out the attitude towards the disease, the medical staff, the position on the interaction of the patient with the medical staff.
Deontological tactics - focusing on labor and social rehabilitation, choosing communication tactics depending on VKB, correcting inadequate attitudes, psychotherapy for anxious and suspicious patients.
For elderly and senile patients age is typical:
The psychological dominant of age is “departing life”, “approaching death”;
Feelings of melancholy, loneliness, increasing helplessness;
Age-related changes: decreased hearing, vision, memory, narrowing of interests, increased sensitivity, vulnerability, decreased ability to self-care;
Interpretation of the disease only through age, lack of motivation for treatment and recovery.
Deontological tactics - maintaining the patient’s sense of self-worth; an emphatically respectful, tactical, delicate attitude, without familiarity, commanding tone, or moralizing; orientation to physical activity; motivation for recovery.
Features of communication with a patient in a hospital
Illness or hospitalization unsettle a person in life, and he may feel offended by fate and unhappy. He is worried about the illness, possible complications, prognosis, the forced need to leave work, parting with home, unfamiliar or unfamiliar surroundings, on which he also becomes dependent. In severe cases, in cases of paralysis, severe pain, and strict bed rest, the dependence can be absolute.
The routine of a patient’s life in a hospital is determined by medical workers; the patient’s life in a hospital itself depends on their knowledge, skills, responsibility, and kindness. At the same time, the relationship that he develops with paramedical workers, primarily with nurses, who communicate with patients constantly, is especially significant for the patient.
Relationships with patients should be built depending on age, profession, general cultural level, character, mood, severity and characteristics of the disease. All measures for treating patients and caring for them should be carried out calmly, accurately, carefully, trying not to irritate them, without causing them pain, and in no way humiliating their human dignity. It is necessary to take into account the usually characteristic feeling of embarrassment and frustration in patients due to their helplessness and dependence.
The average health care worker must know what diagnosis has been made to the patient, why the doctor has prescribed certain medications, procedures, and laboratory tests. However, caution must be exercised when talking with the patient; the conversation should be soothing. Under no circumstances should you tell him anything that could upset or frighten him. It is unacceptable in the process of communicating with him to say that he looks bad today, that his eyes are “sunken in,” or that his tests are bad.
It must be remembered that with many diseases, patients experience certain characteristics of mental activity. Thus, with atherosclerosis of the cerebral vessels, a significant decrease in memory, absent-mindedness, faint-heartedness, tearfulness, touchiness, and egocentrism are possible. Patients with heart pathology often feel a sense of fear for their lives, are wary, and are highly emotional. With diseases of the liver and gall bladder, irritability, causticity, and anger are often noted. In acute infectious diseases and intrathecal hemorrhage, euphoria and underestimation of the severity of one’s condition are possible. With high internal pressure, the patient is usually lethargic, inactive, passive, apathetic, answers questions with delay, laconically, as if reluctantly, and often remains in some fixed position. Certain features of the mental state and behavioral reactions are characteristic of many endocrinological, oncological and other diseases, various forms of endogenous intoxication, poisoning.
The work of a nurse in children's departments has significant features, because... Staying in a hospital without a mother is a significant psychologically traumatic circumstance for children. Relationships between medical workers and relatives of sick children can be difficult. Brief communication with parents can sometimes only agitate a sick child who has partially adapted to hospital conditions.
When communicating with patients’ relatives, it is necessary to be tactful, polite, and do everything possible to reassure them and convince them that everything necessary is being done for the patient. At the same time, sufficient firmness is necessary to prevent relatives from violating the regime established in the hospital.
A genuine culture of communication is also necessary within the healthcare team itself. Kindness in relationships with colleagues and mutual assistance are required to create an optimal psychological climate in a medical institution and to provide comprehensive medical care. At the same time, the discipline of team members and their observance of subordination are very important.
There are rules for effective communication, the application of which helps to establish a relationship between a healthcare professional and a patient. Maintain an atmosphere of trust and cooperation, create and maintain a calm, respectful and friendly atmosphere nurse can use several techniques:
1. « Proper name" . The conversation with the patient begins by stating his name and patronymic, position and purpose of the conversation. The patient is also addressed by name and patronymic (if age requires it) and “you”, which helps to establish the person as an individual, gives him a feeling of satisfaction and is accompanied by positive emotions. You can switch to “you” only if the patient himself suggests it.
2. "Comfortable environment." The conversation with the patient is carried out, if possible, providing him with a comfortable place, taking into account lighting, noise, furniture, room, presence of strangers, etc. It is necessary to remember the interpersonal distance, position yourself so that your face is at the same level as the patient’s face. Be sure to remind the patient about the confidentiality of the conversation.
3. "Mirror of Relationships" The reception consists of a kind smile and a pleasant facial expression, indicating that “I am your friend.” The patient develops a feeling of security and, as a result, positive emotions. You should be open, friendly, positive and welcoming. You should not be familiar in conversation, talk down or disdainfully.
4. "Building a conversation." The conversation with the patient begins by emphasizing his advantages and positive achievements in eliminating the health problem. It is not advisable to start a conversation with a topic that is difficult for the patient. The most exciting and sensitive issues are approached gradually. Patiently and carefully listen to the patient's problems. You should clarify the details to keep the conversation going in the right direction. This leads to the satisfaction of one of the most important needs of any person - the need for self-affirmation, which leads to the formation of positive emotions and creates a trusting attitude of the patient.
5. « Gold words". The technique consists of giving compliments that contribute to the effect of suggestion. You should see, understand and appreciate the merits of the person with whom you are talking. This is expressed with words of approval and praise. Thus, the patient’s need for improvement is, as it were, “correspondently” satisfied, which also leads to the formation of positive emotions in him and determines his disposition towards the medical worker.
6. "Rhetorical abilities." You should speak clearly, slowly, intelligibly, with maximum friendliness (without ingratiation), checking whether the interlocutor understands what was said correctly. We must try to conduct a conversation taking into account the individual age and personality characteristics, tastes and desires of the patient. In conversation you needwithstandpause: this gives both the patient and the healthcare worker an opportunity to observe the patient and gather their thoughts. The patient's responses are accompanied by facial expressions of affirmation or a short “yes.” If the answer to a question is inaccurate, it is repeated or formulated differently.
7. "Professional silence." When talking with a patient, avoid using medical terms. Inform the patient about treatment measures and expected results within the limits of professional competence. They do not require the patient to provide the exact name of care items and medications; if necessary, they are simply asked to show them. You should not expect the patient to remember the names of employees and room numbers. If there is a need for this, the information is presented on paper and left with the patient. You cannot create a feeling of guilt in the patient for inaccurate execution of instructions or recommendations. Whenever possible, he is given clear and specific advice and recommendations.
8. "Mutual understanding." At the end of the conversation, they clarify whether a semantic barrier has arisen.
The art of communication, knowledge of psychological characteristics and the use of psychological methods are extremely necessary for specialists whose work involves constant contacts of the “person-to-person” type. The ability to build relationships with people, find an approach to them, and win them over is especially necessary for medical workers. This skill lies at the heart of life and professional success. Both natural ability and education are important.
An example of a conversation with a patient about a diet prescribed by a doctor
Examples of conversations with patients and relatives
· You have been diagnosed and prescribed the 10th diet (table). Treatment will be complex: medication and diet therapy. If you have heart and vascular disease (high blood pressure), you need to limit salt to 5 g per day, exclude fatty, concentrated meat broths from your diet, since they contain nitrogenous extracts (extracts from meat) and spices.
· You are recommended products that regulate the action of the intestines: vegetables and fruits, berries containing plant fiber (fiber irritates the intestinal mucosa, which prevents constipation and ensures the removal of toxins and cholesterol from the body). Be sure to include wheat bread with bran and rye in your diet.
· Take solid food in chopped form, in the form of cutlets; boiled, but in no case fried dishes; exclude smoked products. Eat 5-6 times a day in moderation, have dinner 3 hours before bedtime. Be sure to limit free fluid intake to 1000–1200 ml.
· If you violate your diet, your treatment will be ineffective. Unwanted complications may arise that will reduce your quality of life.
Your disease does not require a special diet, so your doctor prescribed the 15th (general) diet.
This diet is prescribed for the period of hospital stay. It is physiologically complete, i.e. the content of proteins, fats, carbohydrates and caloric content correspond to the nutritional standards of a healthy person not engaged in physical labor. Take vitamins in increased quantities.
Food is prepared from a variety of products. Avoid difficult-to-tolerate fatty foods, rich dough, and foods that linger in the stomach.
Spices in moderation.
Dishes are boiled, stewed, baked.
There are absolutely no smoked, fried or pickled foods. You can maintain this diet at home, then you will not have to treat other diseases that can result from improper, irrational nutrition.
· Your loved one (relative) has been prescribed tube feeding by the attending physician. Introducing it into the stomach will help to carry out feeding according to the schedule and provide adequate nutrition. Your relative will continue to receive proteins, fats, carbohydrates, microelements, and vitamins. The probe is inserted carefully, moistening it with a gel that relieves the sensitivity of the nasal mucosa, pharynx, as well as glycerin, which will facilitate the advancement of the probe. You will prepare liquid and semi-liquid nutritional mixture at home (I will teach you) or at a catering unit.
· Food is administered through a tube every 3 hours, 300 ml. The probe is washed with boiled water. The probe will be with your loved one (name, patronymic) until the patient is able to swallow independently. Every 2 weeks the probe is removed to prevent bedsores.
· At the moment, inserting a tube is the best way to maintain the patient’s vital functions.
When planning and implementing psychological support for a patient and his family within the framework of nursing competence, it is necessary to involve not only the patient, but also his family members in the treatment process. Psychological problems significantly reduce the quality of life of the patient and his relatives, and the category “quality of life” is exclusively subjective; accordingly, it is not possible to effectively identify the problem and plan an acceptable care plan without their participation.
When admitting a patient to a hospital, the nurse should ask clarifying questions to the patient’s relatives, the answers to which will help in further planning of nursing interventions:
Who is the patient's primary caregiver?
Do relatives know about the diagnosis and prognosis?
Expectations of relatives (cure, death, maintenance of basic vital functions, control of symptoms).
Will they benefit the patient's need for training in any nursing skills?
Will the need to provide assistance necessitate:
unnecessary expenses;
the emergence of false hopes.
What may cause concern to the patient and relatives:
the patient's small children;
denial of one's own illness;
fear of contagiousness of the disease;
inheritance problem.
Do relatives hide information about the disease from the patient?
A nurse at the Kemerovo Regional Hospice has the opportunity to organize a consultation with a psychotherapist for a patient or his relatives, as well as plan interventions to solve the patient’s psychosocial problems together with a psychotherapist. Organize a conversation with the priest of the local church.
Anxious states of the patient and his relatives are often caused by a lack of knowledge and a lack of communication. The nurse should build a conversation aimed at filling the missing knowledge and satisfying the need for communication.
Give each patient your attention every day, be sure to talk with the patient, show participation, and ask about his state of health. Use open-ended questions (“How did you sleep?”, “What would you like to eat today?”, etc.). Be a patient listener and use active listening techniques. Don't skimp on kind words.
Convince the patient of the need to express his feelings, grief, fears, identify and discuss his psychological problems. Conduct such conversations one on one in a protected room; the patient himself determines the intensity of the conversation (what to say, how much information to say, how to say it). Some patients can only express their feelings with a healthcare professional because... a person cannot afford to show weakness or excessive frankness in communicating with relatives, for fear of scaring them.
When communicating with patients, fight fears, feelings of helplessness, and alienation. Illness is not a purely physical problem, it is a problem of a person’s entire personality. It is necessary to work on the formation of positive motivation and conduct systematic conversations with the patient. At the same time, nurses should be understanding, delicate, they should not make the patient smile at any cost, in some cases it is better to ask him not to hold back his tears if he wants to cry, if he needs to be sad, argue, get angry, etc. Containing negative emotions increases stress, it is necessary to work on reconciliation with past relationships, overcoming old grievances.
If possible, avoid the word “cancer” when communicating with the patient. Cancer is, a priori, a negative attitude in people's minds. The associative range of concepts in the word “cancer”, as a rule, is death, pain, inevitability, worthlessness. Firstly, it reminds the patient of possible imminent death and pain. Secondly, it reduces the emotional mood and insults the patient.
Be prepared to talk with the patient about the meaning of life. To do this, find out about the details of his life, because... if you suddenly say that the meaning of life, for example, is to give birth to children to a childless person, then you will introduce him into an even more psychologically depressed state.
Help develop the patient's "will to live." Determine with him in conversations what is valuable in life, for example, children, grandchildren, work, creativity, etc. Set goals, they should be specific and achievable, develop a specific plan. For example, a patient wants to learn how to knit, draw, or move independently to the toilet; for this, it is necessary to perform some actions daily to achieve the goal and evaluate the result.
Identify patients who have found “benefits” in their illness. When a person is diagnosed with a disease with an unfavorable outcome, society begins to perceive it from the other side - the side of pity. A person begins to allow himself to feel sorry for himself; illness is a good excuse for him to:
get away from an unpleasant situation or problem. Illness “gives permission” not to solve problems;
receive love, care through pity from loved ones and not close people;
do not meet the high demands placed on society.
If you notice such a mood in a patient, then you need to consult a psychotherapist, in discussions with such a patient, pay attention to the strength of the human personality, organize occupational therapy (drawing, knitting, flower growing, sewing soft toys, etc.), active physical activity.
Remember that cancer patients often need to communicate with a “mentor” or “sage”. Most often, this communication occurs subconsciously; the patient imagines a sage who can answer all the patient’s questions. It is very favorable if, as a result of systematic conversations, the image of a “sage” will be projected onto the image of an experienced medical worker. Such personification is very responsible for a nurse, but with the right conversations, you can manage the patient’s emotional mood, overcome fears and depression with the patient, and even prevent physical symptoms of the disease. To form the image of a mentor, you can conduct fairy tale therapy, a method of psychotherapy proposed by A.V. Gnezdilov, to work with cancer patients. Books are read with the patient, with the help of which you can form a new view, a new attitude of the patient to the disease (fairy tales by A.V. Gnezdilov, H.-H. Andersen, Russian classics, etc.).
Promote group viewing of TV shows, films, reading and subsequent discussion of books and films.
Encourage drawing activities in patients. Drawing makes it possible to express your feelings, identify fears, and identify formed images. In addition, it promotes the development of fantasy and distracts from reality. In turn, you can observe the dynamics of a person’s condition through drawings.
Promote adequate physical activity. Physical activity is required, even if it’s just walking, moving from object to object. It is very good if it is walking in the fresh air and active physical exercise (gymnastics). If the patient is unable to perform active movements, it is necessary to help him perform physical activity (passive exercises, breathing exercises, drainage position, hydrotherapy, massage, etc.).
Organize events, holidays, birthdays, etc. with your patients. It is important that patients take part in organizing events.
Nursing interventions for the patient’s problem “Desire for isolation from communication due to serious illness”
Talk to the patient every day, inquire about their health status, family, discuss a movie, book, etc.
When communicating with a patient, it is very important to choose the right words and avoid harsh categorical phrases and cynicism. Watch your facial expressions and hand movements. You cannot bore the patient with your conversation; remember that the intensity of the conversation is set by the patient himself.
Encourage the patient to express his feelings. Ask open-ended and feedback questions (“What do you feel?”, “Why do you like/dislike?”, “Why do you think?”).
Create a specific environment for each conversation; conversations must be conducted in a closed room, preferably one on one with the patient.
Identify the patient's fears related to the diagnosis, paying attention to the patient's behavior and words during the conversation.
Have a conversation with relatives. Talk about the peculiarities of your loved one’s condition, discuss possible circumstances of discomfort, as well as situations that can bring joy.
Conduct occupational therapy lessons (sewing, embroidery, knitting, etc.)
Contribute to the formation of the “will to live”. Determine the priority in a person’s life, indicate how much more can and should be done.
Promote communication with other patients who are in an adequate psychological state.
Offer to participate in organizing a group event.
Nursing interventions for the patient’s problem “Anxiety associated with illness”
Arrange a conversation with the patient or his relatives at a time convenient for them. The conversation should be conducted in private, in a small, secure room.
During the conversation, the patient should play an active role, and the nurse should be a passive interlocutor, while at the same time controlling the conversation (active listening method).
Don't give the whole truth at once. Don't rush to answer. It is necessary to understand whether the patient is provoking you, wanting to receive the expected answer, and not the truth at all. For this, there is a counter-question method (“Why are you asking this question? What do you think about this?”).
When talking, you need to monitor not only your words, but also non-verbal communication (facial expressions, gestures, posture).
It is necessary to give truthful information to the patient.
When speaking, avoid specialized medical terms and explain in a way that is clear to the individual patient or his family.
Provide the patient and his relatives with proven literature that can be read in order to eliminate the lack of knowledge about the disease.
After the conversation, make sure that the information is correctly understood.
Arrange a consultation with a psychotherapist.
Provide continuous monitoring of the patient until the level of anxiety decreases.
Nursing interventions for the patient’s problem “Leisure activity deficit”
Assess the patient's tolerance to physical activity.
Ask the patient and his relatives about the patient’s interests and outline a plan for implementation of types of activities acceptable in a hospital setting, taking into account physical activity.
Personalize the patient's environment using his favorite objects, photographs of loved ones.
Organize low activity activities: reading magazines or reading aloud, watching TV, drawing, listening to music, radio, solving puzzles, craft kits and modeling.
Talk regularly with the patient, encourage memories of past activities, if this does not traumatize the patient.
To create a good psycho-emotional background in the ward for conversations and joint games with other patients.
Promote physical activity.
Loading...