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Communication Challenges for Dementia Patients

1.Discusses three (3) points of appropriate non-verbal communication relevant to the case study.
2.Discusses three (3) points of appropriate verbal communication relevant to the case study.
3.Outlines three (3) strategies that could be used to aid communication taking into account vision and hearing impairments. Refers to Core standards for nurses who provide support to people with disability.
4.Defines open disclosure and discusses the principles of open disclosure referring to the Australian Open Disclosure Framework (2013).
5.Provides an example conversation of how to communicate the incident to the patient and son.
6.Identifies appropriate person/s to be contacted in this situation and provides a rationale.
7.Uses SBAR to provide an example of documentation using industry appropriate terminology.

8.Identify five (5) factors relating to email etiquette when sending a work related email.

Case Study 2

9.Identifies the correct ethical principles and regulatory responsibilities that need to be considered in relation to social media.
10.Provides a definition for the term advocacy and describes how to advocate for the patient identified in the case study.
11.Describes at least four (4) strategies that could be used to deliver a constructive outcome when providing feedback.

12.Provides an example of feedback, using appropriate language and a respectful manner.

Case Study 3

13.Correctly identifies what closed questions are; and in what situation they could be used appropriately.Provides at least two (2) examples of closed questions.
14.Correctly identifies what open ended questions are; and in what situation they could be used appropriately. Provides at least two (2) examples of open ended questions.
15.Discusses active listening and provides at least one (1) example of how this could be use in the case study.
16.Identifies what constitutes effective communication in nursing. Lists six (6) points and provides an example for each.
17.Correctly describes de-escalation and provides an example of a de-escalation strategy.
18.Explains the benefits of a debriefing process and explains its use relevant to the case study.
19.Identifies three (3) strategies to effectively receive feedback.

Part B Written Questions

1.Identifies the reason for the implementation of the Communication and behaviour support for nurses- practice package.
2.Identifies the four domains of practice (1.2.1) within the standards for the Communication and behaviour support for nurses- practice package.
3.Identifies the benefits of completing the “communication and behaviour support for nurses appraisal”
4.Identifies 2 organisational policies and procedures surrounding electronic health care records for health care personnel.
5.Identifies 3 tips are available to ensure that a web page accessed is reliable.
6.Lists 6 procedures that nurses need to be aware of when leading small group meetings and discussions.
7.Identifies 3 objects to forming small meeting and discussion groups.
8.Identifies communication strategies that will ensure that there is contribution from all participants in a group discussion. Has included providing and receiving feedback in the identified strategies.
9.Identifies 5 things nurses need to consider when conducting meetings that will ensure the meetings will be of value.
10.Identifies 2 communication strategies that will ensure you will understand feedback in relation to performance improvement conversations.
11.Identified the 3 step communication technique to be used when giving balanced feedback.
12.Identifies 3 strategies that demonstrate appropriate language and respectful manner when giving or receiving feedback
 

Communication Challenges for Dementia Patients

Case study 1 analysis

Question a

Nonverbal communication in nursing care is an essential attribute which entails body language communication. Body language communicates a lot, especially for terminally ill patients. Patients with dementia often fumble words and portray difficulty to express them. Inability to initiate communications is one of the common causes of agitation which the caregiver and the patient experiences get frustrated on. Better and effective communication improves the care of dementia patient such as patient Jackson in the case study. Better communication reduces agitation withdrawal and worrisome behaviors.  

Key basic nonverbal communication to be utilized for the patient entails the following;

Using a facial expression to express emotions seems to portray a lot and communicate how the patient is feeling with the disease or conditions affecting Patient Edith. The facial expression of happiness, comfortable and showing joy can be relayed to the patient.

Usage of eye contact on the patient offers meaningful information with regard to patient condition. The way to observe the patient speaks a lot with the inclusion of eye contact is key in developing patient engagement and reaction to the care process.

Enhancing touch is another way of nonverbal communication. Various types of touch can be used such as a thump handshake, gentle shoulder tap, warm hug and reassuring pat on the back is key in enhancing touch as an effective way of ensuring the patient is comfortable, (Gault, 2017).

Question b

Communication is vital in providing good and efficient dementia care, if left unattended to, communication challenges with the patient may have a significant effect on quality of life and care, poor communication will yield high levels of anxiety and depression, as the disease progresses, language skills for the patient declines. Stages in dementia development portray significant communication challenges. Key beneficial verbal communication techniques entail the following;

  • Allowing the patient to respond and repeat as necessary, this gives time for question synthesis and digestion.
  • Using supportive empathy and supportive responses so that to show feelings of empathy and understanding what is being communicated.
  • Further, avoidance of negative responses and words like no, can't, shouldn’t as they make the patient feel foolish and angry. Rather usage of positive responses is key which motivates the patient, (Stein-Parbury, 2017).

Question c

The basic key core nursing standards to offer support for disability case for the patient entails the following strategies;

This refers to movements of the face which express the personal touch feelings and facial features such as smiling and frowning.

This strategy involves the physical touching of the patient through holding hands and placing his hand on the patient arms or shoulder. In this way, the patient will feel being cared for and accommodated.

This refers to deliberate actions on the way of moving the hands and offering expressions of concerns such as thumbprint so as to show commitment or even fists showing to display anger or aggression, (NSW Government,  2014a).

Question d

Open disclosure refers to having open communication through adverse events which often result in harming the patient and casing anger to the patient while receiving care service. Associated principles of care entail;

  • The open and timely disclosure which the nurses provide to the patient  and the family regarding what transpired in a timely manner
  • Acknowledgment refers to making the adverse effects being known to the immediate family members as soon as the occurrence take place
  • Offering support in meeting the needs and expectations of the family and the patient in order to enhance clinical skills which are associated with fall and management through systems s improvement, (Okuyama, Wagner & Bijnen, 2014; Australian Commission on Safety and Quality in Health Care, 2013).

References

Australian Commission on Safety and Quality in Health Care. (2013). Australian open disclosure framework: Better communication, a better way to care. Sydney, Australia: Commonwealth of Australia. Retrieved from https://www.safetyandquality.gov.au/wpcontent/uploads/2013/03/Australian OpenDisclosure-Framework-Feb-2014.pdf

Gault, M. (2017). Communication in nursing practice. In G. Koutoukidis, K. Stainton, & J. Hughson (Eds.),Tabbner's nursing care (7th ed., pp. 149-179).

NSW Government. (2014a). Core standards for nurses who support people with a disability: Communication and behaviour support for nurses appraisal. Retrieved from https://www.adhc.nsw.gov.au/__data/assets/file/0020/301781/Communication-and BehaviourSupport-for-Nurses-Appraisal.pdf

Stein-Parbury, J. (2017). Placing communication at the centre of person-centred care.In J. Crisp, C. Douglas, G. Rebeiro & D. Waters (Eds.), Potter and Perry's fundamentals of nursing (5th ed., pp. 209-234)

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[Accessed 23 February 2024].

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