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Nursing Patient Interaction

Nursing Patient Interaction



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Published by kyeria

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Published by: kyeria on Jul 24, 2009
Copyright:Attribution Non-commercial


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Nursing-Patient InteractionIs the use of oral, gestures and facial expression of the client and nurse inestablishing a nurse-patient relationship.Phases of Nurse-Patient Interaction1. Orientation - During this phase, the individual has a
felt need 
and seeksprofessional assistance. The nurse helps the individual to recognize andunderstand his/ her problem and determine the need for help.2. Identification - The patient identifies with those who can help him/ her. Thenurse permits exploration of feelings to aid the patient in undergoing illness as anexperience that reorients feelings and strengthens positive forces in thepersonality and provides needed satisfaction.3. Exploitation - During this phase, the patient attempts to derive full value fromwhat he/ she are offered through the relationship. The nurse can project newgoals to be achieved through personal effort and power shifts from the nurse tothe patient as the patient delays gratification to achieve the newly formed goals.4. Resolution -The patient gradually puts aside old goals and adopts new goals. This is a process in which the patient frees himself from identification with thenurse. Techniques Effective in Nurse-Patient Interaction1.Reflection. Repeating content or feelings. You might simply repeat whatthe patient has said, to give him time to mull it over or to encourage himto respond. Or, and often more effectively, you can reflect on what youthink the patient is feeling. "It sounds like you're concerned about yourfamily." or "I don't think you're very happy about this." By reflecting on hisfeelings, you may be encouraging him to talk about something he mayhave been hesitant to bring up himself. Or you may be helping the patientto identify his own feelings about something.2.Restating. Rephrasing a question or summarizing a statement. "You'reasking why these tests are needed?" or "In other words, you think you'rebeing treated like a child."3.Facilitation. Occasional brief responses, which encourage the speaker tocontinue. A nod of the head; an occasional verbal cue, such as "go on" or"I see;" and maintaining eye contact throughout the conversation all implythat you are listening and that you understand. (4.Open-ended questions. Questions that encourage the patient to expoundon a topic. If you want to encourage the patient to speak freely, you mightask "How are you feeling?" rather than "Are you in pain?"5.Closed-ended questions. Questions, which focus the patient on a specifictopic. If you want a short, straight answer, ask a question which will allowonly for a direct response, such as "When was your accident?" or "Do youhave pain after eating?"6.Silence. A quiet period that allows a patient to gather his thoughts. Of course, this would be an occasional practice, used when you feel that the

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