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Final Final Inquiry Letter

Final Final Inquiry Letter

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Published by Tenesia Sealey

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Published by: Tenesia Sealey on May 02, 2011
Copyright:Attribution Non-commercial


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Tenesia Sealey 
2312 wrightsville ave wilmington, NC 28403Tel: 9105472871tsealey2@uncc.edu
Charlotte, North Carolina 28223 Tuesday April 12, 2011Dear Future Self,Congratulations on graduating! I am so proud of what you havebecome. I know we have been through school together for many yearsand you probably think you know everything there is to know aboutyou field of work. Truth is you probably do, well at least you should, youwent to school long enough! However, there are a few things I wouldlike to tell you that may help you considering you are on the search fora job. I think my suggestions will do you well once you get a job andbegin working with patients.College supplied you with the knowledge in the subject of nursing. You learned mathematics, sciences, and english. You were alsoforced to learn many things that you probably do not remember, anddo not necessarily care to be reminded of. Don’t worry, I am writing toanswer the question you have yet to ask yourself: “How do Icommunicate with my patients?”.I read in a book once that “to become a successful nurse requiresunderstanding the wide variety of human responses to stressfulcircumstances in the healthcare setting”(Sheldon 42). You can take thishow you want to, but I think this quote means that you have to beready for anything that comes your way. I know you are prepared tocare for dying patients, but are you prepared to talk to them? Can yourelax them enough to keep them calm but at the same time assureyourself that you are not giving them false hope? Different people dealwith pain and sickness differently. Some patient’s may get depressed,and some may deal with their situation by being sarcastic and usinghumor. These are very important things to consider and you should askyourself if you can handle this before you get in the situation andrealize you cannot.In order to deal with these situations you have to know what typeof relationship you have with your patient’s. In the same book from thequote above,
Communication with Nurses,
Lisa Sheldon discusses the
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nursing theorists’ Hildegard Peplau’s Theory of Interpersonal Relations.Peplau says that nurses function with six roles. These are the roles:“1. Stranger role: The nurse and the patient are introduced to eachother as strangers.2.Resource role: The nurse relays clinical information to the patient. The nurse will answer simple questions in this phase.3.Teaching role: The nurse is like a teacher to the patient. The nursegives the patient instructions and training.4.Counseling role: The nurse gives encouragement and guidance sothat the patient can integrate his or her current life experience.5.Surrogate role: The nurse is there for the patient. He/She helps thepatient realize their domains of independence, dependence, andinterdependence.6.Active leadership role: The nurse assists the patient in achievingresponsibility for treatment goals in a mutually satisfying way”(Sheldon14). These phases will be very important in the process of learningabout your patients. You may ask why. In order to know what to say toyour patients, you have to realize the phase in which you and yourpatient are in. In the different phases you treat your patientsdifferently. You may not go through each phase with every patient, butyou should not assume. You should look back at these roles andconfirm what role you are in with your patient. After a while, you will beable to tell in a short amount of time.My opinion is that the “stranger role” is the most important. Youhave to consider cultural differences when you first meet your patients.Not everyone that you come in to contact with will be like you andbelieve the same things that you do. You have to “Use culturalawareness in communication” (Sheldon 46). At the same time, it is theperson you are caring for, not their culture. In
Communication for Nurses
Sheldon explains that you have to “consider the individual firstand the cultural and ethnic backgrounds second.” Once you begin
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caring for the patient then you can focus more on their culture andinclude that cultural knowledge in your care.Not only will there be different cultures, but some of yourpatient’s will more than likely speak a different language than English.America is becoming more and more diverse and you must beprepared for this diversity. “You should asses the language needs of thepatient, and ask for a translator if necessary”(Sheldon 46). Put yourself in your patient’s shoes, if you were in a hospital in South Americawould you feel comfortable if the nurses were speaking about yourcase in Spanish? “You should never speak in front of a patient in alanguage they cannot understand. This could confuse and scare thepatient. You might also want to learn some common phrases in aresident’s native language”(Fuzy 60). Even though you took Spanish inmiddle school and four years of French in high school, I can almost betthat you do not remember half of what was taught to you. It is okthough, it is not your requirement to be literate in every patient’slanguage or every patient’s culture for that matter, but you should takethe time to learn a few common words, more so in Spanish, so that youwill not be completely clueless when handling a patient who does notspeak English.A few years back I held an interview with Ms. Susan. (mom’s oldfriend from work). I asked her a few questions about communicationbetween patient’s and nurses and she pretty much told me the samethings that I have mentioned. There was one subject that she touchedon though that I did not think to include. You have never had a badtemper Tenesia, but I do know that at certain times during the day itdoes not take much to aggravate you. Ms. Susan informed me that youcan not let your emotions (of any kind) get involved when caring for apatient. “You may deal with a patient with Alzheimer's and they will notrealize that you have done nothing wrong and they might curse youout with no warning. You can not get offended by this and you mustcontrol your anger and handle the patient accordingly. If a patient triesto hit you, you should not hit back, ever. But you should avoid gettinghit.” She is completely right! It is a natural reflex to hit back if you havebeen hit, but at work, especially in the nursing field, you cannot act onimpulses. You will be fired in no time, and you will probably have alawsuit on your back as well.

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