u Hospital English
Patient communication
A patient who does not understand that these precautions are routine may feel anxious.
They may think that they are getting special treatment.
8.1.b
Match the reassurance and explanations below to your actions.
What you do
1 Putting on rubber gloves
2 Putting on a plastic apron
3 Washing your hands
4 Asking relatives to wash
their hands
5 Spillages
6 Helping a diabetic person with
blood glucose monitoring or
giving insulin
7 Using sterile gloves
8 Moving a patient to a
side room
9 Taking a swab
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Working with others
What you say to the patient
We’ll be moving you to a
single room Mrs. Brookes, just until this
infection clears up. It’ll be quieter in
there. I hope you don’t mind
A
I need to clean
this urine up straight away. We like to
keep the ward as clean as possible to
help stop infection
B
Today’s equipment
is very safe for you and your family. However,
make sure that you dispose of any sharps
safely. Let your nurse know if you have any
accidents or are worried
C
I’ll just change my apron,
we need a new one for each patient to stop the
chance of us spreading any germs
D
Do you think you could wash your
hands before you help him eat? Your father is
very vulnerable to infections at the moment
E
I’ll just wash my hands again
F
We use gloves
with all patients to stop infection
spreading
G
I need to take a swab of your
wound to find out if there are any germs and
how we might get rid of them
H
I need to take special care
when doing your dressing to make sure that your
wound doesn’t become infected
I
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8.2 Communication while giving
personal care
For a UK nurse helping a patient with personal care such as washing, elimination and
eating can be a main part of their daily duties. In your previous workplace many of
these activities might have been the responsibility of a patient’s relatives. In addition in
U.K. hospitals there is a growing elderly population. Although nursing places emphasis
on maintaining or restoring the independence of the elderly person you are likely to
have many elderly patients who need your help.

Even if your physical skills in helping someone with their personal care are excellent it
may take some time and effort to become competent in communicating with the patient
whilst you are working. Doing and talking at the same time can be difficult! As well as
being good for building a friendly relationship effective communication is an important
part of establishing the patient’s consent to your actions.

As an international nurse you are developing your communication and clinical skills at
speed in an intensive environment. Helping with personal care gives you the perfect
opportunity to do both.

8.2.a
Arrange to observe another nurse carrying out some aspect of personal care.
(If this is not possible, recall a patient that you have recently cared for.)
Remember you should get the consent of the patient before starting the
observation. Note down the language you hear used by the nurse and the replies
given by the patient. List the sort of phrases you hear the other nurses use. If you
have a Brilliant buddy you can share your experiences of personal care and
build up your vocabulary.
Hair care

Mouth care
Here is an example of the sort of language you might use while washing a patient.
Would you like a You said you didn’t
shower today? I sleep well, would you like a bit
can help you as more help this morning or can
much you manage?
as you want

Good morning
Mrs Biggs, I’m going to help
you have a wash. What
shall we do today, shower,
If you have bath or an all over wash
a wash in the chair by the bed?
I could help you with the
bits that you can’t reach.
Is that alright?

If you sit at the basin and do

what you can. Press the buzzer and I’ll help
you with the rest. Is that OK?

As you wash someone or groom someone’s hair it is usual to chat. This can be
therapeutically useful as you can find out how your patient is psychologically
responding to their treatment. However, even if your patient is very tired and may not
feel like responding, words that reassure or encourage can still be used.

Notice that while you are offering help and encouraging the patient to do as much for
themselves as possible (to foster independence) you are constantly checking with the
patient that they are happy - and therefore you are gaining consent.

Respect your patient’s privacy and dignity at all times by offering choices and by
assuring privacy, such as checking that they are not overlooked during a wash.

Listening is an important part of communication.

It is helpful to the team to make a note of or pass on to senior staff any relevant
information that your patient tells you while you are with them. You and your team
may need to decide whether action needs to be taken to resolve any issues that your
patient had on their mind.
8.2.b
Here are some phrases used by nurses – can you guess the context?
Where are they and what are they doing?
Listen and collect at least three more phrases in My Personal Lexicon.
a How’s that water temperature? f Tell me when you’ve had enough.

b Do you like soap or shower gel? g Tell me if I press too hard.

c Shall I wash your back now? h Shall I wash down below for you?
(genital area)
d Tell me if that’s uncomfortable.
i Would you like to do that yourself?
e Is that OK?
8.2.c
These are the sort of questions you might ask your patient.
Suggest some typical replies
a How did you sleep last night?

b Are you expecting any visitors today?

c Did you have much breakfast?

d How are you managing to move around?

e Is your pain relief working?

f How are you feeling about….?

g Has your leg/back/stomach been giving you any more trouble?

h Have you had any more problems with indigestion?