Health Assessment: Communication

 Itanong ang pangalan ng kliyente

 Paupuin ang kliyente
 A lifelong learning process for the nurse
 Sabihin na tama ang ginawa niyang pagpunta sa
 Nurses make the intimate journey with clients and
health center o pagpayag para sa health
their families from the miracle of birth to the assessment
mystery of death  Assure confidentiality
 At the core of nursing are caring relationships
formed between the nurse and those affected by
the nurse’s practice.
 Communication is the means to establish these
helping-healing relationships
 Communication is essential to the nurse-client
relationship for the following reasons:
 It is the vehicle for establishing a therapeutic
relationship
 It is the means by which an individual
influences the behaviour of another, which
leads to the successful outcome of nursing Negative Rapport
interventions Leads to:

 Loss of trust
 Is one-on-one interaction between nurse and  Withholding of key information
another person that often occurs face to face  Angry or antagonistic clients
 It is the level most frequently used in nursing
situations and lies at the heart of nursing practice
 Face-to-face, verbal, and non-verbal exchange of  Asking questions
information  Listening
 It is how we learn about others, and know their  Discussing/ clarifying your understanding
opinions, feelings, knowledge, and life situation  Gathering information about the client’s condition
 IPC is important for the conduct of health  Deliberate and systematic collection of data to
promotion and heath assessment activities at the determine a client’s current and past health status
community level an functional status and to determine the client’s
present and past coping patterns
 2 Steps:
1. Orientation Phase / Rapport building  Collection, and
2. Complete health assessment  Verification of data from the clients, family,
3. Providing information and health records and analysis of data of all
4. Summarizing main points data as a basis for developing nursing
diagnoses and an individualized plan of care
for the client
 The nurse gathers information about the client’s
Attitudes required:
health status
 Friendly  To conduct a comprehensive assessment, the
 Warm nurse will use the Gordon’s 11 Functional
 Cheerful Assessment Patterns and then determines if
 Respectful pattern or problem revealed
 Head-to-toe health assessment
Ang good rapport ay nagsisimula sa:  Ano ang mga kadalasang tinatanong ninyo sa mga
 Warm, enthusiastic, and genuine greeting kliyente?
 Smile  Alamin kung ano ang mga alam o karanasan ng
 Full attention kilyente tungkol sa problema
 Pagpapakilala

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Health Assessment: Communication

 “How long did you notice difficult breathing

before you brought Norma to see me?”
 Siguraduhing naiintindihan ng kilyente and
sinasabi mo
 “When will you give the pills to her?”

 Sikaping maintindihan ang buong konteksto

(kwento) ng sitwasyon ng kliyente
 “What seems to be the problem with Norma?
Has she been coughing?”
DOs

 Use open-ended and probing questions to arrive at

the collection of basic facts
 Find out:
 Beliefs and actions
 Does not know
 What this means to client
 Needs and desires
 Ask in a natural, easy, casual, and friendly manner
 Tulungan ang kliyente pagusapan ang mahirap DON’Ts
pagusapan
 “I’m sorry that Norma is so sick. Do you  Leading and judgmental questions
understand what she has?”  “Wala ba kayong plano ng asawa mo?”
 Asking questions from pure curiosity
 Interrupting client
 Technical term
 Too many questions at one time
 “Why?”

Ano ang mararamdaman mo sa ganitong pagtatanong?

 “What seems to be the problem?”

 Kumuha ng mas tukoy o detalyadong

impormasyon
 “What did you do when you noticed that your
child had difficulty breathing?”

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Health Assessment: Communication
 “Is Norma sleeping more than usual?”
o Hindi open-ended yung question
 “How long did you notice difficult breathing
before you brought Norma to see me?”
 “Don’t you know that there are more
important things to do?’
 Be attentive
 Acknowledge views and ideas
 Be alert and listen to facts, feelings, attitudes, and
emotions
 Show respect
 Don’t interrupt unless absolutely necessary
 Avoid premature diagnosis
 Summarize and present understanding based on
client’s answers
 Ask your client if your summary is accurate
 “Based on what we have talked about, you
said that currently have 3 children. You want
to have one more child 2 years from now.
However, you are not using any family
planning method at present. Am I correct?”
 Ensure that the health need is clear to both you
and your client
 When you and the client are in agreement about
the health concern, you are ready to move to the
next stage
:
 Providing technically correct information
 Discussing client options
 IMPORTANT:
 Be specific
 Use simple words
 Organize the information
 Use job aids
 Explain what the health issue is
 Simple, non-technical language
 Tactfully correct misconceptions
 Based on what client already knows
 Do not contradict directly or harshly
“ ”
 If client has taken action that is not technically
correct, explain:
 Why it is wrong
 Possible bad effects of such action
 Correct action
 If client has taken action that is partially correct,
explain:
 What was done right
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Health Assessment: Communication

 What was done incorrectly

 What else to do to complete the health action

 Flip charts
 Printed IEC as discussion guides

 The nurses summarizes the important points

whether the summary as accurate

 Summarize main points of the interaction

 Highlight the key messages
 Pose a call to action
 Solicit client’s commitment

MAKE A LASTING IMPRESSION!

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