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By Abayomi McEwen, Sarah Kraszewski
A realistic publication geared toward supporting the trainee or certified nurse to hone and improve their communique abilities. filled with vignettes from either sufferer and nurse standpoint, the e-book contains universal eventualities, job issues and proposals for practice.
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24 June 10, 2010 P1: OSO MHBK019-02 MHBK019-Mcewen June 10, 2010 25 them. In patient assessment, empathy is necessary because it allows the nurse to understand the patient’s perspective and to get a feeling for their world (Egan 2002; McCabe and Timmins 2006). From such a standpoint, it is much easier to address the real issues and offer support. Building empathic responses into assessments and other aspects of nursing is only achieved through practice. Activity Consider the following examples and ask yourself: r What you might say if you were being sympathetic.
1 Breaking bad news Preparation r allow enough time; ensure no interruptions r use a comfortable, familiar environment r invite spouse, relative, friend, as appropriate r put aside own ‘baggage’ and personal feelings wherever possible Beginning/setting the scene r summarize where things have got to date, check with the patient r calibrate how the patient is thinking/feeling Sharing the information r assess the patient’s understanding first: what the patient already knows, is thinking or has been told r gauge how much the patient wishes to know r give warning first that difficult information is coming.
Offering help with dressing sensitively, for example, may be overlooked when time is short. It is often assumed that an elderly person will welcome help with undressing, but if this is not the case they are robbed of their dignity. This scenario may diminish any rapport that may have been built up in the earlier part of the interaction. Explanation and planning This is the part of the assessment where the health professional collates the information, comes to an idea of what is going on and needs to enter into a discussion with the patient about what might be wrong, what can be done, and what the patient thinks and will agree to, so that a plan can be made.