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Wednesday, September 5, 2007
nursing study session
i had to leave at 330pm. did anything exciting happen after I left?
Hi, Trina. These are the last 3 questions we discussed:
#8 - Therapeutic Communication: a) Open-ended: Use "How, When, Where, What" --> probing questions. b) Verbal/Nonverbal: Open your sentence with "I see that..." (don't say "I understand") c) Angry: "Tell me more" or "Help me understand" (don't say "I understand"). Process of reflection. d) Anxious: Explanations, probing questions to make pt describe what's making him/her anxious. Focusing. e) Sullen/Withdrawn People: Assess sensory input, use leading questions --> "Can you tell me how you're feeling?" Involve pt in the process, encourage.
#18 - Restraints a) Legally: Physician's order every 24 hours --> check restraint every 15 min to 2 hrs, check circulation, movement, sensation. b) Select the appropriate restraint; pad the bony prominences; check circulation, movement, sensation.
#7 - Critical Thinking a) Decision-making: look @ other choices/options; alternatives, selecting the best which will use the least harm. b) Creativity: for unusual cases; finding incentives; improvise. c) Self-assessment: Reflection
RULE OF THUMB: Do not implement or intervene unless you have assessed - Assess first!!!!!
Hi, Trina. These are the last 3 questions we discussed:
ReplyDelete#8 - Therapeutic Communication:
a) Open-ended: Use "How, When, Where, What" --> probing questions.
b) Verbal/Nonverbal: Open your sentence with "I see that..." (don't say "I understand")
c) Angry: "Tell me more" or "Help me understand" (don't say "I understand"). Process of reflection.
d) Anxious: Explanations, probing questions to make pt describe what's making him/her anxious. Focusing.
e) Sullen/Withdrawn People: Assess sensory input, use leading questions --> "Can you tell me how you're feeling?" Involve pt in the process, encourage.
#18 - Restraints
a) Legally: Physician's order every 24 hours --> check restraint every 15 min to 2 hrs, check circulation, movement, sensation.
b) Select the appropriate restraint; pad the bony prominences; check circulation, movement, sensation.
#7 - Critical Thinking
a) Decision-making: look @ other choices/options; alternatives, selecting the best which will use the least harm.
b) Creativity: for unusual cases; finding incentives; improvise.
c) Self-assessment: Reflection
RULE OF THUMB: Do not implement or intervene unless you have assessed - Assess first!!!!!
Hope these help...Good luck -
*malou*
Very helpful, thanks.
ReplyDelete