Communication Challenges

Educating nurses about educating patients: Mind your words

Educating nurses about educating patients: Mind your words

"That's not what I said." Nurses need to be attentive to the signs of how a patient understands what they are told.

Warrior princess

Warrior princess

As a nurse, what do you do when you have no things you can do to help your patient? Ann Brady reflects on a patient who just needed her to stand there and do nothing.

Intractable denial

Intractable denial

We care for patients by helping fix what is bothering them. But is denial really a problem that needs fixing?

Getting to 'the heart of the bad'

Getting to 'the heart of the bad'

I knew Sam's joking was not a sign of joy or happiness but his way of coping, maybe the only way he knew how.

The Happy Crappy

The Happy Crappy

As a patient reveals a difficult past and a wished-for possibility, her nurse ponders the struggle to find the right words to say in a delicate situation.

He had to climb Heartbreak Hill

He had to climb Heartbreak Hill

The patient appeared to deny the inevitable course of his disease, and the nurse could only wait for him to reach his point of acceptance.

Knowing versus understanding

Knowing versus understanding

Nurses anticipate a patient's need for pain meds. But understanding why a patient has no need for them may be difficult.

Does informed consent mean the patient understands?

Does informed consent mean the patient understands?

The patient's understanding that surgery was the best next step in her treatment was on her own terms. The nurse needed to understand that.

Work-around: An indirect way to accomplish the same goal

Work-around: An indirect way to accomplish the same goal

Interpersonal relations are comparable to navigating computer software. A change in approach may produce the desired results.

Wait, wait, don't tell me

Wait, wait, don't tell me

The wait for test results and treatment outcomes meets the criteria for a traumatic event. How do you handle a response that seems out of character?

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