Communication can be defined as a two-way process which occurs between the sender and the receiver and the message sent (Bach and Grant 2011). The sender encodes and sends a message to the receiver and on the other hand the receiver decodes the message and give feedback in due time. In the current case, communication was a vital element in communicating Mary’s daily life experience for appropriate healthcare intervention. Consistent and effective communication system in Mary’s case supported her care need mechanism significantly. Davies (2018) highlights that the use of various communication patters such as written, verbal, and non-verbal communication are important for effective nursing practice. Such interaction approaches facilitated the therapeutic relationship between Mary and healthcare providers for easy collection and sharing of information about Mary’s health status. The hearing impairment in Mary’s left ear was well addressed by use of hearing aid. However, further 4
assessment by a healthcare professional revealed the existence of communication difficulties for Mary necessitating reallocation. Therefore, there was a need to relocate her to a cubicle at the healthcare centre for privacy in compliance to the Nursing and Midwifery Council standards. The cubicle provided a serene and quiet environment as she had requested. Dougherty and Lister (2015) states that it is important to promote patient dignity through allowing a patients to safely express their concerns. Therefore, the cubicle provided a private, quiet, and safe environment for Mary to express her concerns. The Nursing and Midwifery Council (2018) further supports patient-centred care by stipulating that nurses must use various communication approaches to understand their patients’ needs. The TNA began by introducing herself to Mary and requesting her to elaborate on how she was feeling and by narrating that she was involved in her care. The body language, tone and voice variation made Mary to feel comfortable in expressing herself. Still, the assessment was done in a private room and the privacy for the information provided was guaranteed. According to Mary’s information, the TNA learnt that; the infection escalated from an insect bite she got at the park while she was walking her dog about a week ago. In her own opinion, the injury did not appear much serious, instead, she opted to take paracetamol to control high temperatures and supplement numerous antibiotic courses she was prescribed by her General Practitioner. However, for days there was no noticeable improvement, instead, the infection was escalating, and pain was not manageable. Therefore, the G.P referred her to Adult Outpatient 5
Emergency Clinic for further check-up and treatment. In compliance with the NMC (2018) all nurses must provide adequate support to patients towards their wellbeing. The TNA asked Mary to verbally rate the pain on her left lower leg between the scales from 0 to 10. Mary rated the pain in her lower leg 5, by using a numeric pain rating scale (Baillie, 2014).
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