Communication Skills Required For Holistic Nursing Care Nursing Essay

discourse Skills Required For Holistic Nursing C be Nursing try onThe communication skills required for holistic nursing care of uncomplainings in freehanded nursing.The American Holistic Nurses association (AHNA) defines holistic nursing as all nursing practice that has healing the whole person as its goal. Holistic nursing recognises that in that respect is a connection between a persons mind, environment, culture, emotions and body. holistic nursing is non necessarily something that you do it is an attitude, a philosophy and a way of being. American Holistic Nurses Association 1998.The Oxford online vocabulary defines the word holistic as medicine characterized by the treatment of the whole person, taking into account rational and social factors, rather than just the symptoms of a disease. Oxford Dictionary online 2010.There are two types of communication, verbal and non-verbal. Communication is the exchange of culture, verbally or non-verbally. The Oxford dictionary def ines the word communication as the imparting or exchanging of schooling by inter leave, writing, or using some other medium. Oxford Dictionary online 2010.verbal communication is speaking causa to face to someone using words, sounds, speech and language. Verbal communication is separated into two types, public speaking and interpersonal communication. There are over 3000 languages spoken in the world and verbal communication is base largely on these as well as class, profession, age and social factors. some sources suggest that written communication is verbal as well as non-verbal.Non-verbal communication is email, letters, databases, social networking sites, text messaging as well as body language. Body language is an important means of communication, it includes gestures, kernel affaire, expressions and posture.How we communicate non-verbally is extremely important and sends strong hearts as to whether you care and to what extent you are listening. We communicate this way by how we sit, the impression and pace of how we talk, how much personal space we use and the eye contact we make.There are quintet roles in non-verbal communicationRepetition the message we send can iterate the verbal message.Contradiction the message we send can contradict the verbal message.Substitution the message we send can be substituted by our body language.Complementing this adds to the verbal message e.g. a hug or a pat on the back. stress this underlines the message e.g. punching a wall or slamming a door.There are many obstructions with communication such(prenominal) aslearning disabilitieslanguagesblindness/ deafnessgendercultureageprofessionalismthe ability to digest information and bad newslost or incomplete recordsLanguage differences pose a large barrier in effective communication for view ass, although the option for a translator is often accessible, although it whitethorn not be readily at hand. There are also regional dialects that present barriers, for example, different regions refer to physical parts and functions differently. Such as to pass urine may be commonly known as having a wee, taking a pee etc.Jemma Harrison 20174222 October 2010 cohort Adult Nursing 9th January 2011Maintaining eye contact with someone who is blind or from a religion that doesnt allow this may also be a significant barrier. To overcome this you would need to ensure that the rest of your body language was correct and consistent. Asking questions that are open ended or asking the enduring to repeat the question back would be the outgo way to ensure that the patient has clearly understood you and what information you are relaying to them.Another barrier may be if a patient had a learning disability and required a parent, guardian or advocate present. You need to ensure that you fully understand the disability your patient had and to what effect certain gestures may have, for example, eye contact with an autistic patient may be deemed aggressive.Thi s is where a keep necessarily to judge a patients holistic (or whole) needs, and what brings them to their care. A patient may have only been admitted with a knee imperfection but how was that brand sustained?This is were holistic nursing care is most important. A knee injury may not be a one off incident, it may be through modus vivendi choices, e.g. are they sports fanatics, regular walkers etc. For a nurse to just assess that patients knee injury on face value may lead to the patient being readmitted with the same injury.Again, asking questions that require more(prenominal) than just a yes or no answer, these are called open questions, or asking the patient to non-verbally communicate how they sustained their illness or injury by filling out a questionnaire.The Nursing clock 2007 says that communicating correctly is a basic yet fundamental requirement of in effect(p) nursing and the breakdown of communication can quickly ruin the already delicate nurse/patient relationshi p.Other barriers in nurse/patient communication is that nurses are often pushed for time, facing targets, have a lack of retirement or lack of training. This can often make holistic nursing impossible. The communication skills required for holistic nursing (given the correct conditions) arehaving the correct patient information.Observe a patients body language.Maintain eye contact where possible.Listen properly.Avoid difficult to understand medical terminology.Be emotionally prepared.Be honest, sympathize and show compassion.There has been extensive research into effective communication with patients Dougherty and Lister 2007 highlighted the importance of providing patients with the correct information, communicated in the correct way aided the patient to a quicker recovery.An article in the Nursing clock 2007 by Hamilton. S.J et al highlights a framework of communication skills effective in holistic nursing called the five Is.INTERACT with the patient.Establish the INTENTION of the interaction.Decide on the INTERVENTION to be used.Assess the IMPACT of the interventions. measure out the IMPLICATIONS of the subsequent information obtained and act accordingly.In order to get the patient to express their fears and anxieties a nurse needs to display strong and confident non-verbal communication skills and talk to the patient not at them, desire as much information as possible.Most communication barriers can be overcome if the nurse (or any individual) is ready to try. Repeat open questions, make time for the patient and complete all patient notes thoroughly and to aJemma Harrison 20174222 October 2010 cohort Adult Nursing 9th January 2011standard that complies with NMC guidelines. Also remembering that a patients needs may change often but the level of communication should remain the same.On my placement I realised just how effective holistic nursing can be given the time and location.I observed a drug counsellor attempting to discuss a patients rehabilitation and how they intended to take it send on and at what pace and level.The drug counsellor had to find out if what type of drugs the patient was using, how often and were there any underlying physical or emotional reasons why the patient was a drug user.The patient was very withdrawn and didnt appear interested. The counsellor repeatedly asked him questions but the patient stared at his feet and didnt answer. He became noticeably agitated and his body language appeared to become aggressive (he folded his arms).The counsellor suggested they took a break and had a instill of tea. During the break the counsellor asked some indirect questions about the weather etc., I noticed the patient started to tease and build a rapport with the counsellor, this I feel was the counsellor gaining knowledge of the patients whole being not just his drug problem (this is a strong example of holistic care in an adult medical setting).On returning to the treatment room the patient seemed more relaxed an d began to answer the counsellors questions whilst maintaining a good verbal and non-verbal communication.This was the first barrier I noticed being over come the second was the patients softness to read and complete a questionnaire. The counsellor sat and read the questions to the patient and then asked the patient to repeat the questions before answering them, ensuring that he had understood what she was asking.Jemma Harrison 20174222 October 2010 cohort Adult Nursing 9th January 2011