Communication skills are vital within a nurses role

intercourse skills are bouncy inside a give sucks component part communion is natural to most plurality. We learn to fleet from birth and it is something that most people do without being aware of it. Communication is simply the name for depicting, sharing and ascertaining in relieve oneselfation. To examine a manikin of parley, for example, Shannon and Weavers model of communion (Brooker and Waugh, 2007) there are three components to successful intercourse. The depression part is the sender. This is the source of the culture which is to be shared. It could be a soulfulness talking, a radio or a newspaper or book. The side by side(p) part of the model is the capacity. This is the information itself. It could be words spoken by the somebody or words from the book or newspaper. The last phase is the receiver. This is the person who is receiving the message. That would be the person listening to the words of another, the person earreach the radio or the person reading the book or newspaper.Communication mass be discriminated into two categories, verbal communication and non-verbal communication. Knapp et al (2010) defines Non-verbal communication as communication without the social function of words. Non- verbal communication discharge include body linguistic communication, touch and gesture. Non-verbal communication foot be more(prenominal) influential than verbal communication (Argyle, 1988 cited in Chambers, 2003) Verbal communication is achieved through and through the use of spoken or written language. Scammell (1990) states that its purpose include to instruct, to teach, to educate, to talk feelings and emotions, to help or seek help. Although there are two separate categories, both are used together in e veryday animateness by most people without thinking.In this explanation, communication sounds very unbowed forward merely the barriers to communication set up be very complex, this is in particular relevant in people who ded icate had a stripe as will be explored later in this textual matter.The she-goat has a vital role in caring for the enduring who has had a jibe. It is at heart the draws role to esteem, plan, implement and evaluate a personalised awe plan for the enduring (Brooker Nicol 2003 cited in Brooker and Waugh, 2007). Although the nurse will be assessing the uncomplaining holistically, they must in attention deficit hyperactivity disorderition ensure they realise the importance of communication in the patient ofs recovery. It is fundamental the nurse understands and expects the communication problems that the patient whitethorn realise. It is in any case essential that the nurse end beam effectively with other members of the multi disciplinary team to ensure that patient receives high quality evidence based care. The nurse must as well communicate well with the relatives of the patient as they whitethorn not to the full understand what to expect in the recovery process (Glass Maddox 1992).The Nursing and obstetrics Council (2008) have clear guidelines on the responsibility of the nurse to communicate effectively with patients in their care. The nurse has a duty of care to meet the patients communication and language needfully. The nurse should use evidence based practice and seek to decipher effective communication strategies for each patient, trying to get to have it a government agency the patient as an individual and documenting successful communication techniques. The nurse whitethorn also refer to the patients relatives to gain knowledge of communication strategies which work already. The nurse must have a sound knowledge of the pathophysiology of a dig to understand how to communicate this is explored in the side by side(p) paragraph.Firstly, to understand the communication problems that a patient who has suffered a blow encounters, how a stroke manifests must be tacit. According to the World Health Organization (WHO) statistics, 15 m illion people will have a stroke on an annual fanny (WHO, 2004 cited in Ross, 2009) the correct medical terminology for a stroke is a cerebral vascular accident (CVA). A stroke usually happens when an arteria within the card becomes blocked thus leading to the death of cells which have had their lineage supply cut off (Chang et al, 2006a). The term for cell death, in this way, is infarction. Another reason for a stroke is when there is a haemorrhage within the brain, or an artery bursts also resulting in cell death.If the blood supply is cut off then the cells dies and this can cause dear damage to fundamental areas of the brain (Chang et al, 2006b).Different areas of the brain control unalike aspects of the body and depending on where the stroke has taken place can cloak how the patient recovers. The patient who has suffered a stroke whitethorn have very serious communication difficulties after the stroke. For most people, the language centre of the brain is in the remain ing hemisphere, although a small amount of left reach people may have their language centre on the full hemisphere. If the stroke happens within this area and there is damage then the person can suffer language problems (Horton, 2001). This is called Aphasia. Aphasia can prove to be a very complex barrier in communication. Aphasia can alter the way they communicate, from speaking and pronouncing words, having correct grammar to intellect words (Bannister, 1992 cited in Clarkson, 2010). Aphasia can also disrupt the patients ability to write and read.When a patient suffers a stroke they may be left with aphasia. The patient may not be able to adequately understand language or express language (Clarkson, 2010). A patient with a stroke can be left unable to even recognise simple words or instructions. This can be very infuriating for the patient as they may not be able to express their needs or preferences. The nurse may also find it hard to assess what the patients needs are which could effectively slow recovery. Communication strategies are essential in the plan of care for the patient who has had a stroke, as will be discussed in the next paragraph.There are many communication strategies which have been implemented within a clinical setting to overcome barriers in communication. The nurse must strive to increase the patients confidence when communicating ensuring that the patient has opportunity to impart decisions intimately their care. Alternative and Augmentative communication systems can be nonplus in place to assist with communication (Glennen DeCoste, 1996a). One of these methods is the use of draft separate. Picture cards are used to give the patient the opportunity to express a fundamental need (Speakability.org.uk, 2010). These picture cards can be of varying size but are usually about A4 size.They contain pictures of basic items and usually a phrase accompanying the item, e.g. a pair of spectacles and a phrase stating I need my glasses.The cards are accessible to the patient so it means that they can express needs without speaking. The nurse can quickly decipher what the patient needs and can deliver the care quickly and effectively. Although picture cards may be effective, they can be reinforced by gesture or mime. The patient may use a form to signal the detail that they are thirsty. This could also be reversed with the nurse holding the cup to ask the patient if they are thirsty. The use of a medical toss has also become more common within clinical area. This consists of a booklet which is usually notch size, which is full of pictures and phrases, like the picture cards (Speakability.org.uk, 2010). This may have pictures of things like a clock and the phrase How pertinacious will I have to wait? This means the patient can maintain control over their healthcare and also be more involved in decisions and treatment options. The picture cards and the medical passport are a non-verbal way of the patient communicat ing with the nurse or even family members (Glennen and DeCoste, 1996b). However in order to obtain these responses from the patient, the nurse may have to use a unlike communication strategy such as questioning.Referring put up to the communication model from earlier, the nurse must understand that although it seems very straight forward, it is altered completely in a stroke patient. The patient may be trying to send a message but be unable to find the correct words or grammar to express themselves (Clarkson, 2010). The patient may also have difficulty understanding the message so although the words are correct, they may be unidentifiable to a stroke patient. The nurse could use a verbal form of communication to encourage the patient to, for example, use the picture cards or medical passport. The nurse could use questioning as a asshole to assess needs and deliver appropriate care. The nurse must assess the type of questioning needed in certain situations, e.g. if there is impor tant information needed quickly then the nurse could use unappealing questions to ascertain a yes or no response. Closed questioning may also be useful in stroke patients as an plainspoken question may be difficult to answer because of the aphasia. It is important to add that sometimes people with aphasia can say yes when they mean no and fault versa (Clarkson, 2010) so the nurse could summarize what the patient wants, by repeating back to them verbally, just to clarify the correct information has been communicated.The nurse must communicate with clarity, avoiding medical jargon or eloquent grammar, using clear and taciturn language which is not too complex.Nurses are often seen by the patient as their link to understanding the medical jargon which doctors may use (Castledine, 2002). When relaying information, the nurse must simplify the language so that the patient has a better understanding of the definition, this is especially relevant to patients who have had a stroke due to nature of this condition. Simple language may even be difficult for the patient to understand, so the nurse must relay the information in a simple format, always clarifying that the patient has understood what is being said.In conclusion, this essay has explained the importance of the nurse understanding what communication actually is and why it is relevant in patients who have had a stroke. This text has explored how a stroke manifests and what barriers a stroke patient may encounter when trying to communicate. In summary, it is evident that there are many different ways to communicate with a patient who has had a stroke but it is the nurses responsibility to ensure that they research and build rapport with the individual patient to effectively communicate in the easiest manner. The nurse has legal obligations to meet communication and language needs of the patient. This essay explored two specific strategies used in communicating with patients with aphasia. This essay concludes t hat communication barriers can be complex and the nurse must ensure that care is delivered in a person-centered, individual, holistic basis. say Count 1921.