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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
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Therapeutic Communication01:30

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Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
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Drug Dosing: Geriatric Patients01:15

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Pneumonia V: Nursing management and Prevention01:30

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Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
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Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Oral Health Assessment by Lay Personnel for Older Adults
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Evidence-Based Communication with Critically Ill Older Adults.

JiYeon Choi1, Judith A Tate2

  • 1Yonsei University College of Nursing, Mo-Im Kim Nursing Research Institute, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul 03722, Korea.

Critical Care Nursing Clinics of North America
|November 7, 2021
PubMed
Summary

Critically ill patients who cannot speak in the intensive care unit (ICU) experience distress. Addressing communication challenges, especially for older adults, improves patient care and satisfaction.

Keywords:
Augmentative and alternative communicationCommunicationCommunication disordersMechanical ventilationOlder adultsPatient participationPatient-centered care

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Area of Science:

  • Critical care medicine
  • Patient communication
  • Geriatric medicine

Background:

  • Effective communication is vital for patient-centered care, particularly in intensive care units (ICUs).
  • Mechanically ventilated patients in ICUs often face severe communication impairments, leading to distress and hindering symptom management.
  • Older adults are particularly vulnerable to communication difficulties due to pre-existing conditions and cognitive decline.

Purpose of the Study:

  • To highlight the impact of communication impairment in critically ill, mechanically ventilated patients.
  • To identify older adults as a high-risk group for communication challenges in the ICU.
  • To emphasize the importance of assessing communication disorders and implementing patient-centered strategies.

Main Methods:

  • Review of existing literature on communication in critical care settings.
  • Analysis of factors contributing to communication barriers in mechanically ventilated patients.
  • Focus on the specific challenges faced by older adults in the ICU.

Main Results:

  • Inability to speak causes significant fear, frustration, and stress for ICU patients.
  • Impaired communication impedes accurate symptom identification and limits patient engagement in their care.
  • Older adults face heightened risks due to pre-existing communication or cognitive issues.

Conclusions:

  • Assessing communication disorders is crucial for critically ill patients, especially older adults.
  • Developing and implementing patient-centered communication strategies can alleviate difficulties.
  • Enhancing communication in the ICU setting can lead to increased patient satisfaction and improved care outcomes.