#24,34,35

#34 – Differentiate between objective and subjective data.

Collecting data is part of assessment in the nursing process. Collecting data involves subjective & objective data.

Subjective Data is info stated by the client.
Must be charted with quotation marks
Must use exact words
Subjective Data is gathered while interviewing client. (Assessment).
It is info from the client’s point of view which includes:
Feelings
Perceptions of client
Concerns

Objective Data is info that is observed or measured.
When charting you must use specific terms as possible.
Can also be gathered while assessing client, for example measuring the degree of movement an extremity has during ROM and recording it.
Objective data is observable data and quantitive data.
Observable data is what you see, hear, smell, etc. and is done during physical assessment.
Quantitive data includes vital signs, diagnostic exams such as blood, x-rays and lab tests.
Objective Data is used when subjected data is not supported.

All information found on power point for nursing process.


#35 Describe/discuss barriers to effective communication. p. 429, p.432 examples

Barriers to communication must be recognized by nurses.

Barriers are non therapeutic responses to effective communication

Failure to listen, improperly decoding the client’s intended message, and placing the nurse’s needs above the clients needs are major barriers to communication.

On p. 432 in Fund text is a chart with 11 techniques, descriptions and examples of barriers to communication.



#24Discuss therapeutic communication statements.P.428

Therapeutic communication promotes understanding and can help establish a constructive relationship between the nurse and client.

The therapeutic helping relationship is client and goal directed. Nurses need to respond to the content of client’s verbal message but also the feelings they express.
· See how patient views a situation before responding.
Therapeutic communication involves attentive listening which is listening actively, using all senses opposed to listening passively with just your ear.

Active listening involves verbal and nonverbal communication – Nurses focus is on client’s needs.

Therapeutic communication also involved physical attending which is the manner of being present to another or being with another. Listening is what a person does while attending.

Egan has 5 specific ways to convey physical attending on p. 429 in Kozier Fund. text.

Therapeutic communication techniques, descriptions, and examples are found on page 430 and 431 in Kozier Fund. Text.