In: Nursing
1- As a medical assistant, explain how to use feedback techniques to obtain patient information including:
a. reflection b. restatement c. clarification
2- Please summarize the flowing paragraphs with your own words:
Scenario 1: Bleeding Control: Arterial Bleeding
Arterial bleeding is characterized by brighter red blood that may pulsate or spurt. Apply direct pressure with a dressing. If blood leaks through, apply more dressing on top. Never remove a dressing. If there are no bone fractures or spinal cord injuries, elevate the wound above the heart. Once bleeding is under control, use roller gauze to secure the dressing, beginning at the distal end and working towards the heart. You can twist the gauze to apply more pressure. Check to make sure blood is not leaking through, and that the bandage is not having a tourniquet effect. Elevate the wound, and call EMS or take the patient to the nearest hospital.
Scenario 2: Bleeding Control: Venous Bleeding
Venous bleeding is more severe than capillary bleeding, but is not under pressure like arterial bleeding. It is characterized by oozing or running of dark colored blood. You should first apply direct pressure with a bandage for 1-2 minutes. Do not lift the bandage to check for clotting. Instead, lift your hand to see if blood is seeping through the bandage. You may have the patient hold the dressing in place while you use roller gauze, beginning at the distal end, to secure the bandage. If bleeding does not continue through the bandage, take the patient to a medical center for wound irrigation and possible stitches.
ANSWER 1.
1. REFLECTION is a communication technique which involves directing back the patient's ideas, feelings, questions and content. This helps to validate the understanding of what patient is saying and signifies sympathy and interest.
For example " You are feeling tense and anxious and it is related to the conversation you had with your sister last night."
2. RESTATEMENT another technique for communication which involves repeating the main thought expressed by the patient, which indicates that the person is listening and validates and reinforces or calls attention to something important that has been said.
For example : " You say that your mother left you when you were five year old."
3. CLARIFICATION refers to attempting to put vague ideas or unclear thoughts of the patient into words to enhance the understanding or asking the patient to explain what he means.
For example: " I am not sure what you mean. Could you tell me about that again?"
This helps to clarify feelings, ideas and perceptions of the patient and provides an explicit correlation between them and the patient's actions.