Conversation 2 Hospital clinic

Location, Hospital Clinic. In the room is CNS, the patient, Tim and daughter Laura.

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"Hello my name is" - Kate Grainger campaign

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Checking out current understanding
Gently probing - "are you able to tell me anything else"

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Empathy - normalising the forgetting of detail
Including family in process
Staff have to check they have the patient consent to discuss clinical details and this can be done quite informally when the patient and relative are together - each case needs individual assessment as family dynamics can be complex

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Never assume you can share information with anyone else
Common themes in complaints from families is that they were not kept up to date - this leads to a lack of preparation for the dying process

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Summarising - providing clarity
Going over the story - reiterating information already given
Checking understanding
Reading body language
Confirming process

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Supportive conversation
Offer to write things down

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Empathy
Clarifying
Assessing patient becoming frustrated with daughter
The nurse always has to be assessing where each of their level of understanding is and often- one will be ahead of the other - gently supporting a common ground of understanding - not pushing too much
Uncertainty of illness trajectory major challenge in non malignant disease

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Instilling confidence
Good to agree how you will communicate with the patient and family
Always have a plan of care and how you will next communicate

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Summarising
Gentle explanation of what to expect and how the teams are communicating

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