Conversation 4: Poor example

Location, hospital ward. In the room is HCSW, Patient and staff nurse. 2-3 weeks later – hospital admission for symptom control.

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No introduction- Tim wont know who she is or what level of staff
No opportunity for consent to help with wash

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Small talk - Missed opportunity for supportive conversation - personal care is often when patients will open up about their feelings
It isn't appropriate to discuss staffing issues in this context - patient may feel a nuisance or that he is keeping the busy nurse back - may feel guilty...

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A nurse’s minute is never a minute!
But the HCSW has just remembered she forgot to do something for sister - she thinks she will be straight back ...

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Tim is really anxious - and a bit cold
The HCSW misses the cues - he would benefit from the oramorph

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