How competent is your team at engaging a reluctant patient? As a
nurse or manager, it’s your job to make sure they have those skills. There’s no
substitute for role-playing the skills you want your team to master. It takes
five or ten minutes, max, and you’ll know that they’ve got it. Don’t assume
they’ve picked it up from watching you.
Consider
This
Arguably
one of the most important skills your staff need to master is active listening.
Be sincere and empathetic, because your attention validates the patient’s
struggle and frustration. Sometimes a friendly smile makes a huge difference.
Make
sure that you:
- are fully present (not thinking about the last patient or the next patient),
- have open body language (uncrossed arms, leaning forward),
- are nodding your head and making affirmative noises (“mm-hmm” or “uh-huh”).
When
you’re engaged in medication education, remember the handy anagram D.E.A.T.S.
D - Draw Curtain. Partially for privacy, but
mostly to block anything that might divert attention from your presentation
about a new medicine.
E - Engage Patient. Let your patient hold the
pill, or handle the bottle of liquid, and repeat its name. Help them get
familiar with what it looks like.
A - Adapt Communication. Use communication methods
preferred by the patient. Use everyday language, especially with older folks. Avoid
fancy, difficult medical terms.
T - Translate As Necessary. I worked at a hospital in
downtown Los Angeles where, on any given day, twenty seven different languages
could be spoken. There were caregivers in that hospital able to speak almost
every one of those languages. Plus, they had access to phone translators. Get
translators involved if necessary!
S - Side Effects. People need to know the
potential side effects: how they might feel, what they’ll look like, and what
to do if they appear.
The
Take Away
Patients that are reluctant to ask questions may be put at
ease through active listening. Remember to focus, lean forward, nod, make
affirmative noises, smile, and use D.E.A.T.S. to cover all your bases.
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Life will be so much gentler, when people know how to put themselves in each other's place.
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