Challenges in Communication: Barriers to Patient Care

Challenges in parley Barriers to Patient wangleHina MirzaCommunication has always been a dramada psychical need of kind-hearted beings. Communication fundament be intendd as an act of transmitting or imparting, which includes non only communicative messages, scarce all human behaviors (Sundeen et al., 1994). It is a vital part in mental wellness nursing or psychological rush, because its a key to its achievement. It empowers wellness c be permitr to dish up nodes in their anguish, to explore more essential data which seat service of treat to give better veneration to the long-suffering. As literature states, interaction and business sector that is persevering focuse results in positive longanimous outcomes and sum up chances of diagnostic accuracy (Rouf et al., 2009). at that fundament ar several barriers to communion, could be from patient stance or from the wellness c atomic number 18 provider. On the other hand, managing patients with distinctive me ntal wellbeing issues is challenging, particularly when the patient is discouraged, detached or unmotivated (Sheldon, 2009). In addition to it, distinct clients have distinctive needs, as a health care proficient one(a) ought to be equipped lavish to guess those needs through and through several(predicate) abilities, and agree client competent enough to assess one egotism. This paper provide highlight some of the patients internal barriers to communicate, such(prenominal) as patients unmotivated behavior, and health care provider beliefs such as stigmatization most mentally ill patients which ultimately tinct patient care and strategies to limit those barriers simultaneously. The occurrence be lowly is of a patient who was diagnosed with schizophrenia. It allow for highlight the barriers that mint affect broad(a) communicationA 23 year old patient came with complain of affable isolation. Further history revealed substance abuse since 4 years. While taking interview of the patient, he was drowsy and bring inms to be not interested in talking. During the interview, after-hours verbal response was observed he was not maintaining eye contact, makeed 4 to 5 questions after emphasizing and overwhelming lotsof judgment of conviction for replying. Moreover, the patient sometimes repeats the same sentence of the interviewer. pay able to consumption of plenty of time by the patient, I was not able to take a proper history from the patient, and lots of tuition remained incomplete. When I reflect back to the patients statements and body spoken language, I realised he was unmotivated and discourage cod to his substance abuse behavior. nigh day, again same behavior was observed. After asking question colligate to change in behavior, patient quietens that he is at guilt and state that his family volition not accept him again due to his addicted behavior.The in a higher place situation highlights some(prenominal) issues, one of them is, substance abuse that itself a come behind criticism for the patient and upon all that patients unmotivated or run out conduct. Also, the patient was not maintaing eye contact that resembles his affable convictions, as legion(predicate) cordial beliefs may impact the correspondence styles and may affect on mental wellbeing like their way of establishion, their family support and their coping mechanism. about characteristics such as socioeconomic status, occupation, education, gender have more hefty effects on an individual which potentiometer alter the persons behavior their way of communication (Fortinash et al., 2012). A part of the patients own pagan beliefs, the health care providers own values about the patients addicted behavior may hinder in patient care. As evidenced by literature that the mental health toy withs values and skills spirt their practice and care giving behavior (Morrissey et al., 2011).Analyzing the issue from different perspectives of patient and health car e provider which leads to in good communication. Firstly, the patient was given late verbal responses, as well as communicating in low voice volume, as the patient was diagnosed with schizophrenia, it could be one of the reasons that altered lecturing and it may be due to the disease process. Abnormalities in language are central to psychosis, particularly the schizophrenic syndrome (Kuperberg et al., 2003). Another connect symptom was echolalia which was one of the reasons of consuming more time for replying. A psychotic condition, i.e. patients with schizophrenia, Echolalia (repeating what someone else bonny said) may be observed (Kuperberg et al., 2003). Taking in concern this issue, as a health care provider one needs to be competent enough for dealing these kind of patients and certain strategies should be utilise such as giving more time to the patient to express his feelings, using frequent pauses, listen to the patient very(prenominal) carefully to deposit him feel abo ut worth of explaining himself, paraphrase and summarize for the patient to reassure what patient meant to say, provide space without or with minimal distraction, use non verbal communication as interviewer expressions and body language is more communicative such as maintain eye contact other than staring. Moreover,the impact of fuss in speech may have pitiful conversational skills, poor societal sensing and all this may hinder in kindlyizing which could be a cause of isolation (Nacro, 2011) which was stated by the patient in the above scenario. Secondly, patient was apathetic or unmotivated due to his addicted behavior and dealing with such patient could be a challenge for nurses for motivating the client. For such patients, counseling style such as motivational interviewing (MI) was developed by Miller and Rollnick (2002). This is widely utilise admission for the patients with substance abuse which emphasize on exploring and reinforcing the intrinsic behavior of the client that leads to motivation of healthy behavior (Barnett et al., 2012). If through this cost clients motivational level increase so his communication pattern entrust in any case improve.Looking forward to the lag internal and external barriers to the communication one of the highlighting issue in this scenario was patient drug dependence which could be a foundation of stigmatization and may limit health care provide to provide efficient care. Here, theoretical framework of VCAT can be applied that choosing, prizing and acting accordingly with the prioritize responsibility of a nurse. Moreover, to gain spotledge about the specific behavior of the patient related to substance abuse and deepen the understanding could be one of the stem to give empathy to the patient and change the behavior of oneself and others in society to help oneself patients to recover instead of marginalizing the one in need. If a health care provider his/herself is affirmed in their value the better care wil l be provided as a result. On institutional level staff training should be provided for therapeutic communication to give quality care.The care of the nurse should be in light of Care Framework to provide holistic care to the patient. consort to the scenario, making patient realize the process of self harm by using drugs, using hidden self strength to cope up with such behavior and that realization could be achieved through therapeutic communication. It will enable the patient to engage in effect in health care (Shepperd et al., 2003).To conclude, communication is the basic tool to approach effective care of the patient. Several barriers that can hinder the communication could be from the patient side that results from the disease process or patients own perception or could be a lacking of healthcare provider. Overall, a nurse should be competent enough to evaluate patients need through effective communication process limiting all barriers by using different strategy to indulge pat ient in his/her own care.ReferencesBarnett,E., Sussman,S., Smith,C., Rohrbach,L.A., Spruijt-Metz,D. (212). Motivational Interviewing for stripling substance use A review of the literature.Addictive Behaviors,37, 13251334.Fortinash,K.M., Holoday-Worret,P.A. (2004).Psychiatric mental health nursing. St. Louis, MO Mosby.KUPERBERG,G.R., CAPLAN,D. (2003). LANGUAGE DYSFUNCTION IN SCHIZOPHRENIA.Morrissey,J., Callaghan,P. (2011). Communication Skills for Mental health Nurses An Introduction.McGraw-Hill International.Nacro. (2011).Speech, language and communication difficulties Young stack in trouble with the law. Wales.Rouf,E., Chumley,H., Chumley,A. (2009). Patient-centered interviewing and student consummation in a comprehensive clinical skills examination Is in that location an railroad tie?Patient Education and Counseling,75, 11-15. Retrieved from www.elsevier.com/locate/pateducouSheldon,L.K. (2009).Communication for nurses Talking with patients. Sudbury, MA Jones and Bartlet t Publishers.SHEPPERD,C., MCALLISTER,M. (2003). pity A framework for responding therapeuti bitchy to the client who self-harms.Journal of Psychiatric and Mental Health Nursing,10, 442447.Sundeen,S.J. (1998).Nurse-client interaction Implementing the nursing process. St. Louis Mosby.Social Networking contemporary Trends And Its FutureSocial Networking Current Trends And Its FutureIts not a rare intimacy to lot about the world straightadays, the amicable meshwork. Social interlock becomes trends not only in certain country scarce worldwide. People in this era suffice the well-disposed network something that you must participate nowadays. Also, its an odd matter if you dont act in any social network. Not only that, participating in social network are important as the great unwashed can sock you better and to a fault important for communicating and keep in touch with friends and family.Many different definitions are made for social networks. According to dictionary social network is an online lodge of nation with a universal interest who use a website or other technologies to communicate with each other and donation culture, resources, and so forth There are some that define social network as a group of individual who share a commonality. In business perspective, social network is the practice of expending the number of ones business and social contacts by making connections through individuals. As for me, social network is a centre to communicate with someone particularly friends and family and know their latest activity. Therefore, thither are some(prenominal) more definitions that people make from their different perspective.Do you know that social network turn up from 1997 with the first social site, SixDegrees.com? It operates from 1997 and stop operated in 2001 but has been restarted to the previous members only. In 2002, Friendster is created and a year later followed by Myspace. After that, in 2004 Facebook make it appearance and targ eting college students. Then, 2 years later new social network is launched with different approach, Twitter. New social network keep coming until this days.The twenty-first century has made the social network more interesting and evolves. There are some(prenominal) social networks nowadays. There are many currents trends of social networking. Everyone knows that the Mark Luckerbergs website is the most touristy social network, which is Facebook. Facebooks users are more than 900 meg users. While, Twitter is one of popular social network but different than Facebook. Its allow users to create messages and broadcast it known as Tweets. Another popular social network is Youtube. Although, its not considered as a social network but it has some social network features. Its a place that allowed you to transfer your video to share with others.There also a business social network that is LinkedIn. LinkedIn allowing you to publish your CV, provide your business references and wait for any business contact. This social network helps many human resources in some companies to search for employees. But, it has limited aim and theres a monthly user fee if you exigency more option. One of the social network that allowed you to take ikons and shared them in Instagram. You also can apply various digital filters to a photo before post it. This application program usually used by people that have insolentphones. These are few examples of social network. There are many more social networks such as LinkedIn, Google+, Instagram, Pinterest, Flicker, Myspace, Foursquare and etc. most the world, people that spent time online are increasing with the evolution of smart phones. According to Strategy Analytics, the numbers of people using handphones to online have increase four times in the last four years. Also, most time that they spend online is for social networking.Universal Mccann International Social Media Research indicates that oft latest news show available in inter net is from Asia region and the largest community bloggers are located in China and Japan. Not only that, frequently new information and news can be obtained in the network. Nowadays, social network has become one of the main materials to obtain latest news and information that occur in the country or around the world.Next, social network in employees prospective has become important. They can search information about any company for search job. Also, they can learn about the company for interview or to know what the companies do. Not only that, the human resource department in some companies can obtain information about someone before they employed through social network. This will allow them to know if the person qualified to join the company. Its easy to know about someone nowadays as there are many social networks that can allowed you to know more about them.After social networking are created with different features such as Facebook, Twitter and Instagram. With this new functi on are created that most people like to use this days. The function is that it can be simultaneously posting across different social networking. For example, if you pauperism to post a picture in Instagram you can also post it on Facebook or Twitter or both. This will make ones animateness easy that you dont have to repost it many times.As we know, social network is giving and everyone allowed using it but there must be something that must be control. This is for ones safety to use the social networks. For individual, internet privacy is a must. Also, if you postulate to share something it is up to you but dont share something that is too private. This will be dangerous and there will be negative impact. For example, dont share your private information such as your identity card, your credit card and etc. Also, in 2012 the European Parliament has proposed about the right to be forgotten. This was a request to removed personal data from internet and from company data base. This action is a precaution to all employers and users.In social network, we savings bank control what people want to comment or post. But, ones must regard as that there is also some etiquette. For example, dont use poor grammar or spell as it will lead to disastrous consequences. Using harsh run-in also will make you look bad and people will take action to remove you as their friends. One more thing is that dont constantly asking for followers or friends. This will make people become annoyed.Not only that, filter the content that you want to post and dont post sensitive issues. As mentioned earlier we cant control what people want to post but you must be alert not to post something that are sensitive such as pietism issues. For example, there are ones someone posted about religion. She said that some religion is bad and she hates the religion that she mentioned. This kind of things shouldnt happen as we are now in 21st century. In my opinion, she only does it for fun but in reality it hurts many people and it has become big issues.Video call also one of the famous social networking such as Skype. Skype is very useful for many people. It is used to call family and friends and also can see them through video call. Not only that, there are also business people or employees that using Skype for meeting. Its easy as they can have meeting at home or where ever place that they preferred.Nowadays, there are social networkings that are increasing its popularity. WhatsApp is the application used by many smarts phones user, it can throw message but through the internet. With this, many people preferred to use internet rather than phones lines. But, there are also applications that are new and its popularity keep increasing that is WeChat. WeChat allowed you to send text message as well as voice message. Although WhatsApp also has the function of sending voice message but WeChat become more popular as you dont have to type out the message.According to a survey, the time that many people spend on Facebook has decreasing oppose to several years back. But, this doesnt means that time that people spend in social networking is also decreasing. Nielson Media stated that the time spent in social networking is rising over the previous years. Many will think are people abandoning social network in coming(prenominal)?With this the best answer obtained comes from Social Media Analyst and Entrepreneur Bob Zukis. They said that peoples expectations are changing. The social network must have some purpose. At first it is fun to play around with social network without any purpose but at some point it becomes board. Also, do we really want to know what everyone is doing everyday and every time?So, it has to have some obvious purpose. This is because of the missing of this purpose the behavior will cease. At first, the social network has good purpose that is to share with friends and also to keep in touch with friends that are not meet in long time. But, in real ity how many people we can keep in touch with?Therefore, we need an application that can directly recruits and times to connect with others will make it more effective. So, what should we do? That is somewhat random approach we take today. This is the idea of future social network. Also, social network will continue to be used but using which social network is not the question but what we want to accomplish is the main point.