My clinical experience, so far, as given me the privilege to practice some of the nursing concepts on patients. One of the nursing concepts I got to practice was communication. The patient that I got to practice this on was an eighty-four year old black female diagnose with severe peripheral artery disease and hypertension. She had just gotten out of surgery the day before clinical day, and she was very sedated and confused. Communication, verbal and nonverbal, is very important, and I ran into some communication barriers while working with this patient. Verbal communication includes all speech and is the most obvious part of communication. Nonverbal communication includes grooming, clothing, gestures, posture, facial expressions, eye contact, tone, volume of voice, and actions. Nonverbal communication makes up sixty-five percent of a message, and is considered the more reliable expression of feelings. When working with patient X, I was interpreting her nonverbal communication a lot because her sedation did not allow her to actually talk too much. When she did talk, she would always talk very softly and confused. Interpreting patient X’s nonverbal communication led me to realize that the patient’s communication was incongruent. Congruent communication occurs when the verbal and nonverbal parts match and reinforce each other, and incongruent communication occurs when the verbal and nonverbal communication does not match. I would ask patient X if she wanted me to put a cover over her since it was cold, and she would say no but make... [continues]
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