Strategies Used to Overcome Barriers to Communication
P4 Pick two examples from placement experience that may have been mentioned in the first task. Examples should deal with situations where you or another worker were faced with barriers to effective communication. Explain the strategy used to overcome the barriers met. A strategy is a plan of how things are intended to be done. You may not have done what was intended to the full. Explain your intentions as well as what actually happened in practice and state whether the strategy was effective or not effective. Example 1: One-to-one interaction
A one-to-one interaction I observed occurred at a Rehabilitation Hospital between a podiatrist and a woman who had a hearing impairment. The podiatrist said “good morning”, introduced herself and told the service user that she was there to trim her toe nails and check her feet. The podiatrist was unaware of the woman’s hearing impairment. The service user used Sign Language but the podiatrist did not know how to communicate in Sign Language. So the podiatrist stood closer to the patient to make sure the patient could see her face and she made a gesture to indicate the feet and repeated slowly what she had said and the patient nodded to show she had understood. The podiatrist’s intention was to ask some questions to the patient regarding her medical history so she wrote down and the patient replied in writing. The podiatrist asked the nurses if there was someone who knew Sign Language but no one could help her. She then asked the patient if any of her visitors or relatives could help if she came the day after. They agreed that the podologist would attend the day after when the woman’s son would be there and he would serve as an interpreter. The barrier present in this scenario is associated with sensory impairment. Because the service user had a hearing impairment she was not able to receive the verbal messages being sent by the podologist. To overcome the barrier the podologist asked the patient in writing how she would prefer to communicate and what aids she needed; she adapted her own communication approach and skills to meet the particular needs of the service user by standing closer so that the patient could lip read and by using written form of communication; and using the woman’s son as an interpreter and signer. Ideally it would have been practical if the podiatrist knew how to communicate using Sign Language or if the hospital provided a signer/ interpreter so that the patient would receive the treatment she needed that day and not the day after and also to avoid misunderstanding. The strategy used was to a certain extent effective because the podologist’s and the service user’s messages were understood. Example 2: Group interaction
I observed a group interaction that involved a team of professionals from occupational therapy, physiotherapy, speech language therapy, a consultant and a nurse who were discussing a patient’s diagnosis and treatment. They met in a small office which did not have enough space and chairs for everyone and the air conditioning was not functioning. The members of the group were feeling hot and cramped and were talking all at once which generated a lot of noise and no one could hear what others were saying. Some were seated while others were standing which meant that some of the members could not see other. The consultant tried to find another room where they could meet but none was available. The nurse opened the window so that some fresh air could come in. Some members kept talking with each other and the consultant repeatedly asked them to stop. Ideally the meeting would have taken place in a room where everyone was seated comfortably, where everyone could see each other well and where there was air conditioning. The meeting was postponed. The strategies used were not effective. M2. Review strategies used in the above mentioned situations where a barrier was met. Your...