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NR 509 Week 4 Discussion; Client Challenges - Adolescent client

Chamberlain University Nursing NR 509 Advanced Physical Assessment Laci Peterson 3 pages
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Analyze techniques to enhance communication with the client and address the client’s behavior. Two techniques to enhance communication are: • The act of listening to the client and building a rapport is frequently regarded as being essential to all facets of social and health care services. Understanding the client's circumstances and way of life depends on the professional's ability to hear the client's experiences and react accordingly. Additionally, clients tend to want to be heard during consultations more than anything else ((Weiste et al., 2020. • Compassion-focused therapy (CFT) can provide an evolutionary-based perspective of interpersonal issues. By offering a variety of people who are normally afraid of, obstructed by, or resistive to compassion with unique and practical ways to receive compassion, it involves the client in their own care, as well as in the planning, development, and evaluation of services (Lucre & Clapton, 2021). Create sample documentation for the encounter. The Situation-Background-Assessment-Recommendation (SBAR) tool will be used to document the client’s information and giving report to the psychiatrist on duty in the ER. A simple, specific framework like SBAR is helpful for framing any interaction, especially those that are urgent and call for a physician to act right away. To build cooperation and promote a culture of patient safety, it enables a simple and focused way to establish expectations for what will be shared and how it will be shared, between team members. S- Situation Hi Dr. Patel, this is Elizabeth calling from the ER. I have a client here named Brandon R., and he was brought to the ER by his mother for clearance to go back to school. He made suicidal statements to one of his friends, and admits to cutting his bilateral, outer thighs. He is transgendered and prefers to be called Brea. He is reluctant to answer most of my questions but does admit to suicidal ideation. B- Background • He has no known medical or psychiatric history • No current medications, but does admit to drug use, drinking alcohol, and engaging in sexual behaviors. He denies using alcohol or drugs today. • No known allergies • His vital signs are B/P 115/82, P-102, R-22, and T-97.7 • I ordered a urine toxicity and bloodwork for a alcohol level, but he refused both.

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