ISBAR Case Study

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Anne the community nurse was not using effective communication whilst communicating with the patient John. This was evident throughout the duration of Anne’s conversation with John, as she was asking various questions at one time and did not give him a reasonable time to respond.

A communication issue that has been identified in this scenario is that John has a cognitive impairment and suffers from Alzheimer’s disease, this is causing John to have difficulties with memory and thinking. Anne is not effectively dealing with this situation with the correct communication. Whilst attending to a patient with a cognitive impairment, enough time must be allowed for them to respond, as well as only asking one question at a time, with the use …show more content…

The technique of ISBAR is a tool that allows a transfer of information efficiently (Government of South Australia SA Health 2012). Anne did not use this technique whilst handing over John to the paramedics, instead she gave minimal details about his current situation. Anne being John’s community nurse who is making monthly visits would have background knowledge about John, in which she could have provided to the paramedics using the ISBAR framework. An example of where this may have been an issue is with John’s Alzheimer’s disease, by not letting the paramedics know this detail they would not be able to effectively communicate with him due to his cognitive impairment (Hill 2016, p. 1-3). As a result of Anne not using the ISBAR framework, vital information about John may not have been handed over between Anne and the …show more content…

Paramedics Phil and Steve handled the situation correctly through Steve gaining consent before taking John’s blood pressure. This allowed John to understand what was happening through Steve’s use of clarity and brevity by giving a simple question, as well as ensuring his voice was clear and the pace appropriate so John could understand (Berman, Kozier & Erb 2012, p 525). Phil also assisted in making John feel more comfortable by the use of nonverbal communication, using hand and body gestures. These gestures emphasise and clarify the spoken word, overall making the patient feel more comfortable in the environment (Berman, Kozier & Erb 2012, p 528). Phil effectively uses this technique through the use of touch, as touch provides a form of emotional support and encouragement, overall contributing to John feeling safe in the hands of both Phil and Steve (Berman, Kozier & Erb 2012, p

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