an introduction to effective communication in end of life care
DESCRIPTION
An introduction to effective Communication in End of Life Care. Ground Rules. Give time for everyone to have their say Confidentiality – stays in the room. No real names to be used for residents, relatives or other professionals Time keeping Respect each others views Mobiles - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/1.jpg)
An introduction to effective Communication inEnd of Life Care
![Page 2: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/2.jpg)
Ground Rules• Give time for everyone to have their say• Confidentiality – stays in the room. No
real names to be used for residents, relatives or other professionals
• Time keeping• Respect each others views• Mobiles • Housekeeping arrangements
![Page 3: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/3.jpg)
Aims
• Explore some essential skills of communication in end of life care
• Identify barriers to effective communication
![Page 4: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/4.jpg)
End of Life Care Strategy - Communication
All staff in health and social care, and the voluntary and independent sectors, need some training to ensure they are able to communicate effectively with people who are dying and their carers about issues surrounding end of life care
(DOH 2008 p.113)
![Page 5: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/5.jpg)
COMMUNICATE
What do you understand by this word?
![Page 6: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/6.jpg)
What do we want from communication?
• Information – delivered in a language we can understand
• Honesty • Companionship • Opportunity to reflect
![Page 7: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/7.jpg)
Exercise 1
• Why is effective communication so important in relation to end of life care?– Take 5 minutes to discuss in groups why
you think it is important
![Page 8: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/8.jpg)
Essential communication skills
• Listening skills• Verbal
– Language – words used – Paralanguage – how it is said, tone, pitch,
clarity• Non-verbal
– what we understand and transmit from body language
![Page 9: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/9.jpg)
Listening Skills
• Plan the environment • Be Attentive• Hear what an individual is saying• Use appropriate body language
![Page 10: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/10.jpg)
Effective skills - language
• Questioning –open, closed, leading and multiple
• Encouragement • Picking up on cues• Reflection • Silence• Clarification/Summarising
![Page 11: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/11.jpg)
Paralanguage –
• Tone of voice• Volume • Pitch• Try saying ‘are you ok?’ considering
some of the above to the person next to you and see what response you have..
![Page 12: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/12.jpg)
Non-Verbal Communication
• Is the message or response not expressed or sent in words
• Over 65 percent of the social meaning of the messages we send are communicated non-verbally.
• Actions speak louder than words.
![Page 13: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/13.jpg)
Non-verbal behaviours
• Personal space• Facial expressions• Posture • Gestures • Touching
![Page 14: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/14.jpg)
Non-verbal Communication!!
![Page 15: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/15.jpg)
Barriers or blocks to effective communication especially at EoL
![Page 16: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/16.jpg)
Barriers to effective Listening
• Feeling stressed by other concerns• Environment noisy or disturbed• Not feeling confident• Low motivation – bored or tired• Being in a hurry to pass the person on• Interjecting with own experiences• Formulating answers to queries before
hearing exactly what is needed
![Page 17: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/17.jpg)
‘Verbal's’ for you to avoid• Mumbling• Passing judgement or giving unwanted
advice• Interrupting• Discussing your own experiences• Jumping to conclusions• ‘I understand’ • Confusing people with multiple questions• Using jargon
![Page 18: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/18.jpg)
Useful Tools• Listening skills - active not passive• Use of Questions - open not closed• Reflecting Back• Clarifying • Reinforcement/Encouragement• Paraphrasing• Silence
![Page 19: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/19.jpg)
Identifying emotions…
• Anger
• Sadness
• Surprise
• Guilt
• Anxiety
![Page 20: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/20.jpg)
Remember to look after yourself too…
• Understand that looking after a dying person will put added strain onto you and the team
• Beware of your own emotions, if a specific task is difficult, find someone who can help
• There may be events in your life that meanyou are not the best person to help this client/relative on this day – that’s ok.
• COMMUNICATION IS THE KEY: informal chats, supervision, reflective meetings or talking to another professional may help
![Page 21: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/21.jpg)
Dealing with limits of your knowledge/remit
Its OK to To admit you don’t
know something: Who might know? How will it be
followed up? Explain likely time -
frame of response
Its NOT OK to• Block a question
by: - Ignoring it - Dismissing it - ‘Jollying the client along’• Guess / say
something you’re not really sure of
![Page 22: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/22.jpg)
Issues for Individuals in your care
Discuss in groups what you think the dangers are if staff do not possess effective communication skills
![Page 23: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/23.jpg)
Scenario
You have been caring for Mary forseveral months. She has become graduallymore frail both physically and mentally. Onthis occasion, she seems quite agitatedand tells you “that woman has been horrible tome. She shouts at me, hasn’t given meanything to eat and won’t let me have a bath.”
What would you do???
![Page 24: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/24.jpg)
Pause for thought!A 75 year old lady rings her local NHS hospital and
had the following conversation:‘Hello, I’d like some information on a patient Mrs
Tiptree. She was admitted last week with chest pains and I would like to know if her condition has
deteriorated, stabilised or improved’‘Do you know which ward she is on?’
‘Yes, ward P, room 2B’‘I’ll put you through to the nurses station’
‘Hello, ward P, can I help?’
![Page 25: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/25.jpg)
Continued……..‘Yes, I’d like some information on a patient Mrs Tiptree.
She was admitted last week with chest pains and I would like to know if her condition has deteriorated,
stabilised or improved’‘I’ll just check her notes. Yes, I’m very pleased to say
Mrs Tiptree has improved. She has regained her appetite, her observations are stable, and following a few more checks we are hoping to discharge her tomorrow’
‘Oh, thank you, I’m so pleased and happy!’‘Are you a close relative?’
![Page 26: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/26.jpg)
‘No I’m Mrs Tiptree in room 2B, no-one tells you anything at all in
this place!!!!’
![Page 27: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/27.jpg)
Remember help is always at hand for you
![Page 28: An introduction to effective Communication in End of Life Care](https://reader031.vdocument.in/reader031/viewer/2022020322/56813a0e550346895da1e1d0/html5/thumbnails/28.jpg)
Useful Information• www.endoflifecareforadults.nhs.uk • Ellershaw J, Wilkinson S (2008 edition) Care
of the dying ‘A pathway to excellence’ Oxford University Press
• Local hospices • End of Life Care Learning Resource Pack,
Housing 21: www.endoflifecareforadults.nhs.uk
• www.nhsglos.nhs.uk/your-services/help-for-those-with-a-long-term-condition/eolc-training/