A 32 year-old woman runs into the emergency department
screaming, “I can’t breathe!” She has tears streaming down
her face and has a strong odor of alcohol on her breath. Her
respiratory rate is 26 per minute and her pulse oximetry
reading is 99%. The nurse introduces herself to the patient.
Here is where orientation occurs as the patient displays
health-seeking behavior, and the emergency triage nurse is
identified as someone qualified to intervene and help. She
watches her non-verbal cues and body language and deals
with the patient with empathy. This behavior facilitates initial
trust in the nurse-patient relationship. While the nurse
completes the initial vital signs, she notices an odor of alcohol
on the patient’s breath and she realizes that the patient is
hyperventilating due to anxiety. At this time, the nurse needs
to explore her own feelings and beliefs when dealing with
the patient, whether negative or neutral. According to
Fawcett (2010), the importance of this comes from the
philosophical claim that in each interpersonal relationship,
the behaviors tend to be organized around how each person thinks of self. In this case, the nurse realizes through her
interview process that this patient has a history of panic
attacks and she has recently been dismissed from her job. In
this sub phase of identification, the patient may feel helpless
and the nurse provides reassurance. The nurse actively listens
to the patient as the patient explores similar previous
episodes and reveals methods in which she dealt with past
experiences. When the nurse allows the patient to express
feelings, the patient’s experience may strengthen positive
forces in personality (Fawcett, 2010).
A 32 year-old woman runs into the emergency departmentscreaming, “I can’t breathe!” She has tears streaming downher face and has a strong odor of alcohol on her breath. Herrespiratory rate is 26 per minute and her pulse oximetryreading is 99%. The nurse introduces herself to the patient.Here is where orientation occurs as the patient displayshealth-seeking behavior, and the emergency triage nurse isidentified as someone qualified to intervene and help. Shewatches her non-verbal cues and body language and dealswith the patient with empathy. This behavior facilitates initialtrust in the nurse-patient relationship. While the nursecompletes the initial vital signs, she notices an odor of alcoholon the patient’s breath and she realizes that the patient ishyperventilating due to anxiety. At this time, the nurse needsto explore her own feelings and beliefs when dealing withthe patient, whether negative or neutral. According toFawcett (2010), the importance of this comes from thephilosophical claim that in each interpersonal relationship,the behaviors tend to be organized around how each person thinks of self. In this case, the nurse realizes through herinterview process that this patient has a history of panicattacks and she has recently been dismissed from her job. Inthis sub phase of identification, the patient may feel helplessand the nurse provides reassurance. The nurse actively listensto the patient as the patient explores similar previousepisodes and reveals methods in which she dealt with pastexperiences. When the nurse allows the patient to expressfeelings, the patient’s experience may strengthen positiveforces in personality (Fawcett, 2010).
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