Reflection On Bevis Tool Of Communication

During my first shifts on the neurosurgery unit I found I one area I struggled with was patient education when patient seemed to be non-compliant with interventions given to help wean the patient off oxygen.I had a patient over the course of this three day set who came in with pneumonia and history of congestive heart failure, her chest x-rays had begun to come back with little sign of pneumonia and CHF was well controlled. However we were not able to wean the patient off her oxygen. On the first day there she was on 3L O2 per nasal prongs, However the course of the three days we got her to 0.5L fairly easily with little distress from the patient, however when the patient was on room air her O2 would slowly deSAT to below 88% causing us to …show more content…
Bevis defines communication as a process in which self-reflection and the use of verbal and non-verbal cues help to promote the ability to send and receive messages (Foley, 2009). When reflecting on my use of Bevis definition of communication I feel a though I had a delay in the self-reflection of my use of communication with this particular patient. I had gone in with the assumption that it would be fairly straight forward and was not prepared when met with resistances. While I used communication throughout my time spent with my patient. I needed to adjust to my communication technique to meet the needs of my client, by making sure to adapt to the situation, instead of repeating the same technique multiple times expecting different results. One quote from Alikari and Zyga really stuck out to me, in the article they state “There was the perception that patients who seek health advice would follow or will comply with the recommendations. Therefore, the likelihood of disagreement with the recommendations of health professionals or the likelihood of ambiguity and imprecision of the recommendations, such as those presented by health professionals, are not dealt with” (2014, p. 179). I feel that this statement really encompasses my situation. It opened my eyes to the habit health care providers including myself can find ourselves in, to the assumptions that patients will follow interventions given without question or resistances. However as these authors go on to discuss is the importance of patient have the right to express a different opinion regarding diagnosis and treatment regimen. While I always knew this it is something that because it seems so rationale it can be over looked easily when we think we know what is best for the patient and what will get them to our goal the fastest. It has reminded me of the importance of having discussions with my client to