Question

A nurse needs to change a dressing on an abdominal wound for a patient who is hearing-impaired and whose speech is difficult to understand. Which of the following is the best approach for the nurse?

a. Change the dressing while the patient is reading the steps of the treatment because distraction decreases anxiety.
b. Use nonverbal signals of agreement (head nodding), even if unsure, to instill confidence and trust.
c. Minimize misunderstandings by completing the patient's sentences (e.g., fill-in-the-blanks) to decrease the patient's embarrassment.
d. Write down the steps of the procedure for the patient to read before beginning the treatment.

Answer 1

The optimal approach for a nurse changing a dressing for a hearing-impaired patient is to write down the procedure steps before beginning, ensuring clear communication and respect for the patient's autonomy.

Step-by-step explanation:

The best approach for the nurse would be d. Write down the steps of the procedure for the patient to read before beginning the treatment. This strategy ensures clear communication and understanding without relying on the ability to hear, which is crucial given the patient's hearing impairment. It also allows the patient to know what to expect and can help reduce anxiety without the need for distractions, which may not be effective. Additionally, writing down the steps respects the patient's autonomy and ability to give informed consent for the procedure. It is important for healthcare professionals to communicate effectively and compassionately with patients who have hearing impairments and may have difficulty speaking.

It is essential to avoid making assumptions about what the patient may be trying to say, as finishing their sentences for them can lead to misunderstandings and feelings of disrespect. Nonverbal signals such as nodding should be used appropriately to confirm understanding but should not replace clear written or signed communication when necessary. Above all, the nurse needs to employ a patient-centered approach that facilitates understanding and comfort for the procedure ahead.