Communication in Care Settings

Communication in C be SettingsThe Croft Nursery school is a chain of day-c be centres through forth the Newcastle-under-Lyme atomic number 18a, it takes sisterren from 0-4 years before preschool and has close links with the local hospital with kids need specialised attention for disabilities and medical conditions. Communication is very classic in this c be climb both betwixt staff and children and on that crown be different shipway this converse takes place through verbal, written, automobile trunk spoken lecture and special intercourseOral confabulation is by far the most(prenominal) common between staff you throw out apacely and easily sh be asseverateation and design relationships easily with colleagues- it is also important to use oral communication with the proceeds users as it builds a relationship with them and servingers them learn and actualise lyric. The use of oral communication and the language use differs for staff, parents and children-s taff whitethorn use informal language the bond with each separate and choke precise formal get offions when exchange development. Calm and welcoming t atomic number 53s would be used to welcome parents and exchange information about(predicate) their child, it is more informal as it is very stressful for parents to leave their children and they need to feel secure and relaxed. When exploitation oral communication with children it is important to use clear and simple language, speaking slowly utilise opposite forms of communication such(prenominal) as body language and supports to help them understand. Listening is also very important as children are not always clear when they speakBody language and non-verbal communication links in with oral communication and helps connect with the servicing users when neediness of language is barrier to effective communication- it is important to maintain eye contact, keep your body language clear(p) and relaxed and use non-verbal sins s uch as gesticulate and delighted to set up you are listening-it is very important with children as they are very sensitive as their oral skills are little developed so they rely on facial expression and body language to communicate with you. I observed at the nursery with the younger toddlers they would teach the children veritcapable signs such as patting their mouth to ask for food- so that they could communicate what they needed with the interest workers before they intentional the words to ask. It is important to watch a childs body language as they may not verbally express it if they are in pain or discomfort so a portion out worker involve to have effective communication and pick up on any(prenominal) non verbal signs that a child may be in distress.Written communication is often used in more care settings-it allows information to be recorded and therefore reviewed later and eliminates the possibility of sympathetic error-for example a human may not remember organi sm told of a specific allergy or a medicine that a child ask- and the child crappernot communicate it- entirely written notes support the care workers and allow them to keep a detailed account of the child require. Written communication is used throughout the day-care- parents, children and staff have to sign in and out of the anatomical structure to keep track of the children who are there in a emergency and protect the children-as the staff do it who is in the building at all times. Written communication can make information readily available to service users through websites, leaflets and posters-they can see what services they are providing and their produces as well as seeing what their child does on a daily basis.As well as being aware of opening times and ways to contact the centre Computerised communication also ties in as they can email or text to communicate with the daycare workers during the day and see how their child is doing.sometimes special methods of communi cations are used in particular with younger children who only have a simple grasp on language such as signs to direct them and give them instructions such as diagrams out attitude the toilet to tell them to wipe and wash their hands and directions on the coat hangers to direct them to how to easily put their coats on. Children can also communicate and express themselves through artistic activities and this allows them to grow and develop their communication skills and learn to express themselves. Children with special needs may need different forms of communication such as sign language or Braille and the centre has employees with skills the cater to their needs as they are erudition to communicate. Makaton is also a useful for communication with children with learning difficulties as some of the children at the day care have learning difficulties or dis strength, Makaton uses signs and symbols, on picture cards and ties into to facial expressions to help them understand.Communic ation between individualistics does not always go smoothly, as there are often barriers to effective communication between state. If part of the communication cycle is unclear things can become confused for example if the soul cannot correctly articulate or express what they are trying to say, they may not be listening attentively, they may use terms or colloquial language that the some other individual is unfamiliar with or try to communicate an idea with mortal assuming they already have the relevant be intimateledge to understand it. in that respect are many barriers that can doctor communication such as sensory deprivation, foreign language jargon, slang, dialect or cultural differences.There are techniques to everyplacecome barriers that occur in communication, oral communication is often used in care settings but there can be misunderstandings when great deal use slang, jargon or are apparently not listening but you can overcome this victimization your verbal skill s efficaciously, by paraphrasing to make sure you received the correct message, speaking clearly using simple English, and using a range of open and closed questions to get the information you need for example using closed questions to get simple and quick answer and open questions for a more detailed and turned on(p) response. Be-aware of cultural differences as certain words e.g. sick which means good to younger pack but disgusting or unwell to older populate and I gestures that are acceptable in one country can be extremely rude in others for example in Greece the okay hand sign is rude and is insinuating that you think they are a phallus. Sometimes communication is hindered because the service user may have issues hearing, seeing or simply understanding language therefore other forms of communication must be employed such as sign language, Braille or lip recitation to allow the user to communicate.The most important things to assure effective communication is making sure t hat you are both comfortable and attentive taking into note environmental factors and making sure there are no physical barriers between people communicating and they are in a well lit comfortable area. You must be very aware of your body language, too close, eye contact and body language focused on the user can demonstrate interest and concern but can also be seen as aggressive in particular in other cultures so be sure to keep a adequate distance but not too far to feel offish or cold. Keep your body at a slight angle therefore leaving your body language open and keep frequent but not constant eye contact. Listening is always the most important aspect and is essential in care settings as you may miss a critical piece of information that could help you treat a patient or treat a service user in a vital situation.Research has been done into communication and several theories have arisen from this and can provide guidance for care workers. One of the most well knows is the SOLER theory- it follows five basic pointsS Sit attentively at an angleIt is important to sit attentively at an angle to the soulfulness who uses the service. This means that you can look at the person directly and confronts that you are listening to the person seated beside you and that you are set outing interest.O Open postureIt is important for a practitioner to have an open posture. This means not sitting or standing with your arms folded across your chest as this can sometimes signal that you are defensive or that you are anxious. If a practitioner has an open posture the person may be more inclined to elaborate on their concerns.L Leaning forrardIt important that practitioners lean forward towards the person using the service, this shows that you are interested in what the person is talk about. It is also possible that the person may be talking about personal issues and so may speak in a lower or quieter tone of voice. In addition you may requirement to convey a message in a lower or quieter tone of voice if you are seated in a public environment.E Eye contactEye contact is important as this demonstrates that practitioners are interested and focused on the message that the person using the service is conveying. You can also develop a sense of the persons emotional state by making eye contact, therefore, enabling you to judge the extent to which the person may be experiencing difficulty.R Relaxed body languageIt is important to have a relaxed body language as this conveys to the person using the service that you are not in a rush. This ordain enable the person to develop their responses to questions in their own timeImplementing this theory provide multiple benefits to a person using the service they ordain feel listened to, develop a close relationship with the practitioner and feel that they care, which give make him/her feel less penetrable and will feel more positive about asking for help if they feel that they will receive it in a non-judge mental and productive manner. It also benefits the care practitioner as they will understand the needs of the person using the service and therefore effectively address the needs of the person using the service and review care plans more efficiently.Another theory of communication is Maslows hierarchy of needs, According to humanist psychologist Abraham Maslow, our actions are motivated in orderto achieve certain needs He presents this in a pyramid format as you need to attain the lower greater needs before you can fulfil amplyer lesser needs at the bottom of the pyramid is Physiological needs are the physical requirements for human survival, such as water, food, sleep, warmth etc If these requirements are not met, the human body cannot function properly and will ultimately fail. Physiological needs are the most important they should be met first.With their physical needs satisfied, the individuals safety needs take precedence as in the absence of safety people feel stressed and can experience post traumatic stress disorder-people who are being threatened abused or live in a dangerous or war torn environment cannot change state on higher psychological needs and it is a basic animal instinct to need to feel safe and secure in their wellness and well-being. by and by physiological and safety needs are fulfilled, the third direct of human needs is interpersonal and involves feelings of belonging such as love, family and friendship this need is especially strong in childhood and can override the need for safety as witnessed in children who cling to abusive parents. Lack of love and belonging collectible to isolation, abuse, hospitalization or neglect. can impact the individuals ability to form and maintain emotionally significant relationships in general, such as friendship, romantic relations or any intimacy with another(prenominal) person and Many people become susceptible to loneliness neighborly anxiety and clinical depression n the absence of this lov e or belonging element. TThe fourth tier is esteem-All humans have a need to feel respected this includes the need to have self-importance esteem and self-respect. People often engage in a profession or hobby to gain recognition. These activities give the person a sense of parcel or value. People with low self-esteem often need respect from others, and seek to please others or achieve fame or glory but self esteem needs acceptance from within and is not found in others Psychological imbalances such as depression can hinder the person from obtaining a higher level of self-esteem or self-respect. People need self esteem and it makes them aim to better themselves and achieve things. Without these things low self esteem may cash in ones chips to an inferiority complex, weakness, and helplessness.At the top of the pyramid is self actualization this level of need refers to what a persons full potential is and the realization of that potential.individuals may apprehend or focus on this need very specifically. For example, one person may have the strong desire to become an ideal parent, another to build their own business and simply gain great athleticism it may even be expressed in paintings, pictures, or inventions.As previously mentioned, Maslow believed that to understand this level of need, the person must not only achieve the previous needs, but master them.Using this theory in care settings help us understand what the patient needs by looking at what they have fulfilled in their life and what they still need-for example a depressed patient cannot be treated for hormonal imbalances or issues with intimacy etc. If they are in an unsafe environment or have no shelter or lack of food-those needs must first be addressed before you can address issues further up Maslows hierarchy of needs. It helps us better structure our care and help patients more efficiently.I experience all these forms of communication and issues when I did experience at The Croft nursery. Dur ing my time their I circulated between the different ages of children and learned about the communication between the staff with children of different ages and also how they communicate with each other, which helped me better explore communication and understand it rather than simply reading about it. At the nursery, I participated in games with the children, sat them down for dinner, took them for walks and laid them down for naps. I found it very easy to engage with the children and feel this was a strong point of mine I unploughed my body language open and very positive and was good at getting the children to open up. Sometimes I struggled with the language barriers with younger children as it is hard to understand what they want and can be confusing but I got used to looking for other signs and body language to understand what they wanted from me.I took direction well from the staff and enjoyed working with them-they were very clear and had good communication all over the build ing, there was no confusion where I was going and what I was doing and the use of telephones connected in each room made it easy for them to ask for help or anything else they needed from other rooms. The only complaint I would have is some of the staff could be a bit more rude and less welcoming and would discuss topics around the young children that wasnt reserve especially as the children were hardly starting the learn language. I would say that my weak point would have been communicating with the children to make them understand what they couldnt do- I found it very easy to get them to do things and play with them but when it comes to the negative side such as telling them off I found it difficult as I felt uncomfortable being so negative to other peoples children and would need to work on and research it for next time. I also feel that I could benefit of more extensive train and explanations of techniques to use with the children.Communication in Care SettingsCommunication i n Care SettingsIntroductionThis unit investigates the different types of communication skills used in care settings and their purpose. I will give an in-depth description of the different types of communication used in care settings and their purposes. The description will clearly show how people are wanted and supported by the different types of communication. These include written, oral, computerised and special methods. Also, I will show my understanding of how the application of the value of care by practitioners when communicating with people who use services can be supportive. These values of care include promoting equality and diversity, maintaining confidentiality and promoting individual rights and beliefs. For example, confidentiality is a key value in health and social care and that may be faced by confidentiality dilemmas and in such cases what to do if information is disposed and is felt this should be partaked. I will show a high level of understanding of how commun ication can be supported and inhibited by factors, which can influence communication which includes the use of the values of care. The factors include positioning (for example, space, height), emotional (for example, fear happiness, self-esteem, trust, empathy, responsiveness, attentiveness, respect) environmental conditions (for example, space, noise, lighting, ventilation) and special needs (for example, using detach vocabulary, sign language). A wide-range of examples will be given. Furthermore, I will also show my understanding of the importance of the content that is being communicated.Within health and social care settings communication is key to communicate with other practitioners, people who use these services and relatives. I will consider the different types of interaction, their purposes, the people involved and how to build a professional partnership with people who use services. There are a variety of skills used within care settings when communicating with others and these influence the effectiveness of the communication. I will give a detailed and well-rounded explanation of four communication skills used by practitioners in one care setting and how skills may affect interaction, how they can minimise communication barriers and help value individuals. Examples of skills include tone of voice, pace of voice, eye contact, facial expression, clarifying, posture, paraphrasing and empathising. Detailed reasons for using each skill will be given. Also, I will show a high level of understanding of how people who use the service are valued and supported by the application of values of care and appropriate use of communication skills. A wide range of appropriate examples will be included.I will demonstrate the ability to select and use appropriate information from a wide range of sources, for example, books and the internet, for at least two theories of communication. I will give an in depth explanation, showing a high level of understanding of how th ese theories can be used as a strategy to enhance and prevent barriers to communication and to provide guidance about how to effectively communicate with people who use the service/practitioners. I will include theories relating to sort out structures, the communication cycle, the structure of interactions, SOLER and theories of formation.I will provide comprehensive records of one interaction with a person who uses services/practitioners or a small group of people who use services/practitioners. These will be supported by records that show how the interaction was planned and conducted, the aims and objectives and the skills used for the interaction. The information considers, at a comprehensive level, the skills used the factors that supported and/or inhibited the interaction and information which shows a high level of understanding of how the values of care were applied. I will produce a comprehensive evaluation of the interaction which shows evidence of reflection, analysis and conclusions I will consider the interaction from their own and the person/people who use services/practitioner(s) perspective. I will include a witness statement. Lastly, I will describe in detail realistic improvements that could be made.Different Types of Commutation used in Care SettingsThere are many circumstances in a care setting, where is it vital to exchange information. Communication enables the building of appropriate relationships and meeting the physical, intellectual, emotional and social needs of service users. The quality of communication will form the value of relationships and the ability of carers to meet service users needs.Types of communication include oral, written, computerised and special methods.Oral Communicationhttp//ec.l.thumbs.canstockphoto.com/canstock6638212.jpgHaving a conversation with soul consists of the development of skills and social coordination. This means showing an interest, being interesting and having the ability to start conversations an d end them. When communicating orally with others within a care setting may have different intentions. These may include giving information (for example, service providers within a GP may state what and where services are available), obtaining information (for example, when a child begins nursery contact information will be given to early years staff and is used if contact with any childs parents is necessary) or even to exchange ideas (for example, within a care home elderly individuals may share present or early(prenominal) experiences with others)Giving and obtaining information is essential because the content must be accurate. If incorrect facts are given, the individual who needs the information will be misled and this may outlet in serious consequences. An effective approach of making a connection is by putting people at their ease by taking an well(p) interest in them. This should apply whether you are giving the information to an individual or even if you are receiving t he information. In addition, if an individual is from a different culture, it is vital as this shows the value of diversity. Also, being open about what individuals are aiming to accomplish and inspiring the others to do the same is also needed when giving, obtaining information or exchanging ideas.When talking to people, non-verbal signals, such as gestures or smiles are regularly used. This is reffered to as body language and is also a method of giving messages to individuals with whom we are talking to for example, smiling will express friendliness.When individuals communicate with each other they give messages and unveiling information. When communicating verbally, messages are encoded by a sender and decoded by a receiver.http//www.mindtools.com/pages/ expression/newCS_99.htmCommunication in different settings is likely to be of a complex nature therefore this means it may have a number of intensions. For example, care workers will need to be conscious that each individual wil l have their personal way of understanding messages. Effective communication refers to more than just passing on information and consists of involving or engaging with another person.Tearesa Thompson (1986) argues that communication is significant for two main explanations. Primarily, communication allows individuals to share information. Also communication allows relationships between people. Thompson states communication is the relationship. Therefore, speaking or signing is essential to creating relationships between people, and care workers must have highly developed social skills, to ensure their ability to work with the variety of emotional needs that service users will have.Examples of tasks, where verbal/oral communication is vitalAsking for informationExplaining issues, policies and proceduresBuilding an understanding of another persons lifeClarifying issuesProblem solvingExchanging ideas/learning new ideasCarrying out interviews and assessmentsBuilding a sense of trustEsta blishing professional relationshipsProviding emotional supportCalming people who are experiencing strong emotionsWelcoming peopleWritten Communicationhttp//files.www.lawyersmutualnc.com/Newsletter_Clipart.gifhttp//comps.fotosearch.com/comp/IMZ/IMZ199/ musical composition-letter_szo0432.jpgThe written word is used extensively and is the most oft prize method of communication. The rules that administer writing are different from those that are accompanied for spoken language. Within many settings accuracy of the written word is specially essential. For example, if inaccuracies take place with keeping of formal records within a GP an individual might have the incorrect treatment or be given improper information with possible severe consequences. Essentially this could result to a complaint being put forward or even court proceeding being taken against the governing body.When writing information down it must be clear, accurate and legible. Inaccurate, written records could result in inappropriate actions, failure to act or complaints and litigation (legal action).In many settings, written information is used to record personal history. For example in early years settings communicating in writing helps care workers to keep in contact with parents, friends of the organisation and other professionals. The intentions may be on giving or obtaining information or exchanging ideas. In many settings the communication constitution will lay down that all written communication needs be shown to the manager before it is passed on. It recommended that copies of written communication should be unbroken in case they are essential for future reference.Types of written communication may includeLetters Appointments, information about meeting, visits, tests resultsAccident slips To inform of minor injury to childrenCare plans A plan of the care an individual is to receiveMenus The choices available at meal timesMonitoring medical records Temperature, meter or, in early years, the progress that is being madeNewsletters Giving information about eventsNotice boards These can be reminders or information about group meetingsPersonal history Individuals details about past and current experienceComputerised Communicationhttp//www.fcps.edu/LibertyMS/images_top/News/email%20clipart.pngIn recent years the development of email has grown to be a frequently used method of communication. Emails can be both formal and informal depending on their intension. An advantage of emails is that it is a immobile technique of communicating with another individual or organisation as answers can be received in a matter of minutes, rather than having to continue for a number of days. Care must be taken to make sure that confidentiality is maintained and only shared on a need to know basis only.In addition, the internet is too increasingly being used as a source of information for various types of purposes. Computers use the written word, as their main function, but they are als o used to show information in graphics and sounds.Electronic forms of communication such as mobile devises are currently the most used technology in the many individuals everyday life. In many settings computers may be used for interacting between one organisation and another. For example, a GP surgery could use the computer to send information about a patient to a consultant at a hospital, to send a prescription to a pharmacy or even to send essential information to an individuals home address. Moreover, this is similar as an innate network system can also be in place to ensure that employees within one setting can be linked with others to share information. For example, within school organisations, teachers can be sent key information via email.With electronic records it is important toKeep a back up cop increment the system crashesUse a password security check to make sure that only certain staff have chafeFind out about the policy on the printing of details so that hard copie s do not get lost, or even seen by othersKnow the policy on who is authorised to update or change records. The recording system must prevent information being altered or lost by accidentPrint out fixed documents in an appropriate confidential area and keep the documents in a safe system to prevent illegitimate people having access to confidential materialIn all situations care needs to be taken to guarantee that the requirements of the data protection act are followed when using the computer. The act generated new obligations for those keeping personal information, entails that a service user can be given a copy of any information that is kept about them (this is known as your right of access), requires that any incorrect information about a person is modified or deleted, gives an individual the right to complain to the data protection commissioner if they think someone is keeping data and is not conforming with the act, permits individuals to declare compensation through the court s if they suffer cost through mishandling information about themselves, enable an individual who uses services to fix out from any person or organisation whether information is being kept about them and if they do to be told the type of information kept and the purposes for which it is kept.People keeping personal information should give individuals access to their personal information and can correct or delete any information found to be inaccurate. Settings must get personal information fairly and openly, use it only in ways compatible with the intension for which it was given in the first place, secure it against unauthorised access or loss and make sure that it is accurate and kept up to date. particular MethodsAll health, social care and early years settings must be ready to offer individuals with special needs where communication is concerned. Special needs may include the following hearing impairment or deafness, poor eyesight or blindness, language difficulty (including En glish not being first/preferred language). Therefore, there are a number of organisations that can provide support with such needs for example, Makaton, Braille, scrape Language and Interpreters.Makatonhttp//www.jacobbailey.com/wp-content/uploads/2010/03/MAKATON_SIGNS.pngMakaton is a language programme using signs, speech and symbols to help people to communicate. Makaton aids individuals who have a hearing impairment or who may have a learning difficulty to communicate with others. It is designed to support spoken language and the signs and symbols are used with speech, in spoken word order. Makaton uses an established set of hand movements to convey meaning. Today over 100,000 children and adults, use Makaton symbols and signs.With Makaton, children and adults can communicate straight away using this language programme. With young children it is usually as soon as it is recognised that they have a need. Some individuals then naturally stop using the signs or symbols at their own pace, as they develop speech. However for others this system is essential throughout their lifetime.For those who have experienced the frustration of being unable to communicate meaningfully or effectively, Makaton really can help. Makaton takes away that frustration and enables individuals to connect with other people and the world around them. This opens up all kinds of possibilities.Makaton helps deliver extra clues about what someone is saying. Using signs can help people who have no speech or whose speech is unclear. Using symbols can help people who have express mail speech and those who cannot, or prefer not to sign.Makaton is extremely compromising as it can be adapted to meet an individuals needs and used at a level appropriate for them. It can be used to touch thoughts, choices and emotionsLabel real objects, pictures, photos and placesTake part in games and songsListen to, read and tell storiesCreate recipes, menus and shopping listsWrite letters and messagesHelp people find their way around public buildingsBraillehttp//thumbs.dreamstime.com/x/braille-reading-1484302.jpgBraille is a system of raised dots that can be felt with fingers, for people who have limited vision or are blind, this system provides the opportunity for independent reading and writing as it is based on touch. Braille was introduced by a Frenchman blind person named Louis Braille in 1829.Using the correct computer software, individuals can translate written material into Braille and print out using special printers. Braille can be very useful to individuals who use services who have poor eye sight as they are able to read leaflets and hand-outs that provide information regarding their treatment, as well as being able to read books and magazines and satisfy their personal intellectual needs. character Languagehttp//www2.le.ac.uk/departments/modern-languages/lal/ newfangled%20COURSES_FROM_JANUARY_2014/images%20NEW2014/BSL.jpgSign Language is a visual means of communicating using s ignals, facial expression, and body language. Sign Language is largely used by people who are deaf or have hearing impairments.Within Britain the most common form of Sign Language is known as British Sign Language (BSL). British Sign Language has its individual grammatical structure and syntax, as a language it is not dependant nor is it associated to spoken English. British Sign Language is used amongst 50,000 70,000 people within the UK. The government officially recognised British sign language, in March 2003 as an official minority language, this lead to an increase in raising awareness of the BSL campaign.British sign language has a phrase make your fingers counts which appeals to children. British sign language can be taught at any age, for example even children are intrigued about BSL. It is a language that has developed over hundreds of years and enables interaction between people who otherwise might experience difficulty.Interpreters http//www.lexlogos.com/images/blog/Lex logos-LLC-Happy-International-Translation-Day.jpgInterpreters can be used to support communication with service users for whom English is not their ideal or first language. In the past usually service users have brought along translators which have been people who are members of their own family. However this has currently been decreasing as it was considered by many individuals that using family members was not beneficial, as service users became aware that the information may not necessarily be kept confidential even by using family members. For example, a daughter (family member) who is translating for her mother (service user) can discover that her mother has a terminal illness, in this case a mother would rather have someone who is not a member of the family to ensure nay health problems are kept confidential and shared only on a need to know basis.Within a lot of health, social care and early years services, there are leaflets available which cover a variety of health topics o r health facilities and are produced in a number of other languages (including English). Therefore many service users within our multi-cultural society have full access to the information needed, rather than having to use a translator.