Annual Diabetes Review
Nursing Consultation Skills in Primary Care
360 video
Use this resource in conjunction with your clinical training
Experience Summary
A patient attends for an annual diabetes review and has always refused foot checks.
Learning outcomes
Underpinning communication skills for assessing, planning, providing and managing best practice, evidence-based nursing care
- Actively listen, recognise and respond to verbal and non-verbal cues
- Use prompts and positive verbal and non-verbal reinforcement
- Use appropriate non-verbal communication including touch, eye contact and personal space
- Make appropriate use of open and closed questioning
- Use caring conversation techniques
- Check understanding and use clarification techniques
- Be aware of own unconscious bias in communication encounters
- Write accurate, clear, legible records and documentation
- Confidently and clearly present and share verbal and written reports with individuals and groups
- Analyse and clearly record and share digital information and data
- Provide clear verbal, digital or written information and instructions when delegating or handing over responsibility for care
Evidence-based, best practice approaches to communication for supporting people of all ages, their families and carers in preventing ill health and in managing their care
- Share information and check understanding about the causes, implications and treatment of a range of common health conditions including anxiety, depression, memory loss, diabetes, dementia, respiratory disease, cardiac disease, neurological disease, cancer, skin problems, immune deficiencies, psychosis, stroke and arthritis.
- Use clear language and appropriate, written materials, making reasonable adjustments where appropriate in order to optimise people’s understanding of what has caused their health condition and the implications of their care and treatment
- Recognise and accommodate sensory impairments during all communications
- Identify the need for and manage a range of alternative communication techniques
- Use repetition and positive reinforcement strategies
- Assess motivation and capacity for behaviour change and clearly explain cause and effect relationships related to common health risk behaviours including smoking, obesity, sexual practice, alcohol and substance use
Evidence-based, best practice communication skills and approaches for providing therapeutic interventions
- Solution focused therapies
- Positive behaviour support approaches
Evidence-based, best practice communication skills and approaches for working with people in professional teams
Further Discussion
- What made this consultation different to the others?
- Who do you refer to if any concerns?
- If a patient refuse who is liable if any nerve damage which could have been prevented?
- Good history taking .
- Going that extra mile if someone refuses .
- Why have they refused?
- Different communication methods.
- Respecting the patients decision.