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Communicating with a confused
person in ED
Lucy Gilby & Josh Pettit
How do we communicate?
• Verbal – words and noises
• Body language
• Behaviours
• Facial expressions
• Eye contact
• Touch
• Listening
Person’s barriers to communication
• Word finding difficulties
• Reduced understanding
• Visual/auditory difficulties
• Changes to semantic memory
• Changes to emotional state
• Reverting to first language
• Lower threshold for sensory overload
Barriers within the ED
• Noise
• Lights
• Hustle and bustle
• Multiple faces
• Acute illness
• Unfamiliar environment
• Lack of Time
• Not listening
Enabling good communication
• Think of what you are conveying to the patient
• Take it slowly
• Give plenty of positive reinforcement
Enabling good communication
• Reduce distractions
• Ensure good lighting
• Say who you are talking to
• Use short simple sentences
• Repeat sentences
• Be specific
• Offer simple choices
• Use signals (visual cues) other than words
• Use appropriate and gentle gestures
• Try to determine what is really being said
Communicating Intent
• State your intentions!
• Provide context (you are here because…)
• Remember to do it at every interaction
(Groundhog Day)
• On you to prove that you are trustworthy
• Keep orientating (caution- don’t mess with
their reality)
Communication Exercise
Without using words, act out the following emotions/needs to
your partner (tick them off as your partner gets them)
Need a wee
Insecure
Thirsty
Lonely
Hungry
Intimidated
Tired
Frustrated
Pain

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Josh & Lucy communicating with a confused person in ed

  • 1. Communicating with a confused person in ED Lucy Gilby & Josh Pettit
  • 2. How do we communicate? • Verbal – words and noises • Body language • Behaviours • Facial expressions • Eye contact • Touch • Listening
  • 3. Person’s barriers to communication • Word finding difficulties • Reduced understanding • Visual/auditory difficulties • Changes to semantic memory • Changes to emotional state • Reverting to first language • Lower threshold for sensory overload
  • 4. Barriers within the ED • Noise • Lights • Hustle and bustle • Multiple faces • Acute illness • Unfamiliar environment • Lack of Time • Not listening
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  • 8. Enabling good communication • Think of what you are conveying to the patient • Take it slowly • Give plenty of positive reinforcement
  • 9. Enabling good communication • Reduce distractions • Ensure good lighting • Say who you are talking to • Use short simple sentences • Repeat sentences • Be specific • Offer simple choices • Use signals (visual cues) other than words • Use appropriate and gentle gestures • Try to determine what is really being said
  • 10. Communicating Intent • State your intentions! • Provide context (you are here because…) • Remember to do it at every interaction (Groundhog Day) • On you to prove that you are trustworthy • Keep orientating (caution- don’t mess with their reality)
  • 11. Communication Exercise Without using words, act out the following emotions/needs to your partner (tick them off as your partner gets them) Need a wee Insecure Thirsty Lonely Hungry Intimidated Tired Frustrated Pain