GivingInstructionsToThePatient

Giving Instructions to the Patient
By Diah Nita

Communication?
A process of transferring information
Interactions between at least two agents
Share a repertoire of signs
Interchange of thoughts, opinions, or information by speech, writing, or signs
Better as a two-way process


What’s Communication made up?
Words - 10 per cent
Paralinguistic (the way in which the words are spoken) - 40 per cent
Non-verbal features (body language) - 50 per cent


Basic Information Processing Modes
Visual processors think in pictures
Auditory ones think in sound and dialogue
Kinesthetic processors need motion and gesture to understand.


How to communicate effectively with patients?
Get to know the patients and their circumstances
Listen to the patient
Use a variety of teaching materials and methods
Recognize that people are often resistant to change
Keep message clear and simple


Instructions/ orders?
What is the difference?
Which one is best?


How to Give Instructions in English

Sequencers are the words that help order your instructions
Instructions, do one of three things
Tell people what is necessary, what is wrong, what is not necessary



Giving a Good Instructions
Mission
Destination
Procedure
Time
Anticipation
Failure


How To Give Verbal Instructions
Avoid unclear, ambiguous instructions that can easily be misinterpreted
Choose words with the fewest syllables to avoid misconceptions of meaning
Speak clearly and intelligibly


How To Give Verbal Instructions
Maintain focus to remain on instructional track
Use a speaking voice that is pleasant but confident
Ask for questions before the instructions begin and after they are given
Make sure the instructions present a specific goal.


How to Give Effective Instructions to Children
Stop and decide what you want your child to do
Get the child's attention
Tell him what to do directly and firmly
Don't end your instruction with "OK?"
Praise him when he does the task quickly and well
“What did I tell you to do?”

How to Give Effective Instructions to Children
Decide the consequence you will impose and go to the child to warn him of the consequence
Move closer to him than normal, conversational distance. Make direct prolonged eye contact and tell him the consequence of not doing what you asked.


How to Give Effective Instructions to Children
Give him the opportunity to complete the task now
If he still doesn't comply, give the consequence
Go to him and tell that the consequence you stated earlier is now in effect



Giving Good Instructions to Children 
Be clear and concise
Give one instruction at a time
Be realistic
Be positive
Don’t ask, tell
Reward compliance


Examples of Good Instructions
Bintang, go wash your hands
Nita, open your mouth
Shinta, walk next to me
Adhi, get the syrup now

Examples of Bad Instructions
Be careful
Can you put your toys away?
Go upstairs, wash your face, brush your teeth and go to bed
Okay, I think it is time for you to go to bed
Don’t run in here


How To Give Better Instructions
Give instructions in the ways that work best for your subordinate
Give your directions in more than one way
Check for understanding


Don’ts
Do not allow the other person any latitude to think about what to do or how to do it
Do not give patient the freedom to come up with their best way of getting the task done
Do not give orders, give instructions


A Challenge???
It is much easier to give a pill, put a dressing on a wound, take vital signs, or change a catheter, than to teach a patient to care for himself
present information and instructions to patients, then step back and allow them to make informed choices about their lives