In my first few weeks of clinical, my biggest communication challenge was with a patient. This patient was confused and unresponsive more than half of the time I was with him. It was my first time doing a full assessment by myself and it was very hard for me to get through it because he wasn’t able to answer my questions or do things when I asked. I tried easily shaking his shoulder and saying his name in a loud voice to get his attention, but I could only get a few grunts out of him. This was hard for me because I didn’t know the exact way to handle this situation.
I believe I contributed to this communication issue by trying to get too much out of him. Me trying on multiple occasions to get his attention and finish my assessment might have annoyed him or made matters worse. However, the times that he was alert and able to talk we had very pleasant conversations so I think the main issue was just his varying levels of confusion and unresponsiveness.
I think the best way to overcome this particular challenge would have been to do the parts of my assessment that needed his input early on before he fell asleep. But since there really wasn’t any way for me to know that, I’m not exactly sure what the best way to handle this would be. If this same sort of things happens later on in clinical I would consult with the nurse to see how she has been doing her assessments.