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- Get down to her level
- Ask her what’s worrying her and try to control/help with crying
- reassure her and offer support
- explain who is looking after her dog

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- Call Darren her social worker friend for support patient
- Active listening
- explain how we are here to help, step by step explanation of the process
- reassurance
- be calm and understanding, allow her to talk, time to explain how she’s feeling and what happened
- explain its her choice to what level of care and help she would like from us
- consent was taken from her during her trauma, so explain consent is always needed for whatever support she requires

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- Dog to visit if possible
- Dementia specialist nurse
- Talk to her, ask her how she is feeling, validate her feelings
- Active listening

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Find a nurse more specialised to deal with this kind of trauma.
Offer to be with her, hold her hand? Explain step by step all stages of the procedure before it happens and during. Make small talk as a distraction. Starting a simple conversation can lead to openness.

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I’ll approach Betty and try to form a therapeutic relationship by asking her what she loves about her little dog Scottie.

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Offer a cup of tea and have a chat with a tea and biscuit? See if she opens up by herself.
Ask what is worrying her? Acknowledge she is upset, don't just ask if she is OK when clearly she is not.
Refer to a dementia specialist nurse - may need help at home. Social review?
Investigate UTI. More bloods may be needed? As UTI could be causing confusion/agitation

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- Active listening
- Make her feel safe
- Reassurance
- Ask if she wants her friend contacted
- Ask her what she wants/needs
- Sensitive approach
- Validate her feelings
- Explain fully the risks of not having injuries investigated and allow her time to process the information

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Offer a chaperone for examinations, someone that can witness what the consultant is doing for reassurance

Active listening, give her your time with no judgement

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* Emotional support
* Sit with the patient
* Signposting
* Explain risks in full to allow the patient to make a fully-informed decision
* Crisis team/Mental Health referral

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Amy needs patience and understanding.

Maybe introduce yourself and say that its nice to meet her, you could even be completely honest and say you dont know what to say to her to make her feel better and that you know that is impossible right now. Explain why you are worried and why she would benefit from an examination. Explain the risks, but tell het above everything else.... whatever happens or doesnt happen is HER choice. Say that you know she has had her choices taken away from her and you want to help empower her again. Ask her what she wants, what she feels would make it easier to manage etc

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Approach the subject cautiously
Reassurance that the professionals are there to help
Comfort her and validate her feelings

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* Explore feelings - loneliness? Missing her dog?
* Specialist care - Dementia Nurse
* Calm, reassuring and tactful
* Artefact - comfort. A blanket, picture, or teddy

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Get down to her level
Hold her hand to make her feel safe and comforted
Allow time to answer
Don't rush
Talk about her dog to calm her
Take on a walk so she can move about and possibly open up more
Explain why she's in the hospital and what to expect
Ask her if there's any foods she would like

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Use our own emotional intelligence to communicate appropriately
Be calm in approach
Don’t be overly direct
Have a general conversation first to build a therapeutic relationship
Involve her in the wound care plan

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Spend time with Betty
Include her home life
All about me booklet
Conversation about the dog and Beryl
Reassure Betty as she has not been in hospital before