Broken Silence by Brooklyn Brauer https://padlet.com/brooklynb_327/ozhc7r5anx8t Responding to cases of abuse en-us 2020-01-09 16:20:57 UTC 2020-01-14 14:59:29 UTC hello@padlet.com As the nurse, how can you create an optimally supportive environment for a patient such as Meredith? brooklynb_327 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/429557377 2020-01-09 16:34:35 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/429557377 Be aware that the pt may not have identified the experience as abuse brooklynb_327 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/430953030 2020-01-13 18:54:52 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/430953030 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326511 Jeanette normalized the process of asking about the situation stating "she often asks her female patient's these questions" ]]> 2020-01-14 14:56:05 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326511 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326875 Reassure the patient that she isn't alone in the situation, using therapeutic communication]]> 2020-01-14 14:56:33 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326875 Empowering her by letting her know it is her decision to take the next steps https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326953 2020-01-14 14:56:38 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326953 Reassurance https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326997 Reassure her that the talk is confidential, and you will not disclose the information unless she wishes you to do so]]> 2020-01-14 14:56:41 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431326997 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327025 Telling Meredith that it is something she talks to all of her female patients about ]]> 2020-01-14 14:56:43 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327025 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327030 Ensuring privacy and confidentiality]]> 2020-01-14 14:56:44 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327030 (if patient is comfortable) use therapeutic touch to comfort patient and creating a safe environment https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327237 2020-01-14 14:57:00 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327237 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327259 Make sure the pt knows it is a safe space to talk about what is going on. be non-judgmental and open]]> 2020-01-14 14:57:01 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327259 asking open ended questions to allow meredith to tell her own narrative https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327263 2020-01-14 14:57:01 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327263 Jeanette asked the sensitive questions while David was not in the room https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327292 2020-01-14 14:57:04 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327292 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327300 Provide supports]]> 2020-01-14 14:57:05 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327300 let her know that it is a common problem and that she is not alone https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327331 2020-01-14 14:57:08 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327331 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327400 Empowering the patient and not force her to do anything she isn’t comfortable with. ]]> 2020-01-14 14:57:13 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327400 coming down to her level https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327477 2020-01-14 14:57:20 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327477 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327583 Sitting at eye level with the patient. ]]> 2020-01-14 14:57:28 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327583 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327749 provide a safe space ]]> 2020-01-14 14:57:37 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327749 Let her disclose what SHE is comfortable with. Don't force the patient to disclose anything they are not comfortable with. Let her direct the interview. https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327758 2020-01-14 14:57:38 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327758 ensure confidentiality https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327864 2020-01-14 14:57:44 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327864 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327955 Guide the conversation but allow her to direct her own goals of care...what does she want from you? help? resources? assistance to report? or just a kind ear to her her story]]> 2020-01-14 14:57:52 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431327955 Empower her https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431328148 2020-01-14 14:58:05 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431328148 https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431328151 don't 'accuse' her or her partner of anything. you can't assume anything about their relationship ]]> 2020-01-14 14:58:05 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431328151 Let the patient speak her truth. Be careful not to https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431328674 make accusations and listen to what she has to say. It is a hard  and intimate, personal conversation. Jeannette used amazing therapeutic communication skills to talk with Meredith ]]> 2020-01-14 14:58:44 UTC https://padlet.com/brooklynb_327/ozhc7r5anx8t/wish/431328674