Unit 1 communication P3, P4 and M2

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Contents page

Page 2 Introduction

Page 3 Task 1 (P3)

Case study of Mr and Mrs Singh

Page 5 Task 2 (P4)

Methods of communications

Page 9 Task 3 (M2)

Downs syndrome and cerebral palsy case study

Page 13 Bibliography

The following assignment is about communication. There are 3 parts to the assignment. The first part (P3) is a recognized case of Mr and Mrs Singh. The second part (P4) is the various forms of communications used with an explanation of what they are and who might use them. The third (M2) and final part is two further case studies which gives details of particular conditions, the problems somebody might face with such a condition and what you could do to help them.


Task 1 (Pass3)

Describe factors, which may influence communication and interpersonal interactions with particular reference to heath and social care settings.

Case study of Mr & Mrs Singh

I observed a multi disciplinary team meeting that was held to make a discharge package for Mr and Mrs Singh. Mrs Singh had just had major bowel surgery and was now ready to leave hospital but before she could a care package needed to be put in place.

The meeting consisted of Mrs Singh, her husband, the ward nurse, a district nurse, a social worker, a doctor, a physiotherapist, a dietician and an occupational therapist.

The meeting took place in a day room at a busy lunchtime period that also had bad lighting and was noisy. These conditions were not at all conducive to a successful meeting. All the medical and professionals in attendance were sat on high chairs whereas Mr and Mrs Singh were sat on low patient chairs. There were seven health professionals present and Mr and Mrs Singh. This will have made Mr and Mrs Singh  feel very uneasy right from the start. The seating arrangements during this meeting gave the health professionals immediate authority and empowerment just by being sat higher up than Mr and Mrs Singh. Mr and Mrs Singh will have been feeling the opposite, submissive, intimidated and unsure. Mr and Mrs Singh spoke and understood very little English. The meeting was very rushed, voices were raised and there was lots of medical jargon used.  Mr and Mrs Singh just sat there occasionally looking at each other with a bewildered look on their face and just nodding in agreement, which nobody seemed to notice. The fact is that Mr and Mrs Singh probably didn’t understand the majority of what was said due to the poor choice of room for the meeting. The couple does not speak or understand much English and the background noise and poor room will have hindered communication further. The ward nurse seemed very aggressive, as she had to raise her voice to be heard over the background noise. This loud and aggressive tone also hinders effective communication as it puts Mr and Mrs Singh on the back foot. The doctor was very uninterested, constantly clock watching and needed to rush off so hurried the meeting along, again rushed speaking will have made the doctor even harder to understand. The effect that this meeting will have had on the couple would be to make them feel unsure and intimidated. At no time did anybody stop to ask the couple what there thoughts and feelings were. The language needs or preferences of  Mr and Mrs Singh were not taken into account and nobody asked them if they understood what was happening.


At the end of the meeting the MDT decided on what they thought was an appropriate care package then ask Mr and Mrs Singh to agree to it.

Before the meeting, the medical professionals involved should have given a lot more

thought to the circumstances in this case. Mr and Mrs Singh should have been asked what there preferred language was and if the couple had preferred to use their first language then steps should have been taken to facilitate this through the use of an interpreter.. This had a huge effect on the communication barriers. There were many things that could have been put in place to assist with the language barriers. Things such as signs, symbols, pictures and writing would also have been help. The behaviour of people in particular the ward nurse and the doctor not to mention the environmental factors would have had a huge effect on the communication barriers. The meeting should have been held in an appropriate meeting room where the lighting was suitable and away from any distractions such as the noise. It would also have been more appropriate if all involved were sat on the same height chairs. The care value base which contains items such as individuals rights, personal beliefs and effective communication should have been taken into account.

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Mr and Mrs Singh come from a different culture and some of the issues will have been very sensitive or difficult to talk about. This could have made them anxious and because of the cultural differences Mrs Singh could have been depressed. The communications cycle should have been used throughout this meeting. At no point did any of the health professionals check with Mr and Mrs Singh if they understood what was being said to them. If they had checked, (and they should have done considering their use of non-verbal communication by their looks of bewilderment ) then they ...

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