How to Coach Yourself and Others Coaching and Counseling in Difficult Circumstances | Page 95

This book is in B&W, not color - Print page in Grayscale for Correct view! the nurse utilising the patients history and case record, reminding the patient what had happened before, and tempering their suggestions into a realistic applicable plan about what should happen in the scenarios most likely to recur: ‘how do you want us to work with you in that situation … how would you want us to approach you … what happens if you say no?’ If such negotiation and planning has already been done and the patient is highly aroused now, then the advance directive should be implemented. The presence of such a planned strategy makes the situation much more predictable for the patient as well, and there ‘not quite so scary for them’, and because of that, less likely to end in a struggle of some kind. Lessons for practice Summary of findings Analysis and reanalysis of the interviews found that the interaction techniques reported divided into seven natural domains: the moral foundations for interacting; preparation; being with the patient; nonverbal aspects; emotional regulation; getting things done; and talking about symptoms. The moral foundations incorporated a complex mix of sometimes countervailing imperatives, such as notice and do not ignore the patient, nevertheless avoid intruding and respect their privacy. Also included were values emphasising warmth, care coupled with a high degree of