Naila Pahel – Collaborative Discussion Questions

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Collaborative Discussion Questions for Naila Pahel:

Answer the below question as individuals for the case of Allie Allison and discuss each other’s responses as a cohort by replying to your colleagues answers also. From what you know about Naila which of the following will you consider during the consultation?

1. Reassure Naila to ease her worries and concerns.
2. Find out more about her experience of the condition before offering advice on treatment options.
3. You already know the reason for the consultation, so offer advise and treatment options straight away.

[Tawakalitu Ajadi]

I will first find out more about Naila experience of her condition and reassure her is okay to be as detailed as she can be as no information is unnecessary. I will offer her treatment options available to her , give much details for each options so whenever she’s ready to make a decision she have enough knowledge and information to do so , I will reassure her in order to ease the worries and stress levels and advice her to not make decision in hurry , if she needs to sleep on it or talk to her family about it that she can do so .

[Zara Wimperis]

From what you know about Naila which of the following will you consider during the consultation?

1. Reassure Naila to ease her worries and concerns.
2. Find out more about her experience of the condition before offering advice on treatment options.
3. You already know the reason for the consultation, so offer advise and treatment options straight away.

I would focus on the first two. Nailia is very young, still sexually active, her concern may be that though the pelvic floor exercises eased the urinary incontinence, she may have reached a plateau on how far the issue can be fixed. I would reassure her we will discover the best options for her, discuss and liase with a urogynecologist regarding potential surgery options. I think reassurance is key here though

[Sarah Gayle]

I agree the first 2 points are important, it is imperative that you understand the individual symptoms a patient experiences during illness. Listening also allows for rapport and trust allowing the patient to feel comfortable and give you additional information and be more open to the reassurance given.

[Victoria Piper]

I agree with all the above points, particularly how key reassurance is. t’s important to first to listen to Naila and her experience of the condition before offering any advice on treatment options. I would make her feel comfortable and reassure her, she may feel embarrassed to talk about it. After I have listened to her I will reassure her to help ease her worries and concerns and offer her treatment options that are available to her by ensuring she has all the information and answering any questions she may have.

[Joanne McNally]

I would reassure her first, emphasising that the condition is very common and usually treated successfully. I would then find out what she knows about her condition and ask her if she had any questions. She may have been worrying excessively as a result of doing her own research. Nalia is still young and sexually active so it is important to reassure her that she will still be able to engage in all the activities she could before.

[Daniel Brown]

I agree with what has already been said. Even though we already know the reason for the consultation it is important to reassure Naila, make sure she feels safe and listened to, and find out more about her personal experience before advising on treatment options.

[Alexandra Asquith]

1. I would speak to Naila and listen to all her concerns and worries first, then offer her support and guidance for each of those worries and refer to other MDTs as required.
2. Everyones experience of a condition will change and affect peoples lives differently socially, mentally and physically.
3. Offering her all treatment options available and providing information to allow for informed consent. Offering time to think about the options and discuss any questions to allow her to make the informed decision.

[Daniel Richard Moulson]

I agree with all the comments above. Even though is important and useful to know the reason why the patient is asking for a consultation, so you can prepare, as nurses we should always listen to the patient first. We need to understand the details of the problem and what influence is it having on the patient’s life and future implications. For example, the prolapse might have a negative impact on her marriage, leading to needing counselling or therapy. Or it might be difficult to care for the children due to the pain, so other help would be needed.

[Richard Cubbon]

I think it’s best in this situation that the first thing to do is ‘Reassure Naila to ease her worries and concerns.’ The psychological, emotional and physiological factors to the patient’s condition need to be addressed. The fact that she has had this problem since the birth of her children, the fact it has affected her dailiy habits (bowels, urination, sex) can have a massive detremential affect on her identity. Compassion of the nurse role in this situation should be immediately apparent, explain that this can and does happen to women after childbirth. You’re establishing a relationship, trust and partnership with the patient, as a nurse you’d be reassuring her that this issue can be overcome. Then moving forward from this phase you could ‘Find out more about her experience of the condition before offering advice on treatment options.’ this can be done with the patient, to ensure she’s a part of the shared decision process, again building upon the nurse-patient relationship. Finally ‘You already know the reason for the consultation, so offer advice and treatment options straight away.’ would follow the other two steps. If this was the immediate action of the nurse, it seems pretty shallow to disregard the patient’s feelings and involve her in the treatment options.

I believe my approach is in agreement with Zaras, it seems like the most compassionate in my opinion. And I agree with Sarah’s points about understanding the patient’s feelings. To Dans point, I can understand why you would need to process the right level of information about the condition beforehand. And to a degree I agree with it as a future male practitioner, as it’s a condition I’ll never be afflicted with so I want to be prepared with as much knowledge as possible. However, from my experiences I would still focus more on reassuring the patient from a professional care giver perspective first.

[Zoe Jones]

In agreement with most of the comments above. The patient will feel a lot better if she can air her concerns and worries to someone that isn’t her husband. If she is feeling insecure about it she probably keeps a lot of concerns to herself most of the time. I think most importantly, she needs someone to just listen and then offer treatments that can help.

[Lyndsay Sheridan]

I agree with all of the previous comments, and reassuring Nailia and being there for her to talk to will help put her mind at ease. I think checking that her urination incontinence has gone back to normal is important as she may feel a little bit embarrassed to say any different. Making her feel comfortable and showing compassion is key to helping Nalia and making sure to take the correct route with referrals

[Muriel Youngo]

I will:
1-Find out more about her experience of the condition before offering advice on treatment options.
2-Reassure Naila to ease her worries and concerns.

[Siqedile Nyathi]

1. I will first reassure Naila to ease her worries so she can ease and calm down.
I will then find out more about her experiences of the condition paying so much attention to all the details as they are important to be addressed. I will offer advice on treatment options available. Nalia is still young and vibrant and is still sexually active so she will need the best treatment she can get so as feel confident and engage into intercourse without and fear and discomfort.

[Kerry Drinkwater]

I think in the first instance the best thing to do is reassure her and ease her worries. I would listen to her and ask for my details about the problems and what impact that is having on her mental health. Once all information is documented then would offer some treatments that are available which might be an option for her but also refer her to a gynaecologist for further investigations.

[Forlefac Fonyi]

I agree with the above comments, as being able to gain her trust by demonstrating a open body posture and patiently/actively listening to her worried will be important to understand her needs (psychological, physiological and sociological). Thus, gives us the opportunity to tailor her treatment to suit/address these needs in an efficient way…

[Lauren Lewis]

I agree with all of the comments above.
Although we already know the reason for the consultation , reassuring Naila making sure she feels safe is very important.

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