Overcoming barriers to communication_1

Overcoming barriers to communication_1

1. Environmental barriers

   • seating
     • Horse shoe shape format
   • Lighting
     • Rooms with windows for natural light. TUrn on the lights! Open the curtains/blinds.
   • noise
     • Close the door, close the windows, try to have conversations in quiet spaces, be aware of possible noise distractions. Sound proofing, double glazing. Private rooms for quiet activities or private conversations.
   • lack of space
     • Make space! Move to a different room if there is one available
   • Uneven surface or stairs
     • Renovation of the environment to make it fit for purpose. Use the lift if there are stairs.

2. Physical barriers

   • sensory deprivation
     • Visual Impairment- Using Braille. Touch the patients arm so that they know you are talking to them. Clear speech. Address them by name.
   • physical illness
     • Receptionist should keep questions to a minimum. The patient should take an advocate. Calm tone of voice from the service provider, patience,
   • mental illness
     • Use an advocate where appropriate for example a social worked. Be reassuring but not patronising. Be patient.

3. Language barriers

   • foreign language
     • Advocate-The patients representative who speaks both languages. Translator-for written information in another language. Interpreter- for speech translation.
   • slang, jargon, colloquialisms and acronyms
     • Avoid these
   • Speech difficulties
     • Use of pictures/written signs which the patient can read. Eye contact, facial expressions, hand gestures. Be friendly.

4. Social isolation

   • lack of confidence
   • Intimidation
     • Talking skills- active listening, reassurance, calm tone of voice, slow pace of voice, patience.
   • Following abuse
   • Trauma
     • Talking skills- active listening, reassurance, calm tone of voice, slow pace of voice, patience