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5. Surrogate role: The nurse is there for the patient. He/She helps the patient realize their
domains of independence, dependence, and interdependence.

6. Active leadership role: The nurse assists the patient in achieving responsibility for
treatment goals in a mutually satisfying way."(Sheldon, l4)

These phases will be very important in the process of learning about your patients. You
may ask why. In order to know what to say to your patients, you have to realize the phase
in which you and your patient are in. In the different phases you treat your patients diffe-
f,:r- rently.
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lrqn._ ,Ara.r^* *'My opinion is that the "stranger role" is the most important. You have to consider cultur-
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qD,n;+.; u't;6/ al differences when you first meet your patients. Not everyone that you come in to con-
hu* ^1ryn tact with will be like you and believe the same things that you do. You have to "fJse cul-
&&* tura1awarenessincommunication,a(Sheldoq46),It\qbo'.ndu$rg
Nursesthatyouhaveto..considertheindividualfirsthilthffick-..:A'd-.'FRrr€fg
grounds second. You should asses the language needs of the patient, and ask f;;;;;r-Yl:Su=* qus{e5
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preter if necessary."(Sheldo n,46)"You should never speak in front oru puti"rit;ffi-
guage they cannot understand. This could confuse and scare the patient. You might also
want to learn some common phrases in a resident's native language."(Hartman, 60) .F rd:cior_
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Second to your relationship with your patients should be your relationship with the pa-,.en-,fi3uryi"'
;(tients family. The family needs to be able to trust you with their relative a great amount to ,frlo*
( feel comfortable leaving them in the care of yourself. A way to gain trust from the pa-
tient's family is to properly communicate with them about the health and care of their
relative. "A trusting relationship with patients and their families is built on open, honest
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communication." ('oAmerican Hospital Association") During your career you will find
reasons why this is hard to achieve and that is something you will have to overcome.
Communication will not always be easy, so you will have to work hard in order to get
your job done properly. A lot of nurses in many different places do not have access to the
resources needed to properly communicate with their patients." (Dare) What are you
going to do to ensure that you meet the communication requirements of your patients
even if you are not supplied with the right resources?

*not sure how to conclude all my thoughts, I still have to add the interview from the
nurse that works with my mom. f hC[(dC hu*,.r \D Cbn-hre] aJng<,rf af\d U{ff.+
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Sincereryyours, \ /':"1^:Y*H*utr+e'4/r
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