ANATOMY OF

NURSING COMMUNICATION
IN HEALTH TEACHING
(By Tri Prabowo)

Health education is particularly important for client (patient or family) by giving some
information related to client’s problem. In doing her/his duty a nurse usually give some
health education. This session introduces specific form according to health education.

Pre Interaction phase:

- collect the client data
Read the client’s status (name,age,sex,etc.)
- explore your feeling, fear, and competency
- make a plan to interact with client

Orientation phase:

greet and smile to the client

Introduce your self
Ask the client would be like to be called
Explain the responsibility of the nurse and the client
Explain the role of the nurse and the client
Explain the activity that will be conducted: health teaching
Explain the purpose of health teaching
Explain about the time to do health teaching
Explain about the confidentiality

Working phase
Give a chance to your client to ask
Start the health teaching in a good way
Do the health teaching
a. assess the client’s knowledge about the disease
 b. explain the necessary things
c. give a chance to the client to ask
d. ask the client to explain what you have already explained

Termination phase
Make a conclusion from the health education’s result
Give positive reinforcement
Make a next plan for the client
Response Dimention
- face to face
- eye contact
- smile in the right time
 NURSING COMMUNICATION
IN HEALTH TEACHING
(By Tri Prabowo)

Health education is particularly important for client (patient or family) by giving some
information related to client’s problem. In doing her/his duty a nurse usually give some
health education. This session introduces specific form according to health education.

CASE:
Nana (30 years old) is taken care in Alamanda Ward. She has got Hypertension.
Vivi is a nursing student who practice at Alamanda ward, will give health
education to Mrs. Ana Wulandari (Nana’s daughter).

Pre Interaction phase:

- Collect the client data
Read the client’s status (name, age, sex, etc.)
- Explore your feeling, fear, and competency
- Make a plan to interact with client

Orientation phase:

Greet and smile to the client

Nurse : good morning/afternoon Mrs Nana
Client : good morning, nurse
Introduce your self
Nurse : I would like to introduce my self, My name is Vivi, I am a nursing
student at Health Polytechnic of Yogyakarta.
Ask the client would be like to be called
Nurse : What would you like to be called ?
Client : Call me Nana, please
Explain the responsibility of the nurse and the client
Nurse : Ok Mrs, I practice here from 07.00 a.m o’clock to 14.00 p.m o’clock to
take care of appropriate nursing action, I hope you could cooperate so
that your condition could be health again as before.
Explain the role of the nurse and the client
Nurse :In here, I work with other health profession such as physician,
physiotherapist, dietitian. You may ask anything about treatment,
particularly about something that you don’t understand
Client :thank you ners,
Explain the activity that will be conducted: health teaching
Nurse :I will discuss with you about your condition who have/has got medication
Explain the purpose of health teaching
Nurse :it is important to do so that after the treatment in the hospital, you could
treat your hypertension at home, so you feel better will not suffer from
this disease again
Explain about the time to do health teaching
Nurse :it will take about 10 minutes
Client :It’s okay
Explain about the confidentiality
Nurse :I will keep the confidentiality of some parts of this discussion if you fell
un-comfortable, so would you please not hestitate to express your
feeling/problem
Client :Thank you nurse

Working phase
Give a chance to your client to ask
Nurse :Is there anything you want to ask or to do before we start
Client : Not, now
Start the health teaching in a good way
Nurse :Could we start right now Mrs Nana?
Client :Yes please
Do the health teaching
a. Assess the client’s knowledge about the disease
Nurse :Mrs. Nana have you ever heard Hypertension?
What do you know about Hypertension ?
Do you know causes, sign and how to take care that?
Client :sorry I don’t know exactly
b. explain the necessary things
Nurse : Hypertension (high blood pressure) ia an common condition that can
lead to serious complications if untreated. Normal blood pressure is 120
over 70 mm of mercury (mmHg), but hypertension is higher than 130
over 80 mmHg. Acute causes of high blood pressure include stress, but it
can result from un underlying condition,such as kidney disease.
Unmanaged hypertension can lead to heart attack, stroke, and other
problems.
Well Mrs. Nana
Making dietary changes and losing weight are effective treatments for
reducing blood pressure. Other lifestyle changes that can help to reduce
blood pressure include stopping smoking, reducing stress, reducing
alcohol consumption, and exercising regularly. These changes are
effective when used alone but often have the greatest benefit when used
together. Many patients with hypertension will also require medications
to lower their blood pressure to safe levels.
c. give a chance to the client to ask
Nurse :Is there anything that you still don’t understand ?
(Is there anything that you want to know more about this disease)
Client : No thank’s
d. ask the client to explain what you have already explained
Nurse :Mrs Nana could you explain what we have already discussed, please?
Client :Yes, Hypertension (high blood pressure) ia an common condition that
can lead to serious complications if untreated. Normal blood pressure is
120 over 70 mm of mercury (mmHg), but hypertension is higher than
 130 over 80 mmHg. lifestyle changes that can help to reduce blood
pressure include stopping smoking, reducing stress, reducing alcohol
consumption, and exercising regularly.

Termination phase
Make a conclusion from the health education’s result
Nurse : Mrs.Nana, from the discussion I can make a conclusion that you have
already known about Hypertension
Client : Thanks nurse
Give positive reinforcement
Nurse :You were so active while we were discussing about this disease
Client : my pleasure
Make a next plan for the client
Nurse :Mrs. Nana, I will write the result of this discussion on your report
statu/file/MR, Thanks for your attention
Client :your welcome
Nurse :Good by now and see you later
Response Dimension
- face to face
- eye contact
- smile in the right time