Chapter 31: Assisting patients with their elimination needs

Activity 31.4: Maintaining dignity

In addition to performing the physical aspects of elimination care for patients, nurses need to use a range of additional attributes in order to support the patient such as demonstrating empathy and compassion. This can include communication skills such as reassurance, speaking softly and appropriate use of touch (e.g. placing a hand on the shoulder of the patient). It is also important to think about your non-verbal communication. For example, think about your facial expressions. You may be dealing with unpleasant smells for example, but it is vital that the patient does not feel you are disgusted by the procedure you are undertaking.

The fundamental aspects of patient care in relation to dignity when assisting with elimination needs are the same regardless of the patient group you are working with. You will, however, have to alter elements of your interaction in order to support and reassure the patient. For example, when working with children, you may need to use different language to make them feel safe. You may also want to have their parent(s)/guardian(s) in attendance if this is appropriate. If someone is confused, disoriented or unaware of their surroundings, you may need to take more time to explain things. Repetition of information may be needed. You may also require additional support from other members of the healthcare team to allow you to perform elimination care in a safe manner.