Jump to content

How do you handle a patient who talks a lot?

Nurses   (814 Views 10 Comments)
by Joanne15 Joanne15 (New Member) New Member

424 Profile Views; 9 Posts

advertisement

I am a CNA and I really do enjoy communicating with my patients but sometimes I find myself sitting in their room for long amounts of time listening to their stories.  It’s fun at the beginning, but as time goes on I’m listening less and less and thinking about all of the other things I need to get done.  Eventually I catch myself just smiling and nodding without listening to a single word they are saying anymore.  

I honestly have a hard time cutting a patient off mid story and explaining that I really want to get back to what I was doing.  What are some good “end-the-conversation” phrases that I can start using without sounding rude for cutting them off??  

Share this post


Link to post
Share on other sites

not.done.yet has 8 years experience as a MSN, RN and specializes in Critical Care; Cardiac; Professional Development.

5,530 Posts; 44,653 Profile Views

You will not survive long if you do not learn to set boundaries.

*toilet Mrs. Jones* *settle Mrs. Jones back in bed* Smile, ask if she needs anything else and state you will be back in an hour to check while you hand her the call light. Then you leave.

 

 

Share this post


Link to post
Share on other sites

ThePrincessBride has 3 years experience and specializes in Med-Surg, NICU.

1 Article; 2,270 Posts; 55,708 Profile Views

Slowly back out of the room.

Have someone call me if I am still in the room 10 minutes later.

Ask if they need anything and then quickly exit.

Say, " I would love to talk to you more but I got to see a few more patients. I'll be back!"

Share this post


Link to post
Share on other sites

JadedCPN has 13 years experience as a BSN, RN and specializes in Pediatrics, Pediatric Float, PICU, NICU.

674 Posts; 7,146 Profile Views

If they are a known talker, I tell a coworker to call or come get me in 5-10 minutes if I haven’t came out.

I also interrupt and say I’m so sorry I have to go give meds/check on xyz, I will come back but is there anything I can get you?

Often times people who are Chatty-Cathy’s tend to know that they are; my experience has been they’re used to their family cutting them off so when I mention that I have to interrupt, they don’t take offense to it at all.

Share this post


Link to post
Share on other sites

Jedrnurse has 25 years experience as a BSN, RN and specializes in school nurse.

1,225 Posts; 11,650 Profile Views

If you know you're headed to that room, set your phone alarm to go off in 5 or so minutes. When it does, tell the patient you have another patient matter that you need to attend to. (Which you inevitably will...)

Share this post


Link to post
Share on other sites

469 Posts; 2,284 Profile Views

Take charge of the conversation before they can even get started.  That is what I do if I know they talk too much.  When I get caught with a talker that I wasn't prepared for, I just say,  Sorry Mr, so and so,  I can't stay longer, lots to do, gotta git.  But, I will see you later.  Just butt in, you have to or you won't get anything done.  Or for fun, close your eyes, drop your head and act like you are sleeping.  LOL, haven't tried that one yet.

Share this post


Link to post
Share on other sites

morelostthanfound has 27 years experience as a BSN and specializes in CVOR, General/Trauma Surgery.

216 Posts; 4,951 Profile Views

5 minutes ago, Forest2 said:

Take charge of the conversation before they can even get started.  That is what I do if I know they talk too much.  When I get caught with a talker that I wasn't prepared for, I just say,  Sorry Mr, so and so,  I can't stay longer, lots to do, gotta git.  But, I will see you later.  Just butt in, you have to or you won't get anything done.  Or for fun, close your eyes, drop your head and act like you are sleeping.  LOL, haven't tried that one yet.

I really like the last suggestion and may try that in the future.  I like the quote, "Just tell me the time not how to build a clock"

Share this post


Link to post
Share on other sites

Davey Do has 35 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

1 Article; 6,136 Posts; 76,004 Profile Views

Talking is a catharsis to some and when they get on a roll, Newton's First Law of Motion is in effect.

The only way I know of stopping a cow from chewing its cud (rumination) is to distract it by giving it something else to feed upon.

Share this post


Link to post
Share on other sites

36,695 Posts; 96,696 Profile Views

32 minutes ago, Davey Do said:

Talking is a catharsis to some and when they get on a roll, Newton's First Law of Motion is in effect.

The only way I know of stopping a cow from chewing its cud (rumination) is to distract it by giving it something else to feed upon.

The well-practiced cow can ruminate on anything at any time.

Share this post


Link to post
Share on other sites

StrwbryblndRN has 9 years experience and specializes in CMSRN.

609 Posts; 8,232 Profile Views

I prefer direct.  I am nice and stop them and let them know I have to go.  I am not a fan of just backing out the room or planning someone to disrupt. 

I agree with Jaded's last paragraph.  Chatty people know they are chatty.  I can be one too given the right circumstances.  I am not insulted if someone cuts me off nicely.   Last thing I want is a nurse to ask a coworker to "save me". 

Share this post


Link to post
Share on other sites
  • Recently Browsing 0 members

    No registered users viewing this page.

×