01-therapeutic communication techniques
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Therapeutic Communication TechniqueTRANSCRIPT
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By Sawiji, S.Kep. Ns., M.Sc.By Sawiji, S.Kep. Ns., M.Sc.
Email:Email: [email protected]@gmail.comPhone: +628!"28!#28!"""Phone: +628!"28!#28!"""
+628$$!%%!&222+628$$!%%!&222
N'(sing Basic Science )epa(*men*N'(sing Basic Science )epa(*men*
M'hammaiyah om-ong eal*hM'hammaiyah om-ong eal*h
Science /ns*i*'*eScience /ns*i*'*e
Men*al eal*h Se(iesMen*al eal*h Se(ies
Therapeutic Nurse- Ther
apeutic Nurse-
Patient Relationship 2Patient Relationsh
ip 2
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0he(ape'*ic 1omm'nica*ion 0he(ape'*ic 1omm'nica*ion
3ne(*a4en *o ca((y o'* *he n'(sing ca(e plan3ne(*a4en *o ca((y o'* *he n'(sing ca(e plan
P'(pose5'lP'(pose5'l as one o( mo(e goalsas one o( mo(e goals
ime a* mee*ing *he nees o5 one o5 *he ime a* mee*ing *he nees o5 one o5 *he
pa(*icipan*spa(*icipan*s
Sel5!isclos'(e -y *he in*e(7iewe( is limi*eSel5!isclos'(e -y *he in*e(7iewe( is limi*e
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Social 1omm'nica*ionSocial 1omm'nica*ion
May no* ha7e any speci5ic goalMay no* ha7e any speci5ic goal
May no* -e p'(pose5'lMay no* -e p'(pose5'l
Mee*s *he nees o5 all *he pa(*icipan*sMee*s *he nees o5 all *he pa(*icipan*s
May -e signi5ican* sel5!isclos'(e o5 allMay -e signi5ican* sel5!isclos'(e o5 all
pa(*icipan*spa(*icipan*s
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is *o 1omm'nica*ion is *o 1omm'nica*ion
c*i7e lis*ening c*i7e lis*ening
Ep(ession o5 in*e(es*Ep(ession o5 in*e(es*
9eaning 5o(wa(9eaning 5o(wa( Noing heaNoing hea
e(-ali;a*ions s'ch as <3h!h'h= an <o on>=e(-ali;a*ions s'ch as <3h!h'h= an <o on>=
?(e'en* 7alia*ion?(e'en* 7alia*ion
**emp* *o 5'lly 'ne(s*an **emp* *o 5'lly 'ne(s*an
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SilenceSilence
/5 yo' onA* 4now wha* *o say, say no*hing/5 yo' onA* 4now wha* *o say, say no*hing
i7es pa*ien* *ime *o *hin4i7es pa*ien* *ime *o *hin4 i7es n'(se *ime *o *hin4i7es n'(se *ime *o *hin4
May allow pa*ien* *o epan 'pon wha* he wasMay allow pa*ien* *o epan 'pon wha* he was
saying o( *hin4 o5 a new *opic *o isc'sssaying o( *hin4 o5 a new *opic *o isc'ss
s anie*y g(ows, pa*ien* is mo(e li4ely *o say s anie*y g(ows, pa*ien* is mo(e li4ely *o say
some*hingsome*hing
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Eplo(ingEplo(ing
0(ying *o ge* *he pa*ien* *o epan 'pon a *opic0(ying *o ge* *he pa*ien* *o epan 'pon a *opic
o( -(ing 'p ano*he( *opico( -(ing 'p ano*he( *opic
<<o'l yo' *ell me mo(e a-o'* *ha*C=o'l yo' *ell me mo(e a-o'* *ha*C=
<<ha* else ma4es yo' 5eel *ha* wayC=ha* else ma4es yo' 5eel *ha* wayC=
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Des*a*ingDes*a*ing
P*.: </ co'lnA* sleep all nigh*.=P*.: </ co'lnA* sleep all nigh*.=
N'(se:=o' co'lnA* sleep all nigh*.= o( N'(se:=o' co'lnA* sleep all nigh*.= o( < <o' co'lnA* sleep all nigh*C=o' co'lnA* sleep all nigh*C=
P*.: <My h's-an is 7e(y wo((ie a-o'* me.=P*.: <My h's-an is 7e(y wo((ie a-o'* me.=
N'(se:=o'( h's-an is 7e(y wo((ie a-o'*N'(se:=o'( h's-an is 7e(y wo((ie a-o'*
yo'.=yo'.=
< <o'( h's-an is 7e(y wo((ie a-o'* yo'C=o'( h's-an is 7e(y wo((ie a-o'* yo'C=
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0heme /en*i5ica*ion0heme /en*i5ica*ion
<</A7e no*ice *ha* in all o5 *he (ela*ionships/A7e no*ice *ha* in all o5 *he (ela*ionships
*ha* yo' ha7e esc(i-e, yo'A7e -een h'(**ha* yo' ha7e esc(i-e, yo'A7e -een h'(*o( (ejec*e -y *he man. )o yo' *hin4 *his iso( (ejec*e -y *he man. )o yo' *hin4 *his is
an 'ne(lying iss'eC=an 'ne(lying iss'eC=
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Pa(aph(asingPa(aph(asing
Depea*ing wha* *he pa*ien* says in i55e(en*Depea*ing wha* *he pa*ien* says in i55e(en*
wo(swo(s
P*.: </Am wo((ie a-o'* my ope(a*ion *omo((ow.=P*.: </Am wo((ie a-o'* my ope(a*ion *omo((ow.=
N'(se: <o'A(e conce(ne a-o'* *omo((owAsN'(se: <o'A(e conce(ne a-o'* *omo((owAs
s'(ge(y.= Fo( CGs'(ge(y.= Fo( CG
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S'gges*ingS'gges*ing
<<a7e yo' *ho'gh* a-o'* (esponing *o yo'(a7e yo' *ho'gh* a-o'* (esponing *o yo'(
-oss in a i55e(en* way when he (aises *ha*-oss in a i55e(en* way when he (aises *ha*iss'e wi*h yo'C=iss'e wi*h yo'C=
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De5lec*ing o( 7alia*ingDe5lec*ing o( 7alia*ing
! signi5ies 'ne(s*aning, empa*hy, in*e(es*,! signi5ies 'ne(s*aning, empa*hy, in*e(es*,
an (espec* 5o( *he pa*ien*. /* consis*s o5an (espec* 5o( *he pa*ien*. /* consis*s o5(epea*ing in 5ewe( an i55e(en* wo(s *he(epea*ing in 5ewe( an i55e(en* wo(s *he
essen*ial ieas o5 *he pa*ien*. Fsimila( *oessen*ial ieas o5 *he pa*ien*. Fsimila( *o
pa(aph(asingG De5lec*ion can (e5e( *opa(aph(asingG De5lec*ion can (e5e( *o
con*en* o( 5eelings.con*en* o( 5eelings.
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Hpen!ene 'es*ionsHpen!ene 'es*ions
<<0ell me wha* happeneC=0ell me wha* happeneC=
<<ow a(e yo' *oayC=ow a(e yo' *oayC=
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?oc'sing ?oc'sing
<<1an we con*in'e *al4ing a-o'* yo'( mo*he(1an we con*in'e *al4ing a-o'* yo'( mo*he(
(igh* nowC=(igh* nowC=
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1la(i5ying, 7alia*ing1la(i5ying, 7alia*ing
<</Am ha7ing some i55ic'l*y. 1o'l yo' help/Am ha7ing some i55ic'l*y. 1o'l yo' help
me 'ne(s*anC=me 'ne(s*anC=
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'mo( 'mo(
<<0ha* gi7es whole new meaning *o *he wo(0ha* gi7es whole new meaning *o *he wo(
ne(7o's,= Fsai wi*h sha(e 4iing -e*weenne(7o's,= Fsai wi*h sha(e 4iing -e*ween*he n'(se an *he pa*ien*G.*he n'(se an *he pa*ien*G.
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S'mma(i;ingS'mma(i;ing
!=So 5a( we ha7e *al4e a-o'*..=!=So 5a( we ha7e *al4e a-o'*..=
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/n5o(ming/n5o(ming
<</ *hin4 yo' nee *o 4now mo(e a-o'* how/ *hin4 yo' nee *o 4now mo(e a-o'* how
yo'( meica*ion wo(4s.=yo'( meica*ion wo(4s.=
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Non!*he(ape'*ic 1omm'nica*ionNon!*he(ape'*ic 1omm'nica*ion
?alse Deass'(ance?alse Deass'(ance
<<E7e(y*hingAs going *o -e all (igh*.=E7e(y*hingAs going *o -e all (igh*.=
<<o'A(e oing j's* 5ine.=o'A(e oing j's* 5ine.= P*.: </Am a5(ai / wonA* wa4e 'p 5(om *heP*.: </Am a5(ai / wonA* wa4e 'p 5(om *he
s'(ge(y.=s'(ge(y.=
N'(se:=S'(e yo' will.=N'(se:=S'(e yo' will.=
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Ba((ie(s con*.Ba((ie(s con*.
i7ing app(o7al o( isapp(o7alI -eingi7ing app(o7al o( isapp(o7alI -eing
j'gmen*alI ag(eeing o( isag(eeing j'gmen*alI ag(eeing o( isag(eeing
<</ wo'lnA* say *ha*.=/ wo'lnA* say *ha*.=
<<H5 co'(seI / ag(ee.=H5 co'(seI / ag(ee.=
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Ba((ie(s con*.Ba((ie(s con*.
i7ing a7icei7ing a7ice
<</5 / we(e yo'>=/5 / we(e yo'>=
<</ *hin4 yo' sho'l>=/ *hin4 yo' sho'l>= <</* seems *o me *he -es* co'(se o5 ac*ion is>=/* seems *o me *he -es* co'(se o5 ac*ion is>=
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Ba((ie(s con*.Ba((ie(s con*.
)e5ening)e5ening
P*.: <0he n'(ses we(e 7e(y slowP*.: <0he n'(ses we(e 7e(y slow
answe(ing my ligh* las* nigh*.=answe(ing my ligh* las* nigh*.= N'(se:=/ onA* 4now how yo' can say *ha*. 0hisN'(se:=/ onA* 4now how yo' can say *ha*. 0his
5loo( has *he -es* n'(ses in *he hospi*al.=5loo( has *he -es* n'(ses in *he hospi*al.=
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Ba((ie(s con*.Ba((ie(s con*.
Minimi;ing 5eelingsMinimi;ing 5eelings
P*.: </Am 'i*e sca(e a-o'* *his s'(ge(y.=P*.: </Am 'i*e sca(e a-o'* *his s'(ge(y.=
N'(se:=Hh, e7e(yone 5eels *ha* way -e5o(e anN'(se:=Hh, e7e(yone 5eels *ha* way -e5o(e an
ope(a*ion.=ope(a*ion.=
P*.: =/ (eally ha*e sho*s.=P*.: =/ (eally ha*e sho*s.=
N'(se.=)onA* -e silly. /*As j's* a li**le s*ic4.=N'(se.=)onA* -e silly. /*As j's* a li**le s*ic4.=
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Ba((ie(s con*.Ba((ie(s con*.
1hanging *he s'-jec*1hanging *he s'-jec*
P*.: </ hope someone comes *o 7isi* me *oay.=P*.: </ hope someone comes *o 7isi* me *oay.=
N'(se:=/*As s'ch a -ea'*i5'l ay *oay.=N'(se:=/*As s'ch a -ea'*i5'l ay *oay.=
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Social (esponseSocial (esponse
! n'(se 'ses s'pe(5icial social con7e(sa*ionn'(se 'ses s'pe(5icial social con7e(sa*ion
*ha* is no* clien*!cen*e(e.*ha* is no* clien*!cen*e(e.! <<ow oes *he co55ee *as*e *oayC=ow oes *he co55ee *as*e *oayC=
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Desponsi7e imensionsDesponsi7e imensions
en'ineness! *he n'(se is open, hones*,en'ineness! *he n'(se is open, hones*,
an since(e.an since(e. Despec*! 'nconi*ional posi*i7e (ega(. 0heDespec*! 'nconi*ional posi*i7e (ega(. 0he
n'(seAs a**i*'e is nonj'gmen*al.n'(seAs a**i*'e is nonj'gmen*al.
Empa*hy! sensi*i7i*y *o *he p*As c'((en*Empa*hy! sensi*i7i*y *o *he p*As c'((en*5eelings an *he 7e(-al a-ili*y *o5eelings an *he 7e(-al a-ili*y *o
comm'nica*e *his 'ne(s*aning.comm'nica*e *his 'ne(s*aning.