Microsoft PowerPoint - therapeutic communication140304 []• Communication – Is the art of transferring or exchanging
information ideas or thoughts easily and correctly through verbal or non- verbal language
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to lead to successful outcomes
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– A powerful form of communication that occurs within an individual.
• Interpersonal communication – One-to-one interaction between the nurse and another person
that often occurs face to face. • Transpersonal communication
– A interaction that occurs within a persons spiritual domain • Small group communication
– Interaction that occurs when a small number of persons meet together
• Public communication – Interaction with an audience
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The communication process could be defined as a sending-receiving process .
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The Qualities of a Good communicator
• Respect and empathy for the client . • Good communication skills . • Tolerance of values and beliefs different
from one’s own . • Unbiased attitudes . • Patience . • Awareness of gender issues.
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Form of communication • Nonverbal Is what is observed and send . Is often more important than verbal communication
it includes: • Paralanguage : (tone of voice , stream of talk ). • Kinesis : (all body languages and facial
movement ). • Proxemic : (the distance between the sender
and the receiver ). • Touch . • Cultural art facts : (the way a person dressed ,
make up ) . 9
Disturbance?
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Form of communicationcons
• Verbal Is what is said and heard . *It is the content of communication : – Use an appropriate tone of voice . – Give verbal encouragement . – Ask questions . – Paraphrase . – Seek clarification.
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• Assessment – Physical and emotional factors – Developmental factors – Sociocultural factors – Gender
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• Nursing diagnosis – Impaired verbal communication – Related to
• Limited vision • Absent hearing • The inability to articulate words
• Implementation – Therapeutic communication techniques – Nontherapeutic techniques
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communication . • Active listening . • Questioning . • Use of simple language . • Reflecting feelings . • Paraphrasing . • Silence .
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Are You Nervous? • Common Student Concerns
– What if I say the wrong thing? – What will I be doing? – What if no one will talk to me? – Am I prying when I ask personal questions? – How will I handle bizarre or inappropriate
behavior? – Is my physical safety in jeopardy? – What if I encounter someone I know?
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What would you like to discuss?
Where would you like to begin?
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I noticed that you dressed and put make-up on today.
You’ve really been participating in groups today.
It looks like you’ve put a lot into your journal assignments. 23
Yes.
I’ll stay here and sit awhile.
You seem upset, would you like to talk?
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I understand what you are saying.
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You seem restless.
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You are smiling but I sense you are very angry with me.
It sounds like that was a really hard time for you. Is that correct?
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Help me understand what that felt like.
Give me an example of one time you thought everyone hated you.
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I’m not sure what you mean. Could you tell me about that again?
Did these feelings start after the incident happened or were you feeling this way before?
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What led up to………?
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I think we should talk more about your relationship with your father.
What happens when you feel this way?
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What could you do to let the anger out harmlessly?
What do you think you could do next time you feel this way?
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Lets try to work through what you are feeling together.
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Patient: I love my father but I hate him for what he did to me.
Nurse: You really have mixed emotions about your father because of the abuse.
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So far we have talked about…………
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• Peplau
• Trust • Genuine interest • Empathy • Acceptance • Positive Regard • Therapeutic Use of Self
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Johari window –
– (the open or public self) – (the blind self) – (the hidden self) – (the unknown self)
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Professional nursing relationship • Nursing-client helping relationship
– Preinteraction phase/ before meeting the client
– Orientation phase/ when the nurse and client meet and get to know one another,
– Working phase/ when the nurse and client work together to solve problems and accomplish goals
– Termination phase/ during the ending of the relationship
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Key topics during orientation or introductory
• What to call each other • Purpose of meeting • Location, time, and length of meeting • Termination date or time for review of progress • Confidentiality (with whom clinical data will be
shared) • Any other limits related to the particular setting
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Interventions for using during termination phase
• Let the individual know why the relationship is to be terminated
• Remind the person of the data and how many meeting are left during the latter period of the relationship
• Collaborate with other staff so they are aware of how the individual is reacting and any special needs the person may have at this time
• Help the person identify other people with whom it is possible to have a relationship
• Review the gains and the goals that remain • Discuss the pros and cons experienced during the
relationship to help the individual develop a realistic appraisal
• Make any referrals for follow-up care
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