Therepeutic communication Flashcards
(19 cards)
Communication
ongoing, dynamic series of events that involve the transition of meaing from sender to reciever
Keys to good communication
- require critical thinking
- from therapeutic relationships
- integrate
- interpret message in order to show interest in your pt., have self-confidence, have integrity, be humble
Levels of communication
-intrapersonal: self talk, confidence, how you approach
- interpersonal
- small group: focus/purpose to it
- public communication: lecture focused; body (audience) recieves communication
- electronic communication: not face-to-face with the person you’re communicating with
Communication cycle
Referent phase: need to communication
sender –> message —> reciever — feedback –> sender
Communication channel:
- face-to-face, telephone, video, speech, online, voice mail, email, letter
Promoting a healing relationship through thereputic communication
- every word, gesture, posture, attitude, small expressions
- put yourself in the position that your patient is is… try to see things from their perspective
Why do murses communicate?
- decrease Pt. anxiety
- health history
- finding out whats bothering them
- advocacy
nurses with expertise in communication express caring by
- becoming sensative
2 . - developing caring relationships
- promoting interpersonal teaching/learning
6. - assisting with human needs
8.
Hildegard Paplau
first person to intigrate communication with Pt. is important
- emotional
- physical
- spiritual
Peplau’s roles
- stranger
- resource person
- Teacher/tech. expert
- counselor
- serrogate (fill in for whatever role the pt is missing)
- leader (advocate for them)
Paplau’s phases of the Nurse-Pt. relationship
- Pre-orienation phase: gathering information ab pt.
- orientation phase: still a stranger, but you meet pt. and establish repore
- connect with pt. and be posative
- trust and relationship growth
- establish repore so relationship can grow
- contract (how long they’re in your care, what their day looks like)
- confidentiality (who’s part of their team?)
- start taking about termination phase - Identification phase: what work needs to be done
- treatment plan
- what the pt needs to take ownership o - Working/exploitation phase: treatment plan is emplimented
- physical therapy (emotional therapy)
- gathering data, learning problemn solving
- difficult things are being asked of them
- promotion of practice and expression
- evaluate problems and goals - Termination/resolution phase: summary of goasl the pt. has met
- incorperrate new coping stragegies withing daily life
- “remember when” validation and closure
Characteristics of communication
- building a relationship
- continuous
- goal directed
- reciprocal
- verbal
- nonverbal
Building a relationship
social:
- not a direct goal
-equal sharing
- needs from both parties equally important
- simultaneous (friends
Therapeutic:
- goal directed (focused)
- unequal sharing of information
- built on client’s needs
- dynamic (ongoing, ever changing)
- time limited
- concerns needs to be adressed
continuous communication
ever evolving until goals are met and achieved
1. client centered
2. rules and boundaries
3. goal redirected
4. individualized strategies
goals directed
- end time to relationship
- goasl established by client and nurse
- goals should be client centered
- SMART goals (specific, measurable, attainable, realistic, timely)
Verbal communication
- volume
- tone
- pronunciation
- use of words/phrases
comfirm their understanding by
- repeating back to you hwat they heard
- use simple sentence
- provide resources in their language and/or with pictures
- avoid slang words
Nonverbal communication
Holds more meaning than verbal communication
- general appearance
- dress
- grooming
- posture
- eye contact
- facial expression
- gestures
- feedback
Giaks ti acgueve by the nurse-pt. relationship
- trust
- mutual respect
- involvement
- exploration
- understanding
- insite
- action
Thereputic use of self
- should be used with caution
- being present in the situation
- nonverbal communication
- sharing of your own life experience
- time. presence, body
- silence (when appropriate)
Professional boundaries
- Setting, time, purpose and length of contract, maintainign confidentuality, use of appropriate proessional behavior
Negativly Implications:
- disabilities
- smells
- cultural backround
- agression
- inappropriate sexual conduct
What causes overinvolvement:
- family member
- the person reminds you of someone
- easy to get along with them
- close relationship
- close to age
effects of underinvolvement
- minimize them
- defensive
-judgemental
- inattentive to them
effects of overinvolvement
- visit them off hours
- check in
- decreasing their independence
- discounting other problems
Boundary violation
- inappropriate contact
- excessive sharing
- taking/offering sepcial gifts
- followin up with pt. (professionally allowed after 1 year)
