1 Therapeutic Communication Flashcards
core concepts of pt+family centered care
- dignity + respect
- info sharing
- pt + fam participation
- collab in policy + program dvlpt
therapeutic nurse-pt relations has specific goals + functions such as…
- facilitating communication of distressing thoughts + feels
- assist pt w problem solving to help facilitate activities of daily living
- help pt examine self-defeating behaviors + test alternatives
- promote self care + independence
T/F we want our patient to depend on us
false
types of boundaries to establish
- physical boundaries (gen environmt, office space, etc)
- the contract
- personal space
the contract
-set time, confidentiality, agreement bw nurse as to roles, money, + involvement w licensed therapist
personal space
- physical space
- emo space
- space set by roles
most experienced psych MH staff monitor the atmosphere of the unit + have a 6th sense for…
behaviors that indicate escalating tension
preorientation consists of prepping for ur assignment by…
- research pt condition
- learn prescribed meds
- understand lab results
orientation phase
- intro
- establish rapport
- specify contract
- explain confidentiality
transference vs countertransference
T: pr to therapist
CT: therapist to pt
termination phase
- summarize goals + objectives achieved
- discuss ways to incorp into daily life new coping mechnsm
- review situations that occured in working relationship
- exchanging memories
things to discuss in termination process
- reinforc eplan of care
- emphasize understanding of meds
- recognize when sympt are out of control
- encourage self help groups
which characteristic should nurses have? empathy/sympathy
EMPATHY
-we understand others
sympathy is r/t pity
therapeutic communication is…
- professional
- pt centered
- goal directed
- science/evidence based
examples of therapeutic techniques
- silence
- accepting
- offering self
- giving broad openings
- open-eneded questions
- restating
- reflecting
- exploring
- giving info
- summarizing
silence
gives time to collect thoughts
accepting
indicates person has been udnerstood
offering self
offer presence, interest, + desire to understand
broad openings allows for..
patient to take the lead
restating
repeats main idea expressed
-also helps prevent misunderstanding
reflecting
directs q’s, feels, ideas back to patient
is agreeing or giving approval therapeutic?
NO, implied pt is doing the right thing
disagreeing is also nontherapeutic could also make pt defensive
