Communication Flashcards
“Do No Harm”
- don’t damage the patient with mouth and words
* everything that comes out of mouth, went through brain 1st
Essential Components of Communication
*knowledge
*Skills:
Open Ended Question: can give any answer
Close Ended Question: what one answer (yes or no)
*Attitudes:most important! always smile and talk to the patient and family
Effective Communication
- intended message is the received message
* patient interprets what we intend to say
Nonverbal expressions that influence communication
- physical appearance and dress
- body posture and movement
- touch
- facial expression
- eye behavior
- smile!
- nodding head=general lead
Relationship between verbal and nonverbal communication
- need to be congruent messages
- consistent with cultural norms
- convey the intended information
- always validate your perceptions with the client
- body language is most truthful form of communication
Therapeutic Relationship
- Client will be helped
- Goal directed and will end will goal is met
- Structured around helping client
- client is accepted as he/she is
- client may express thoughts, feelings and actions
- honesty and integrity at all times
- do not judge patients
- nurse refrains from insincere praise, false reassurance, and superficiality
- interaction is professional and confidential
- nurse is self aware and examines effects of own behavior on client
Social Relationship
- expect mutually pleasant exchange
- may be brief or long lasting
- both parties share stories and concerns equally
- socially accepted codes of conduct and expression limit behavior
- no obligation to be therapeutic or helpful to each other
- no obligation to be honest and free to give advice or urge solutions
- discussion of problems and important personal issues is optional
- no obligation to be self aware
- may be useful at the beginning of a conversation with a client to help the client feel more at ease
Failure to listen
- biggest inhibitor of effective communication
- result of self-absorption and lack of presence
- anxiety
- 99% of conversation should be about the patient in a therapeutic relationship
Goals of Therapeutic Interaction
- gather/provide information
- promote client self-awareness of feelings, thoughts and behaviors
- client understand role played by him/herself and other significant people that contribute to problems
- client helped to take action toward resolving problems
- client is helped to become better at helping her/himself
- client possess ability to resolve own problems
Sociocultural Stressors to Effective Communication
- both client and caregiver bring pre-existing values, attitudes, and beliefs to the exchange
- can result in stereotyping individuals
- cultural differences/language barriers
- social roles and relationships
- gender differences
- education and different life experiences
Physiological Stressors to Effective Communication
- pain- shortness of breath
- impaired hearing
- impaired speech
- brains ability to relay information, interpret it or respond to it
Nurse’s Role
- To help client recognize and reduce anxious feelings and increase effective coping skills. To empower patients to take charge of their own health and quality of life.
- The ultimate goal is to get to the patients feelings and give patient the power to take control of life.
Judging
- we do not judge-regardless!
- even if we don’t say anything, our patient will know if we are judging.
- even if you don’t like a patient, you must treat each patient with respect and dignity
- never be demanding of a patient
Self awareness on the part of the Nurse
- a pre-requisite to effective communication
- be aware of one’s own communication style
- how others perceive us
Physical attending skills needed to communicate caring
- listen (most important skill)
- lean slightly forward
- open posture
- appropriate eye contact
- sit when able
- acknowledge client (nod, hmm)