Therapeutic Communication Flashcards
Essential Components of Therapeutic
Communication
- Privacy and Respect for boundaries
- Touching
- Active Listening
- Active Observation
- 3 to 6 ft, not less than 18 inches
- Privacy is desirable but not always
possible in therapeutic
communication - An interview or conference room is
optimal if believes this setting is not
too isolative for the interaction
What component of Therapeutic Communication is this?
Privacy and Respect for Boundaries
It is a component of Therapeutic Communication that may be comforting and supportive. This is also an invasion of intimate and personal space.
Touching
Refraining from other internal mental
activities and concentrating exclusively on what the patient says. What component is this?
Active Listening
This component of therapeutic communication means watching the speaker’s nonverbal actions as he or she
communicates.
Active Observation
This uses concrete messages which is specific and clear that elicit more accurate responses.
Verbal Communication Skills
The technique facilitates interaction and enhances communication between
patient and health care provider.
Therapeutic Communication
Techniques that encourage
patient to discuss concerns:
- Exploring
- Focusing
- Restating
- Reflecting
- Make observations
delving further into a subject
(Ex. tell me more about that)
Exploring
concentrating on a single point (Ex. This
point seems worth looking at more closely)
Focusing
Clarification, repeating the main idea the client has stated to you (Ex. “I can’t take
this med” “You can’t take this med?”
Restating
– directing client actions, thoughts, and feelings back to the client (Ex. “do you think I should tell dr..” “do you think you should?”
Reflecting
Verbalizing what was perceived (Ex. “you appear tense, are you uncomfortable when..?)
Making observations
Non-therapeutic Communication
includes:
- Advising
- Agreeing
- Reassuring
telling the client what to do (Ex. “i think you
should” “why don’t you..”)
Advising
– false fix ideal, indicating accord with the
client, you don’t argue with them cause they do have that belief and you will not
win, disagree with her delusions – voice doubt about delusions (once you believe you are superman, it’s hard to believe you can
fly)
Agreeing
– indicating there is no reason for anxiety
or other feelings of discomfort, don’t tell them “everything will be ok” cause
you don’t know if it will be or not
Reassuring
Nonverbal Communication Skills
- Facial Expressions
- Body Language
- Vocal Cues
- Eye Contact
- Silence
Ensures that all pertinent information related to previous medical history and current medical problem(s) is included.
Interviewing techniques
Essential Skills of interviewing techniques
- Open-ended questions
- Close-ended questions
- Funnel sequence or technique
- Paraphrasing technique
- Follow-up questions
Questions that elicit more than one response
Open-ended questions
Yes or no answer
Close-ended questions
Moves from open-ended to
close-ended questions
Funnel sequence/technique
Interviewer repeats
information presented by the
client
- Clarification by requesting an
example of what the person
Paraphrasing Technique
Interviewing Tools:
Outcome measures
Outcome Management
- Using standardized test,
functional tools, or
questionnaires to relate pain,
strength and ROM to a
quantifiable scale - Comparison purposes with
the functional outcomes of
Rx (prescription) to its
effectiveness
Outcome measures
Documenting the effectiveness of treatment
and intervention
Outcomes management
