Therapeutic Communication Flashcards
What is therapeutic communication
- a purposeful, face to face interactions between care professional and a patient
- involves the use of specific techniques that encourage the patient to express feelings and ideas in a way that mutally conveys acceptance and respect
what are the aims of therepeutic communication
- enhance patient safety, confort, trust, or health and wellbeing
how to establish therapeutic communication (6 points)
- introduce yourself to the patient
- give patient opportunities to express themselves
- be aware of your verbal and nonverbal communication style, modifying it as necessary
- recognize that all behaviour has meaning
- respect the patient beliefs and values
- integrate patients belief and values into the care plan
5 components of therapeutic communication
- trust
- respect
- professional intimacy
- empathy
- power
how to relate and respond to patients (6 points)
- respecting the dignity and privacy of the patient and family
- explain who you are and what you are doing
- listen to what the patient is really saying
- ask questions to clarify what you have heard
- try to be flexible and offer alternatives
- empathize with the stress that accompanies illness
5 components of relate and respond
- restate
- recognize patients perspective
- establish rapport with the complainant
- single out the complainants real issue
- verbalizing the implied into words
4 therapeutic communication techniques
- empathy
- therapeutic touch
- information sharing
- asking relevent questions
Active listening involves
showing interest in what the patients have to say, acknowledge that your listening and understanding
active listening involves ________ and ________ cues
verbal
nonverbal
focusing
- sometimes the patient may not have an objective perspective on what is relevant to their case, but as impartial observers, you can more easily pick out the topics which to focus on
- focus on important statement and promoting patient to discuss it further
voicing doubt
- can be a gentler way to call attention to incorrect or delusional perception of patients
- can guide patients to examine their assumptions
using silence
- can be uncomfortable; but useful
- may give patients the time and space they need to broach a new topic
deliberate silence can
can give opportunity to think through and process what comes next in conversations
accepting
- important to acknowledge a patients message and affirm that they have been heard
- can be simply making eye contact
when patients know that you are listening and taking them seriously, they are more likely
to be receptive to care
Giving recognition
- acknowledges a patients behaviour and acknowledges it
- draw attention to the action and encourage patient to talk about it
Giving broad openings / open ended questions
- let patient direct the flow of converstation and decide what to talk about
- allows patient to discuss what is on their mind
examples of broad questions
- whats on your mind today
- what would you like to talk about
offering self
- being present with patients shows that you value them and are willing to give them time and attention
- offering to simply sit with patients for a few minutes is powerful and a way to create a caring connection
therapeutic use of self
- the ability to use one personality consciously and in full awareness in an attempt to establish related\ness and to structure nursing interventions
presence
- mindfulness
- being present moment without judgement or analysis
making observations
- apperance, demeanor, or behaviour of patietns can help draw attention to areas that may indicate a problem
Placing the event in time or sequence
- asking questions about when certain events occurred in relation to there help us get a clearer sense of the whole picture
seeking clarification
- asking patients for clarification when they say something confusing or ambiguous is important
Confronting
- can be vital to the care of patients to disagree with them, present them with reality, or challenge their assumptions
- when used correctly can help patents break destructive routines of understanding the state of the current situation.
the technique of confronting should only be used after
establishing trust with the patient
encouraging descriptions of perception
- for patients experiencing sensory issues of hallucinations, can be helpful to ask in a nonjudgemental way
encouraging comparisons
- making comparisons to past situations can be helpful for patient to discover solutions to their problems
summarizing means you are _______
listening
summarizing allows
- you to verify information
- lets patients make corrections
reflecting
- helps patients come up with solutions themselves
non therapeutic techniques
- asking for explanations “why are you so upset”
- demonstrating approval or disapproval
- defensivness
- passive argessive responses
- arguing
- automatic responses
- sympathy
