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• 1.personal
• 2.client focused
• 3. aimed mutually at determining goals

• 1.To get to know the patient
• 2.Build a relationship of trust
• 3.provide information and instruction.

• 6 roles of nurses in therapeutic relationships:
• The stranger
• The resource
• The teacher
• The leader
• The surrgoate
• The counselor

Human to Human relationship. A positive nurse-patient relationship can bring a favorable patient outcome.

Goal attainment theory. The nurse uses knowledge of communication to observe client behavior and accurately interpret the meaning of the behavior.

The nurse, the client, the communication between the two

• 1.Encoder(sender)
• 2.Message
• 3.Sensory channel
• 4.Decoder(receiver)
• 5.Context
• 6.Feedback

verbal-the use of words to convey messages

non verbal-set of behaviors that conveys messages either without words or by supplementing verbal communication

UCLA indicated 93% of communication is nonverbal

• Body language
• -personal apperance
• -facial expressioin
• -body posture
• -gestures
• -personal distance
• -touching

• intimate space-taking vs
• personal space-arms length
• social space-talking to friends 3-6 ft
• public space-standing in line at ATM 5-6ft

• -apporach at eye level
• -allow them to handle equipment
• -use short sentences
• -have parent or guardian if under 10 present
• -use a calm voice
• simple explanations and use lots of demonstrations

• -assess for hearing deficits
• -assess for visual deficits
• -allow them to answer on question before asking another
• -clarify and get feedback
• -give time for elders to respond

• 1. orientation phase-initial conversation
• -establish trust
• 2.Working phase-
• -nursing diagnoses
• -evaluate
• -implementing
• 3.Terminiation phase-ending the relationship
• -may occur at the end of the day

• Be respectful
• Be nonintrusive
• Be considerate
• Be aware of feelings

Attentive listening followed by reinstating the others position.

• -effective communication
• -collaborative relationships
• -promotion of nurses decision making

Compromise