Therapeutic Communication/Patient Education
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What is therapeutic communication?
- Sometimes called effective communication, it is purposeful and goal-oriented, creating a beneficial outcome for the client
- -->client centered
What are the purposes of communication?
- 1. Establishes therapeutic, helping-healing and trusting relationship
- 2. Relates to family and clients
- 3. Relate to interdisciplinary members
- 4. Share information
- 5. Communicates needs
What are the levels of communication?
- Small Group
What are some things that influence communication?
What are the four levels of space?
- Intimate: touch to 18 in.
- Personal: 18 in to 4 ft
- Social: 4-12 ft
- Public: 12+ ft
What are the two main forms of communication?
- Nonverbal (body language)
What are the functions of Nonverbal communication?
- to provide information
- to regulate interaction
- to express or hide emotions
- to present an image
- to express power and control
What are some things including in nonverbal language?
- Facial Expressions
- Head movements
- Eye conact
- body contact
- hand movements
How do we develop therapeutic relationships?
- Establish report- a mutual regard
- Develop trust
- maintain confidentiality
- be genuine
- demonstrate empathy
What are the characteristics of therapeutic communication?
- purposeful and time limited
- person providing assistance is professionally accountable for the outcomes
What are the phases of a Nurse-client Communication/Relationship?
- Orientation: Fairly short; expectations clarified, mutual goals set, termination discussed
- Working: Major portion of the interaction; used to accomplish goals outlined in introduction; feedback from client essential
- Termination: Nurse asks if client has questions; summarizing the topic is another way to indicate closure
What is SOLER for active listening?
- S: sit face to face
- O: open posture
- L: lean in
- E: eye contact
- R: elax
What are some interviewing techniques?
- Open-ended questions or comments
- Closed questions or comments
- Validating questions or comments
- Clarifying questions or comments
- Reflective questions or comments
- Sequencing questions or comments
- Asking a relevant question
- Using silence
- Offering Self
What are some therapeutic techniques?
What are some blocks to communication?
- failure to perceive the client as a human being
- failure to listen
- inappropriate comments and questions
- using cliches
- using closed questions
- using questions containing the word "why"
- false reassurance
What are basic components of assertiveness?
- Having empathy
- Describing one's feelings or the situation
- Clarifying one's expectations
- Anticipating consequences
What are the expected outcomes of teaching and counseling?
- maintaining and promoting health
- preventing illness
- restoring health
- facilitating coping
What is the TEACH acronym stand for?
- T: tune into your client
- E: edit the information for relevance
- A: ct on every teachable moment
- C: clarify often
- H: honor that person as a partner.
What are the three learning domains?
- Cognitive: involves intellectual understanding
- Affective: involves attitudes, beliefs, and emotions
- Psychomotor: involves the performance of motor skills
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