Therapeutic Communication Skills - NRS351

Therapeutic Communication Therapeutic Communication Skills NRS351 TYPES OF COMMUNICATION Therapeu Social. Formal. tic. THERAPEUTIC COMMUNICATION At any time when you communicate with a patient or their family members, y...

Therapeutic Communication Therapeutic Communication Skills NRS351 TYPES OF COMMUNICATION Therapeu Social. Formal. tic. THERAPEUTIC COMMUNICATION At any time when you communicate with a patient or their family members, you are engaging in therapeutic communication. Interactive verbal and non-verbal strategies that focus on the needs of patients and facilitate a goal-directed, patient- oriented communication process. Therapeutic communication is often time limited. Therapeutic listening is listening that is focused on patients and obtains therapeutically useful information about patients. Therapeutic Communication Definition: Is communication between the health care professional (HCP) and the patient (as well as the patient’s family) that takes place to advance the patient’s well-being and care. The purpose of therapeutic communication: To collect healthcare–related information about the patient; To provide feedback in the form of healthcare– related information, education, and training; and To assess the patient’s behavior and, when appropriate, to modify that behavior. Goals of therapeutic communication To identify client’s concerns and problem. To establish a therapeutic provider-client relationship. To assess client’s perception of the problem. To Recognize client’s needs. To guide client towards a satisfying and socially acceptable solution. The Elements of Therapeutic Communication Empathy: An emotional linkage between two or more people through which feelings are communicated; involves trying to imagine what it must be like to be in. Trust: The client’s belief that the nurse will behave predictably and competently while responding to the client’s needs.  Honesty: The ability to be truthful, frank, and sincere. Validation: Listening to the client and responding congruently in order to be sure that the nurse and client have the same understanding of a problem or issue.  Caring: The level of emotional involvement between the nurse and the client. Active listening: Hearing and interpreting language, noticing nonverbal and paraverbal enhancements, and identifying underlying feelings.  1-Plan to interview at an appropriate time. 2-Ensure privacy. Clients are entitled to confidentiality. Principles of 3- Establish guidelines for the Therapeutic therapeutic interaction. Interaction 4-Provide for comfort during the interaction. 5-Accept the client exactly as is. Being judgmental blocks communication. 6-Encourage spontaneity. The nurse gathers more data when the client is talking freely. 7. Focus on the leads and cues presented by the client. 8. Encourage the expression of feelings. 9. Be aware of one’s own feelings during the interaction. Characteristics of therapeutic communication Is purposeful and goal-directed. Has well-defined boundaries. Is client-focused. Is nonjudgmental. Uses well-planned, selected techniques.  Therapeutic Communication Techniques Using silence - allows client to take control of the discussion, if he or she so desires Accepting - conveys positive regard Yes…… Hh hmm….I follow what you said…..…Nodding Giving recognition - acknowledging, indicating awareness Good morning, Mr. S……..You look nice today  Offering self - making oneself available I’ll sit with you a while……..I’m interested in your comfort Giving broad openings - allows client to select the topic Is there something you would like to talk about? Where would you like to begin? Offering general leads - encourages client to continue Go on Tell me about it  Placing the event in time or sequence - clarifies the relationship of events in time Was this before or after? When did this happen? Making observations - verbalizing what is observed or perceived You seem tense Are you uncomfortable when you... Encouraging Description of Perception- - asking client to verbalize what is being perceived What is happening Tell me  Encouraging comparison - asking client to compare similarities and differences in ideas, experiences, or interpersonal relationships Was this something like? Have you had similar symptoms? Restating - lets client know whether an expressed statement has or has not been understood Client: I can’t sleep, I stay awake all night. Nurse: You have difficulty sleeping? Reflecting - directs questions or feelings back to client so that they may be recognized and accepted Client: Do you think I should tell the doctor? Nurse: Do you think you should.  Focusing - taking notice of a single idea or even a single word This symptom seems worth discussing a little bit more. Exploring - delving further into a subject, idea, experience, or relationship Tell me more about... Would you describe it more fully? Seeking clarification and validation - striving to explain what is vague and searching for mutual understanding I’m not sure that I follow.... What would you say is the main point of what you said?  Presenting reality - clarifying misconceptions that client may be expressing. Voicing doubt - expressing uncertainty as to the reality of client’s perception. Verbalizing the implied - putting into words what client has only implied.  Attempting to translate words into feelings – putting into words the feelings the client has expressed only indirectly. Formulating plan of action - striving to prevent anger or anxiety escalating to unmanageable level when stressor recurs.  Phases of the nurse-patient relationship : 1- Initiation (orientation) phase : partners (nurse-patient) are strangers to each other. 2- Continuation (Active Working) phase : Lowering of anxiety level, increased feeling of trust , however some patients may continue to test the nurse. 3- Termination (concluding) phase Patient is almost cured , or at least integrated and ready for discharge. sometimes problems of termination occur in the form of relapsing symptoms , regressive behavior and/ or feelings of rejection and depression. Difference between social and professional relationship: Thank You!