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Therapeutic Communication Techniques

Therapeutic Communication Techniques

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Published by malyn1218

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Published by: malyn1218 on Apr 13, 2009
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11/16/2012

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Therapeutic Communication Techniques
TechniquesDescription ExamplesUsing SilenceProviding general leadsBeing specific andtentativeUsing open-endedquestionAccepting pauses or silence that may extendfor several seconds or minute withoutinterjecting any verbalresponse.Using statement or questions that (a)encourage the client toverbalize (b) choose atopic of conservation;and (c) facilitatecontinued verbalization.Making that are specificrather than general, andtentative rather thanabsolute.Asking broad questionthat lead or invite theclient to explore(elaborate, clarify,describe compare, or illustrate) thoughts or Sitting quietly (or walking the client) andwaiting to put thoughtsand feelings into words.“Perhaps you wouldlike to talk about…”“Would it help todiscuss your feelings?”“Where would you liketo begin?”“And then what?”“I follow what you aresaying.”“You scratched myarm.”(specific statement)“You are as clumsy anas ox” (generalstatement)”You seemunconcerned aboutMary.”(tentativestatement)”You don’tgive a damn about Maryand you never will.”(absolutestatement)“I’d like to hear moreabout that.”“Tell me about…”“How have you beenfeeling lately?”“What brought you to
 
Using touchRestating or  paraphrasingSeeking clarificationfeelings. Open-mindedquestions specify onlythe topic to bediscussed and inviteanswers that are longer than one or two words.Providing appropriateforms if touch toreinforce caringfeelings. Because tactilecontracts varyconsiderably amongindividuals, families,and cultures, the nursemust be sensitive to thedifferences in attitudesand practices of clientsand self.Actively listening for the client’s basicmessage and thenrepeating thosethoughts and or feelingin similar word. Thisconveys that the nursehas listened andunderstood the client’s basic message and alsooffers clients a clearer idea of what they havesaid.A method of making theclient’s broad overallmeaning of the messagemorethe hospital?”“What is your opinion?”“You said you werefrightened yesterday.How do you feel now?”Putting an arm over theclients shoulder. Placingthe hand over theclient’s hand.Client: “I couldn’tmange to eat any dinner last night not even thedesert. Nurse: “You haddifficultly eatingyesterday.”Client: “Yes, I was veryupset after family left.”Client: “I have troubletalking the stranger.” Nurse: “You find itdifficult talking to people you do notknow?”“I’m puzzled.”“I’m not sure Iunderstand that.”“Would you please saythat again?”
 
Perception checking or seeking consensualvalidationOffering self understandable. It isused when thecommunication isrambling or garbled. Tothe clarify the message,the nurse can restate the basic message or confess confusion andask the client to repeator restate the message. Nurse can also clarifytheir own message withstatement.A method similar toclarifying that verifiesthe meaning of specificwords rather than theover all meaning of message.Suggesting one’s presence, interest, or wish to understand theclient without makingany demands“Would you tell memore?”“I meant this rather thanthat.”“I guess I didn’t makethat clear – I’ll go over it again.”Client: “My husbandnever gives me any presents.” Nurse: “you mean hehas never given you a present for your  birthday or Christmas.”Client: “Well – not ever.He does get mesomething for my birthday and Christmas, but he never thinks of giving me anything atany other time.”“I’ll stay with you untilyour daughter arrives.”“We can sit here quietlyfor a while; we don’tneed to talk unless youwould like to.”“I’ll help you to dress togo home.”

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