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Therapeutic Communication.doc 12345

Therapeutic Communication.doc 12345

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Published by: KBS on Mar 19, 2010
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Therapeutic Communication
 Therapeutic communication promotes understanding and canhelp establish a constructive relationship between the nurse and theclient. Unlike the Social relationship, where there may not be a specificpurpose or direction, the theraoeutic helping relationship is clinet andgoal directed. A distinguished aspect of a therapeutic communicationis it’s application to long-term communication interactions. TherapeuticCommunication is is defined as face-to-face process of interacting thatfocuses on advancing the physical and emotional well-being of apatient.Purposes:
 To gather data and information to determine the client’sillness.
 To assess and modify the client’s behavior.
 To provide health education among clients.
Therapeutic Communication TechniquesTechniques Description Examples
Using SilenceAccepting pauses orsilences that may extendfor several seconds orminutes withoutinterjecting any verbalresponse.Sitting quietly and waitingattentively until the client isable to put thoughts andfeelings into words.ProvidingGeneralLeadsUsing statements orquestions that (a)encourage a client toverbalize (b) put a topicfor conversation and (c)facilitate continuedverbalization.can you tell me how it’s for you?Perhaps you would like to talkabout..Would it help to discuss yourfeelings?Where would you like to begin?And then what?Beingspecified andtentativeMaking statements thatare specific rather thangeneral and tentativerather than absolute.Rate your pain on a scale 1-10.(specoific statement)Are you in pain? (generalstatement) Yoou seemed unconcernedabout your Diabetes. (tentative
statement) You dont care about yourdiabetes anf you will never will.(absolute statement)Using open-endedquestionAsking abroad questionsthat lead or invite theclient to explore(elaborate, clarify,describe, compare orillustrate) thoughts orfeelings. Open-endedquestions specify onlythe topic to be discussedand invite answers thatare longer than one ortwo words.I’d like to here more about that Tell me about...How have you been feeling late?What brought you to thehospital?What is your opinion? You said you were frightenedyesterday. How do you feelnow?Using touchProviding appropriateforms of touch toreinforce caring feelings.Because tactile contactsvary considerably amongindividuals, families andcultures, the nurse mustbe sensitive to thedifferences in attitudesand practices of clientsand self.Putting an arm over a clientsshoulder. Placing your hand overthe clients hand.Restating orParaphrasingActively listening for theclients basic messageand then repeating thosethoughts and feelings insimilar words. Thisconveys that the nursehas listened andunderstood the clientsbasic message and alsooffers clients a cleareridea of what they havesaid.
I couln’t manage to eatany dinner last night not eventhe dessert.
: You had difficulty eatingyesterday.
: Yes, I was very upsetafter my family left.
: I have trouble taking tostrangers.
You find it difficult takingto people you do not know?SeekingclarificationA method of making theclient’s broad over allI’m puzzled.I’m not sure I understand that .
meaning of messagemore understandable. It’sused when paraphrasingis difficult or when thecommunication isrambling or garbled. Toclarify the message orconfess confussion andask the client to repeat orrestate the message.Would you please say thatagain?Would you tell me more?Perceptionchecking orseekingconsensualvalidationA method similar tocalrifying that verifies themeaning of specificwords rather than theover all meaning of themessage.
My husband never givesme any presents.
 You mean he has nevergiven you a present for your B-day and Christmas?
Well-not never. He doesgets me something for my B-dayand Christmas, but he neverthinks of giving me anything atany other time.Offering SelfSuggesting onespresence, interest, orwish to understand theclient without making anydemands or attachingconditions that the clientmust comply with toreceive the nursesattention.I’ll stay with you until yourdaughter arrives.We can sit here quitely for awhile; we dont need to talkunless u want to.I’ll help you to dress to go home,if you like.GivingInformationPrividingin a simple anddirect manner, specificfactualYour surger is scheduled for11am tomorrow You will feel a pulling sensationwhen a tube is remove fromyour abdomen.I do not know the answer tothat, but I will find out to Mr.King, the nurse incharge.AcknowledgingGiving recognition, in anonjudgemental way, of a change of behavior, aneffort the client has You trimmed yor beard andmustache and washed your hairI noticed you keep squintingyour eyes are you having

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Found a helpful website that I thought may help others. This website has practice exams for various nursing classes as well as videos, presentations, notes, nclex help, and many other tools that already are helping me. Hope they help http://www.rnpedia.com/
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