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Therapeutic Communication

Personal Communication In Nursing

Presented by:

Nirwanto K. Rahim, S.Kep,Ns.


By the end of the session the student

will be able to :

 Define the communication .

 Explain the communication
process .
 Factors Influence
Communication Process
Use talking and non talking
therapeutic techniques .

Explain the phases of nurse-

patient relationship.

Differentiate between social and

professional relationship .
Contents :
 Definition of communication .
 Clients Rights .
 The communication process .
 Goals of therapeutic
 Qualities of a Good communicator .
 Types of communication .
 Communication skills and techniques .
 Tools for effective communication .
 Factors effecting communication .
 Characteristics of successful communication
 Phases of nurse-patient relationship .
 The different between social and professional
relationship .
Introduction :

Establishing a therapeutic relationship

is one of the most important
responsibility of the nursing team
when working with client .
Definition of communication :

1. Is the art of transferring or exchanging

information ideas or thoughts easily
and correctly through verbal or non-
verbal language .
2. Communication is the process by which
an individual transmits stimuly (usually
verbal) to modify the behavior of other
Clients Rights:

Dignity .
Information .
Choice .
Privacy .
Confidentiality .
Continuity of care .
Opinion .
The Communication process:
The communication process could be defined as a
sending-receiving process .
Yes. I’m understand
Oh, she’s understand Feed back


Communicator / Message Channel Receiver

Therapeutic communication is defined as the
face-to-face process of interacting that focuses
on advancing the physical and emotional well-
being of a patient. Nurses use therapeutic
communication techniques to provide support
and information to patients.
Goals of therapeutic communication :

 Establishing a therapeutic provider-client relationship .

 Identify client’s concerns and problem .
 Assess client’s perception of the problem .
 Recognize client’s needs.
 Guide client towards a satisfying and socially acceptable
solution .
Types of communication :
1- Non-verbal communication
Is what is observed and send .
* Is often more important than verbal communication it includes:
1. Paralanguage : (tone of voice , stream of talk ).
2. Kinesis : (all body languages and facial movement ).
3. Proxemies : (the distance between the sender and the receiver ).
4. Touch .
5. Cultural arte facts : (the way a person dressed , make up ) .

2- Verbal communication:
Is what is said and heard .
*It is the content of communication :
 Use an appropriate tone of voice .
 Give verbal encouragement .
 Ask questions .
 Paraphrase .
 Seek clarification.
Principles Of Therapeutic

1. The patient should be primary focus of interaction

2. A professional attitude sets the tone of therapeutic relationships
3. Use self-disclosure cautiously and only when it has a therapeutic
4. Avoid social relationship with patient
5. Maintain a non judge mental attitude.
6. Avoid giving advice
7. Guide the patient to reinterpret his or her
8. Experience rationally
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 .