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Therapeutic Communication |
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This is professional, goal-directed, and scientifically based communication. Aspects include: genuine respect for individual, ability to listen and understand, and a desire to work w/ individual to help w/ probs. |
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Part of the communication process that is the reason for the communication |
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Person initiating communication |
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Information sent. Can be through a variety of media |
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Meaning of message is understood by both parties |
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Connections exist bw ideas |
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Personal factors that affect the communication process |
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Examples include; emotional, social, and cognitive issues |
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Environmental factors affecting the communication process |
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Examples include: physical (background noise, lack of privacy, uncomfortable accomodations) and societal determinants (historical, sociopolitical, economic factors, presence of others, and expectations of others) |
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When the two participants in a relationship are equal such as friends or colleagues. |
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Complementary relationship |
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When there is a difference in status or power, such as bw a nurse and pt or teacher and student, the relationship is characterized by inequality. |
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Words and the meaning of spoken words |
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Vital part of communication (65%-95%) |
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includes
- tone of voice
- manner of speech
- physical appearance
- facial expression
- posture
- eye contact
- movements and gestures
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The verbal message is sometimes referred to as _________. |
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The nonverbal message is called the __________ of the message. |
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content and process messages in agreement |
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conflicting or mixed messages |
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verbal and nonverbal message are not congruent and creates a no-win situation for the recipient.
Ex- Young adult child wants to go out with friends. Crippled parent says with a sigh "If that's what you want, go ahead". The child feels guilty if she goes but still feels bad if she decides to stay with parent. |
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A nurse is said to have ________ ___________ if he or she can help a pt to
- feel understood/comfortable
- identify /explore prob rl/t others
- discover healthy ways of meeting emotional needs
- explore satisfying interpersonal relationships
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- Silence
- Active Listening
- Clarification
- Restating
- Reflecting
- Sharing Observations
- Exploring
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What are some examples of therapeutic communication techniques? |
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This is not the absence of communication; it is a specific channel for transmitting and receiving messages. Typically an example of therapeutic communication. However, it can be used to express anger and hostility. |
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To be there psychologically, socially, and emotionally.
Includes
- observing pt's nonverbal behaviors
- listening to and understanding pt's verbal message
- listening to and understanding the person in the context of the social setting of his or her life
- listening for "false notes" (inconsistencies or things that need more clarification)
- providing pt w/ feedback about him/herself of which pt might not be aware
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helps both participants identify major differences in their frame of reference, giving them an opportunity to correct misperceptions before they cause serious misunderstandings |
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Paraphrasing, Restating, Reflecting, and Exploring |
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What are the 4 clarifying techniques? |
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restating in different (fewer) words the basic content of a pt's message. Ex- prefacing statements such as: "I'm not sure I understand", "In other words you seem to be saying", "Was I correct in saying. . .?" |
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In this, the nurse mirrors the pt's overt and covert messages. Used to echo feeling as well as content. Ex- "My life is empty... It has no meaning"- pt "Your life has no meaning?" - nurse |
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Assisting people to better understand their own thoughts and feelings. . . may take the form of a question or simple statement that conveys the nurse's observations of the pt when sensitive issues are discussed. Ex- "You sound as if you have had many disappointments", "You look sad", |
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This is a type of reflecting that shows acceptance. It helps the nurse to make the pt aware of inner feelings and encourages the pt to own them. |
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A technique that enables the nurse to examine important ideas, experiences, or relationships more fully.
Ex- opening statements like: "Tell me more about. . .", "Describe. . . ", "Give me an example of. . ." |
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Nontherapeutic Communication Techniques |
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Examples include: asking too many questions, giving approval or disapproval, advising, asking "why" questions. |
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It's important to know that this influences communication styles, eye contact, perception of touch, and how ethnic groups are categorized. |
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This is a bias that is the result of socialization process in a particular culture. Everyone perceives things differently because of this. |
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Hispanic, French, Greek, Jewish, and Italian. |
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These cultures use dramatic body language |
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Now try it again. . . Cultures that use dramatic body language. |
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Ways to remember dramatic body language:
Think Napolean Bonaparte (Crazy French emperor), Think of the people from My Big Fat Greek Wedding, Think of Jersey Shore (Italian wanabees)
Then just remember Hispanics and Jewish. |
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German, Asian, British, and Elderly Americans |
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Cultures that use a calm facade under duress. |
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Now try it again. . . Cultures that use a calm facade under duress. |
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Way to remember cultures that use a calm facade under duress!
The mnemonic GABE. Gabe is CALM
German, Asian, British, and Elderly |
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African Americans/Black, Jewish, political refugees, and victims of abuse. |
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Cultures that use guarded communication based on history and experiences. |
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Hispanic, Asian, Native American, and Arab (<- believe that eye contact bw man/woman is sexual and may indicate promiscuity) |
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Cultures in which direct eye contact is disrespectful |
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Try again. . . Direct eye contact disrespectful to. . . |
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Way to remember who finds direct eye contact disrespectful
Use the mnemonic "Nursing Almost Always Heals"
Native americans, Asians, Arab, and Hispanics |
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German Americans, Russians, French, British, and African Americans |
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Direct eye contact is important to these cultures. |
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Now, who is direct eye contact considered important to? |
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Way to remember who direct eye contact is important to!
mnemonic "Fools Rarely Give Anything Back"
French, Russians, Germans, African americans, and British |
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Russian, Italian, French, Hispanic, and Mexican American |
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Cultures in which touch is viewed as comforting |
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German, British, Swedish, Indian, Japanese, Chinese, and Victims of sexual abuse |
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Physical contact is viewed as intrusive, aggressive, and or sexual |
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Who finds touch comforting |
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Way to remember who finds touch comforting
FIRM Hand
Hispanic, French, Italian, Russian, Mexican |
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who doesn't like physical contact? |
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Sometimes I Just Can't Believe Guys Sweep
Sexual abuse, Indian, Japanese, Chinese, British, German, Swedish |
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Remember to refer to Pg 102. Those Q&A will be on test! |
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