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68WM6 Communication

Communication Defined as the use of words and behaviors to construct, send, and interpret messages.
Communication can happen in two ways.... Both verbal and nonverbal and conveys varied messages.
Six Aspects of Communication 1.Sender 2.Message 3.Channel 4.Receiver 5.Feedback 6.Influences
Communication may be one-way or two-way, depending on the roles of the persons in the interaction
This form of communication is is highly structured, with the sender being in control and expecting and getting very little response from the receiver. What is this called? One-way communication
Two-way communication requires both the sender and the receiver participate equally in the interaction.
What are some Factors that Influence Communication? Culture, past experiences, emotions, mood, attitude, perceptions of the individual, and self-concept
Every culture has norms for appropriate communication. Distance between communicators.Eye contact.Tone of voice.Amount of gestures used
What is the average distance between people in America while communicating? In America, 18 inches to 4 feet is the average distance. This lessens when people converse with someone they know
Interpretation of the messages in influenced by cultural values, level of education, familiarity with the topic, occupation, and type of previous life experiences
Aggressive Communication is interacting with another in an overpowering and forceful manner to meet one's own needs at the expense of others.
Unassertive Communication is interaction sacrifices the nurse's legitimate personal rights to meet the needs of the patient at the expense of feeling resentful.
Therapeutic Communication Defined as communication that promotes understanding between the sender and the receiver.
Therapeutic Communication is also known as Effective Communication
The most effective method of communication is listening
What is the most difficult skill to acquire listening?
Two types of listening are Active and Passive
Active listening involves Full attention to patient.Allows feedback.
Passive Listening Attends nonverbally through eye contact and nodding.
Touch can convey warmth, caring, comfort, support and understanding
Closed questioning encouraged what kind of response? "Yes", "no" or short answer response or a specific answer to a specific question
Open-ended questioning Doesn't seek specific answer.Patient can elaborate.Useful to assess feelings.Doesn't influence responses
Paraphrasing Similar to restating, but the intent is different.Restatement of the pt’s message in the nurse’s own words to verify that the interpretation was correct.
How does reflecting impower a patient? Empowers the pt to verbalize a solution Position of control.Promotes self-esteem.
Much of the communicating that the nurse does is offer information:
Most therapeutic posture and position is for the nurse to assume the same position and level as the patient.
Comfort zone necessary distance between two or more individuals that must be maintained to guard against personal threat or intimidation.
Intimate zone : 0 - 18 inches. Nursing interventions provided to the patient.Must be approached in a professional manner with gentleness and tact.
Personal zone 18 inches to 4 feet.Less intimidating to patient.Sitting or talking to patient.
Social zone 4 - 12 feet.Speaking to a small group
Public zone 12 feet or more.Public speaking
Without trust, interaction will not progress past superficial social interaction
Trust is built with confidence and competence
Pain can create a barrier for effective communication between the nurse and the patient.Should address prior to proceeding with any other interaction with the patient.
Altered Cognition Patient lacks the ability to receive, process, and send information, communication will not occur.
False Reassurance May promise something that won't happen or is unrealistic.
Cliché Stereotyped or superficial comments that don't focus on what patient is feeling or saying.
Defensiveness Negative response to criticism Implies that patient doesn't have right to opinion
Changing the subject Inappropriately focusing on something other than patient's concern.
Aphasia is a deficient or absent language function resulting from ischemic insult to the brain, such as stroke, brain trauma, or anoxia.
Expressive aphasia patient cannot send the desired message.
Receptive aphasia patient cannot recognize or interpret the message being received.
Dysphasia impairment of speech
Dysarthria dysfunction of the muscles used for speech. Speech difficult, slow and hard to understand.
Empathy Understand patient's feelings.Includes warmth, nonjudgmental attitude and focus on patient's feelings.
One of the most boring lectures you will ever sit through EVER!!!!!!! F*** my LIFE!!!!
Created by: 670441040