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Communication NS-Cl

Communication - Therapeutic and Non- Therapeutic

Communication What are the four components ? 1. Giving and receiving information 2. Involves a sender and a receiver 3. Is a learned process 4. Is verbal and non-verbal.
Factors influencing communication : * General attitude * Cultural * Environmental * Age/ developmental level * Distance * General attitude- Can block out communication, may not hear what is being said. * Cultural - Possible language barier; customs. * Environment- Time and place * Age/development level- People think diffrently at different age levels
Distance - 1. Intimate - ? 2. Personal - ? 3. Social- ? 4. Public- ? Intimate= 0 to 18 inches Personal = 18 inches to 40 inches Social = 4 to 12 feet Public- more than 12 feet
What are the two types of communication ? Verbal and Non-verbal communication .
What is verbal communication ? The spoken word .
What is the non- verbal communication ? ( 65% -95% of communication ) * Appearance / dress * Body movement and posture * Touch : social , friendship, love&intimacy, sexual, * Facial expressions * Eye behavior - Opens the communication ; more than 3 seconds-indicates strong emotions Staring- Always inapproriate
Voice Paralanguage - * Pitch - sound ( high, normal , low ) * Tone - emotional component * Loudness
Congruence Face is expressing what words are saying.
Therapeutic Communication - Deals with problems and behaviors * Demonstrates empathy (understanding) * Requires Skills * REsponds to patients thoughts , needs and concerns * Builds trust * Allows free expession of thoughts adn feelings * Non- judgmental
Non- Therapeutic Communication - Interactions which causes patients to feel : * Defensive * Misunderstood * Minimized * Discouraged from expressing thoughts and feelings .
Listening * Foundation for Therapeutic Communication * Requires Concentration, skill, and active listening *Remove distraction * Prevent Interruptions or keep to a minimum * Comfort * Note congruence * NOn- judgemental
SOLER * S sit with patient (preferably at 90 degree angle) * O - Open posture (no crossing of arms or legs) * L - lean forward * E - eye contact ( appropriate) * R - relax :)
Assertivness ( Confident statements ) * saying what one thinks, feels or wants in a direct , respectful way * Adult communication * Use "I" statements rather than "you" statements
Limit Setting * Matter of fact- stay cool and calm , avoid using a lot of emotions * Non- attacking * Be firm without being demeaning or critical
Supportive Confrontation * Point out, in a caring way, discrepancies in what patients say and do * Use perception check ** describe behavior ** Offer at least two possible interpretations ** Ask for feedback
Self Disclosure * Focus on the patient * Don't talk about self unless asked a direct question * Establish rapport ( relation, understanding) * Small amount is therapeutic * Helps to build trust
Offers support * Keep disclosure brief * Don't discuss your personal problems *** Do not give out your phone number or address
Assertivness - The following is a simple formula for making an assertive statement based on adult-adult interaction, as opposed to talking down to clients ( parent- child communication) Assertivnes is marked by the use of " I statements" as opposed to " you statements" that blame or atack other person
Assertivness *I udnerstand /know/ can .. " ( show empathy ( understanding) acknowledge others view point ) * "But I think/feel.."( Express the conflict from a personal view or experience ) * " So I suggest / prefer/ would like ..." (Make a specific plan or proposa
Confrontation - By giving two alternatives, the nurse makes the messge tentative and gives the situation open for the client to provide feedback . A perception check a form of confrontation has the adantage of not accusing the client or making assumptions about his or her behavior because the nurse offers at least two possible interpretations.
Special situations : Psychoses Pateints with psychoses are out of touch with reality * thinking is out of reach * speech is disorganized * Ns- Focus on reality , do not reinforce psychotic thinking, remain calm , give adequate interpersonal space
Special Situations : Patient with Anxiety * Provide comfort and assure safety * Give brief explanation * Be directive ("Sit down.Take a deep breath and focus on what I am saying ") * Be calm.
Created by: rkasiejka27