Communication - Therapeutic and Non- Therapeutic
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| show | 1. Giving and receiving information
2. Involves a sender and a receiver
3. Is a learned process
4. Is verbal and non-verbal.
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| show | * 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
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| show | Intimate= 0 to 18 inches
Personal = 18 inches to 40 inches
Social = 4 to 12 feet
Public- more than 12 feet
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| show | Verbal and Non-verbal communication .
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| What is verbal communication ? | show 🗑
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| show | * 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
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| Voice | show 🗑
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| Congruence | show 🗑
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| show | * Demonstrates empathy (understanding)
* Requires Skills
* REsponds to patients thoughts , needs and concerns
* Builds trust
* Allows free expession of thoughts adn feelings
* Non- judgmental
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| show | * Defensive
* Misunderstood
* Minimized
* Discouraged from expressing thoughts and feelings .
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| show | * Foundation for Therapeutic Communication
* Requires Concentration, skill, and active listening
*Remove distraction
* Prevent Interruptions or keep to a minimum
* Comfort * Note congruence * NOn- judgemental
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| SOLER | show 🗑
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| Assertivness ( Confident statements ) | show 🗑
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| show | * Matter of fact- stay cool and calm , avoid using a lot of emotions
* Non- attacking
* Be firm without being demeaning or critical
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| show | * 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
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| show | * 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
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| Offers support | show 🗑
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| 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) | show 🗑
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| show | *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
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| Confrontation - By giving two alternatives, the nurse makes the messge tentative and gives the situation open for the client to provide feedback . | show 🗑
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| Special situations : Psychoses | show 🗑
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| show | * 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.
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rkasiejka27
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