Week 8

Front 1

When talking with a patient it should be:

Back 1

-10% of social interaction→ gain trust and comfort
-30% of assessment→ physical bodily functions
-30% of therapeutic communication→ feelings about the illness
-30% teaching→ education on care
-Every time we go to the bedside, daily
Talking to them with a purpose- you have a job to do.

Front 2

Define the focus of a nurse-patient therapeutic relationship

Back 2

Trying to get the patient to the highest level of wellness
-Helping the patient explore their feelings so they can solve their problems
-Focus on improving the health of the client
-Provide necessary information about health, treatments, and care
-Involve use of therapeutic communication

Front 3

Pre-interaction phase

Back 3

Gathering information prior to meeting client

Front 4

Orientation phase

Back 4

Meeting the client; introductions; establishing rapport and trust→ very important! Telling them who you are and what you do. Your responsibilities for them. Prevents misunderstandings and hurt feelings.

Front 5

Working phase

Back 5

Use of techniques germane to therapeutic communication
-Active part of the relationship
-Client clarifies feelings and concerns through verbal and nonverbal communication

Front 6

Termination phase

Back 6

-Conclusion of the relationship
-Empowering the patient without you!
-Don’t make the patient dependent on you!
-Good orientation→ good conclusion

Front 7

Empathy

Back 7

show understanding-“that must be really hard” NOT I know how you feel

Front 8

Respect

Back 8

agreeing to acknowledge the patients opinion→ your personal feelings on their opinion is not important

Front 9

Genuineness

Back 9

being real with the patient, not sugar coating, tell the truth, they lose their faith in you if you lie to them.

Front 10

Concreteness

Back 10

factual, presenting reality to the patient when the patient’s reality is askew. You’re not clumsy you tripped over a hazardous throw rug.

Front 11

Confrontation

Back 11

Gentle correction of the patient. You’re doing this… how do you feel like this is helping you?

Front 12

Describe techniques used to facilitate therapeutic communication

Back 12

Focuses on the patient and their feelings to that they can make their own health and life better
-Listen actively, Establish trust, Be assertive, Restate, clarify, validate message, Interpret body language, Share your observations to clarify, Use open-ended questions, Use silence, Summarize the conversation

Front 13

Identify common barriers to effective Communication

Back 13

DON’T say I know how you feel
Too many questions
Closed-ended questions
-Asking “Why?”
-Changing the subject abruptly→ hard to get any emotional support
-Failing to listen
-Failing to explore issues in detail
-Expressing approval or disapproval
-Offering advice→ share professional experience, you need to quit your job its too hard on you vs. what do you think some options are to lessen stress with your new healthcare issues
-Giving false reassurance
-Stereotyping- previous experiences applied to the new person
-Using patronizing language

Front 14

Discuss assertive communication

Back 14

-It is the expression of a wide range of positive and negitive thoughts and feelings in a style that is direct, open, honest, spontaneous, responsible, and nonjudgemental.
-An assertive person is one who is confident and comfortable and remains in charge of where the conversation is going.
-It enables you to deal directly with stressful interpersonal communication, for example, with a client who needs to make some lifestyle changes.

Front 15

Discuss the Joint commission regulations pertaining to the use of interpreters

Back 15

-Healthcare facilities should provide interpretation services as necessary.
-Can’t use relatives as translator only in there are no other options available

Front 16

Describe the process for analyzing a communication using process recordings

Back 16

-A strategy used to improve communication skills
-Actual “word for word” conversation between nurse and patient is recorded and then analyzed for effectiveness

Front 17

Directive Interviewing

Back 17

-Used to gather factual, easily obtained information such as: Age, Sex, Emergency Contacts
-Utilizes closed questions which can be answered with “Yes”, “No” or other short factual answers

Front 18

Non-directive Interviewing

Back 18

-Used to promote communication, build rapport, and promote patient expression of feelings
-Utilizes open-ended questions to allow collection of subjective data

Front 19

Identify when a nurse would use closed-ended and open-ended questions

Back 19

While talking with a patient about pain.

Front 20

Sum Therapeutic communication up in one sentence

Back 20

“If your heart is in the right place and you keep the goal of the interaction in mind, and if you focus on the patient rather than yourself- your communication will probably be therapeutic.” (Key: Attitude, goal, and focus.)