midchapter3

• communication - transferring information verbal or nonverbal
• communication - quality of life is the quality of your communication
• communication - is a key skill for all health care workers in any settngs as they work toward other health care practitioners
• verbal communication - form of communication in which message is transferred verbally
• non-verbal communication - body languages, facial expressions, eye contact
• formal communication - often found in hospital policies and document

  • no room for feedback
• informal - less structured, allows interaction and communication between patients and midwife
• technology-aided - using computer information system in practice of care
• communication - dynamic in nature rather than static phenomenon
• sender- encode and send messages
• ideas - subject matter or content of communication
• encoding - conversion of subject matter into symbols
• communication channel

  • visual channel - eyes
  • auditory channel -sound
  • tactile channel - touch
  • combine channel - mixture channel
• kinetics - study of body language
• feedback - reaction
• health providers established trust with patients through communication
• therapeutic communication - prioritize the mental, physical, and emotional wellbeing of the patients
• active listening - essential parts of communication
• attentive, active listening - health provider's hearing, processing and purposely comprehending the client's word
• silence - use to think about and reflect the full meaning of received message

  • active process rather than a passive process
• focusing - facilitates the ability to focus on and pay attention to the matters at hand
• open ended question - not answerable by yes or no
• using open ended question - elicits more and fuller information
• clarification - in order for the midwife to ensure that the message is interpreted correctly
• exploring -encourage client to provide more details and information about a particlar topic or healthcare problem
• paraphrasing - rephrase a client's comment or question in a manner that is similar to what the health provider thinks that they have heard and understand
• restating - clarify the client's message by repeating the same statement back to the client
• reflection - health provider believes the clients feeling underneath the word
• summarizing - sums up main points that were discussed
• offering of self - making self available by showing interest and concern
• challenging - forcing client to defend and justify their opinions and beliefs
• probing - threat to the client's privacy and confidentiality
• defensiveness - fulfill the needs of health provider rather than the client
• stereotyping - generalized thoughts and words that are not all based on the individuality
• pre-interaction phase - client does not directly participate

  • building trust, beginning of assessment and management of emotion
• orientation phase - provides a framework for assessing clients needs
• working phase - process of learning and data collection

  • identification and exploration
• termination phase - evaluation and summary of progress