how can you assess data using therapeutic communication?
Sit when communicating with a patient.
Be alert and relaxed and take your time.
Keep the conversation as natural as possible.
Maintain eye contact if appropriate.
Use appropriate facial expressions and body gestures.
Think before responding to the patient.
Do not pretend to listen.
Listen for themes in the patient’s comments.
Use silence, therapeutic touch, and humor appropriately.
how can you use self in therapeutic communication?
Confident; open body posture
Use of clear, concise “I” statements
Ability to share effectively one’s thoughts, feelings, and emotions
Working to capacity with or without supervision
Remaining calm under supervision
Asking for help when necessary
Giving and accepting compliments
Admitting mistakes and taking responsibility for them
What are the communication techniques to conduct a client-focused interchange?
Open-ended questions or comments
Closed questions or comments
Validating questions or comments
Clarifying questions or comments
Reflective questions or comments
Sequencing questions or comments
Directing questions or comments
when might a patient identify immediate issues or concerns?
During the working phase
what are the orientation phase goals?
The patient will call the nurse by name.
The patient will accurately describe the roles of the participants in the relationship.
The patient and nurse will establish an agreement about:
Goals of the relationship
Location, frequency, and length of the contacts
Duration of the relationship.
what are the working phase goals?
The patient will actively participate in the relationship.
The patient will cooperate in activities that work toward achieving mutually acceptable goals.
The patient will express feelings and concerns to the nurse.
What are the termination phase goals?
The patient will participate in identifying the goals accomplished or the progress made toward goals.
The patient will verbalize feelings about the termination of the relationship.
how does culture affect therapeutic communication?
The culturally determined context, values, beliefs and practices will strongly influence patient expectations, preferences and behaviours
How does spirituality affect therapeutic communication?
beliefs about life, health, illness, death, and one’s relationship to the universe; involves the essence of a person’s being and their beliefs about the meaning of life and the purpose for living
What are the factors that influence communication?
Developmental level
Gender
Sociocultural differences
Roles and responsibilities
Space and territoriality
Physical, mental, and emotional state
Values
Environment
Social media guidelines are regulated
Both the AmericanNurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN)
E-mail and text messages
The risk for violating patient privacy and confidentiality exists any time a message is sent electronically
The Nursing Process: Assessment
Assess for factors that are detrimental to establishing therapeutic communication
Accurate data collection
The Nursing Process: Analysis/Diagnosis
The statement of the nursing diagnosis must be clear and concise
What are some possible NANDA diagnoses?
The Nursing Process: Planning
Involves accurate communication among all members of the healthcare team, as well as with the client and the family.
Individualized outcomes and goals depends on the nursing diagnosis
Encourage client to explore possibilities and give input regarding solutions to his/her problem.
The Nursing Process: Intervention
The nurse communicates with the client and family
The nurse communicates his or her impressions and observations to other members of the healthcare team
Specific interventions depend on the problem and goals identified
The Nursing Process: Evaluation
Did the client receive your messages accurately?
How will you assess this?
Does Plan of Care need to be revised?
What is the therapeutic relationship?
Trust, genuine interest, empathy, acceptance, and positive regard
What is the nurses' role in a therapeutic relationship?
communication skills, personal strengths, and understanding of human behavior to interact with the client
what is the patient's role in a therapeutic relationship?
the social or intimate relationship in many ways because it focuses on the needs, experiences, feelings, and ideas
What is the emotional impact of illness on the client and the family?
stressed, confused, vulnerable
what might be a patient's relationship within their family?
Supportive or not in any contact
what might be a patient's relationship within their occupation?
Maslow hierarchy
is needed for the feeling of security
what might be a patient relationship within their community?
may not have resources to help the patient heal
What are the psychosocial benefits of the therapeutic nurse-client relationship?
improvements in patient satisfaction, adherence to treatment, quality of life, levels of anxiety and depression, and decreased healthcare costs
What are the physiological benefits of the therapeutic nursing-client relationship?
Improved outcomes
What is the difference between therapeutic and social relationships?
therapeutic - it focuses on the needs, experiences, feelings, and ideas of the client only
social - primarily initiated for the purpose of friendship, socialization, companionship, or accomplishment of a task
What is the “Nurse Know Thyself” tenet
It is about the nurse's self-awareness to prevent prejudice.
as well as knowing when to leave things at work and not causing themselves compassion fatigue
What are some reasons for the confidentiality of information received from the client?