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Therapeutic communication
- 1. WELCOME Ms. ANGELINE MSC (N)PREVIOUS YEAR CHOITHRAM COLLEGE OF NURSING
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- 3. Communication refers tothe giving and receiving of information. Communication is the mean by which people influence the behaviour of another, leading to the successful outcome of nursing interventions.
- 4. TYPES OF COMMUNICATION . VERBALCOMMUNICATION NON VERBAL COMMUNICATION
- 5. THERAPEUTIC COMMUNICATION Therapeutic communication is aninterpersonal interaction between the nurse and the patient during which the nurse focuses on the patient specific needs to promote an effective exchange of information.
- 6. PRINCIPLES OR CHARACTERSTICS OFTHERAPEUTIC COMMUNICATION ACTION DIMENSIONRESPONSIVE DIMENSION
- 7. RESPONSIVE DIMENSION •The nursemust possess certain skills and qualities to establish and maintain a therapeutic relationship. The responsive dimension are crucial in a therapeutic relationship to establish trust and open communication. The nurses goal is to understand the patient and to help the patient gain self understanding and insight.
- 8. RESPONSE DIMENSION • Genuineness •Respect • Empathetic understanding • Concreteness
- 9. ACTION DIMENSION •The actionoriented conditions for facilitative interpersonal relationship are confrontation , immediacy ,therapist self disclosure , catharsis , role play
- 10. ACTION DIMENSION • Confrontation •Immediacy • Nurse self disclosure • Patient self disclosure • Catharsis • Role play
- 11. THERAPEUTIC COMMUNICATION TECHNIQUE • Listening •Broad opening • Restating • Clarification • Reflection •Humour •Informing •Focusing •Sharing perceptions •Theme identification •Silence •Suggesting
- 12. BARRIERS OF COMMUNICATION WITH SPECIFICREFERANCE TO PSYCHPATHOLOGY
- 13. DYNAMICS OF THERAPEUTIC NURSEPATIENT REALTIONSHIP: • In a therapeutic relationship the nurse and client work together towards the goal of assisting the client to regain the inner resources to meet life challenges and facilitate growth.
- 14. TYPES OF RELATIONSHIPS Socialrelationships. Intimate relationships. Therapeutic relationship
- 15. PRINCIPLES OF THERAPEUTIC NURSE-PATIENTRELATIONSHIP • Treat the client as an individual • Accept the client as he is • Aware the total need of the client • Nurse understand herself and clients needs , motives, desires , feelings and tears • Emotional and involvement is essential
- 16. • Objectivity hasto be maintained • Consistency has to be maintained • Set approximate limits and goals • Encourage the client feelings • Therapeutic understanding • Honest and open communication is needed • Engage in active listening
- 17. THERAPEUTIC USE OFSELF GAINING SELF AWARENESS • In nurse patient relationship each interaction is unique because the patient and the nurse are having their even beliefs , values , attitudes , and behaviour .
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- 19. THERAPEUTIC NURSE PATIENT REALTIONSHIPITS PHASE Four phases of relationship process have been identified • Pre-interaction phase • Introductory or orientation phase • Working phase • Termination phase
- 20. • Term therapeuticimpasse may be used to describe a number of situations that can arise in psychotherapy. Impasses can occur as a result of disagreement between the therapist and client, unacknowledged issues within therapy, or stagnation in therapy.. THERAPEUTIC IMPASSES
- 21. The common fourimpasses are : Resistance Transference Counter transference Boundary violations
- 22. •Process recording isa written account or verbatim recording of all that transpired, during and immediately following the nurse- patient interaction. PROCESS RECORDING
- 23. AIMS OF PROCESS RECORDING: Theaim of process recording is to improve the quality of interaction of better effect to the patient and a learning experience for the nurse to continuously improve her clinical interaction pattern.
- 24. PURPOSE / OBJECTIVE/GOALS Process recording will be used as a : • Teaching tool • Communicate tool • Self evaluating tool • Diagnostic tool • Therapeutic tool • A prerequisites for nursing process
- 25. PHASES IN PROCESS RECORDING Preparingthe students for process recording Recording nurse patient interaction Evaluating the interaction by the instructor and the student ‘
- 26. : • Physical setting •Getting consent of the patient for the possibility of cassette recording • Confidentiality PRE REQUISITIES FOR PROCESS RECORDING
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