Lecture 5: Therapeutic Communication

mental health notes 5ectVre :1 /29G LherafeVtgc uommVngcatgon uommVngcatgon process pVrfose oT LherafeVtgc uommVngcatgon NtimulusI Person has a need to communicate with another NenderI (he -erson initiating the interaction and sending the message Facilitates communication of distressing thoughts and feelings MessageI (he information or e)-ression of concern being relayed Facilitation of -roblemOsolving :hannelI (he means by which the message is sent A)amine selfOdefeating behaviors and testing alterO natives ;eceiverI (he -erson to whom the message is directed who then interO -rets the message and res-onds to the sender with feedback Promotes selfOcare and inde-endence :onsidered standard of nursing care Factors AiectgnC uommVngcatgon Personal Factors berNal uommVngcatgon -onPberNal uommVngcatgon Depression: May slow thinking or motivation to interact Canguage and words (one of voice :ommunicateI Am-hasis on words Anxiety: May reduce concentration or ability to focus and think rationally Leliefs and values Physical a--earance Perce-tions and meanings Facial e)-ressions Mania/Bipolar disorder: May make it dipcult for a -t to slow thoughts enough to commuO nicate clearly :an conveyI Lability: E--osite of stability Anvironmental Factors Btmos-here jnterest and understanding Bmount of eye contact jnsult and Hudgment B6ect 5visible mood% :lear or conTicting mesO sages xand gestures xonest or distorted feelings Lackground noise Cack of -rivacy Lody -osture LherafeVtgc uommVngcatgon LechngdVes Makes u- SRG of communiO cation ulargTkgnC LechngdVes Para-hrasing ;estatingI ,oes not reO Wuire inter-retation AttenBgnC vehaygors ;eTectingI (houghtsQ emotions Factors promotgnC patgent wroqth (ools for enhancing communicaO tion Foundation of the interview "enuineness A)hibiting o-enness Lody languageI E-en Dsing silence /ocal Wuality Bctive listening ProHective WuestionsI V.hat ifzV 5miracle % /erbal tracking Presum-tion Wuestions xonesty and authenticity Am-athy 'ot sym-athyU mindful of Vjqm sorryV Feeling intoU awareness of anotherqs e)-eriences (he ability to understand and share the feelings of another Positive ;egard Bttitudes Bctions AsQgnC &Vestgons R patgent Oesfonses Aye contact -onPLherafeVtgc uommVngP catgon LechngdVes A)-loringI Bsking Sther uonsgBeratgons :ommunication style E-enOended Wuestions A)cessive Wuestioning Aye contact and touch :losedOended Wuestions "iving a--rovalQdisa--roval /arious culturalz religiousz or other beliefsQvalues lters e) introductionsz conO crete infoOgatheringz mentally disabled "iving advicez VshouldV Facilitates de-endency Form of bias or -reHudice Bsking VwhyV Wuestions Eental MtatVs x(am )EMxI prefargnC Tor the nterygeq Pace Netting Neating jntroductions jnitiating the interview ulgngcal MVferygsgon :ommunication and interviewing are acWuired skills Fosters -rofessional growth xel-s minimi e the develo-ment of nonOthera-eutic nurseO-atient relaO tionshi-s process OecorBgnC .ritten record of segment of the nurseO-atient encounter that reTects as closely as -ossible the verbal and nonO verbal behaviors of each Dseful tool for identifying communication -atterns