Therapeutic Communication

By Elizabeth Evans,2014-04-21 22:09
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Therapeutic Communication

Therapeutic Communication

    Nursing 4206

    Therapeutic Communication

    ;Any communication designed to increase the self-worth of the patient or decrease

    psychological distress

    ;Implies unconditional positive regard for the patient from the nurse and is done in a

    caring, concerned, empathic manner

    Therapeutic Nurse-Patient Relationship

;Therapeutic nurse-patient relationships can only occur when each views the other as a

    unique human being

    ;Therapeutic relationships are goal oriented, client-centered and are directed at learning

    and promoting growth

    ;Goals are often achieved through use of the problem-solving model Self-Awareness

    ;Process of understanding one’s own beliefs, thoughts, motivations, biases, and

    limitations and recognizing how they affect others ;Crucial in developing a therapeutic nurse-patient relationship Conditions Essential for a Therapeutic Relationship ;Rapport





    Phases of the Therapeutic Nurse-Patient Relationship ;Preinteraction Phase

    Explore self

    Learn about patient

    Orientation Phase

     Honeymoon phase

     Testing Phase

    Phases continued

    ;Working Phase

    Patient explores identified problems and strategies to work on them Promote client insight and perception of reality

    Overcome resistant behaviors

    Continuously evaluate progress toward goal attainment Phases continued

    ;Resolution Phase

    Stressful for the patient

    Learning is maximized

    Patient reactions to termination



    ;Feelings of rejection


Variables that Influence Communication


    ;Values, Attitudes, Beliefs ;Culture

    ;Social Status


    ;Age/Developmental Level


    ;Verbal and nonverbal Communication

Verbal Communication

    ;Terminology/Word Selection ;Voice


    ;Use of Silence

    Nonverbal Communication ;Dress and Appearance

    ;Body Movements and Psoture ;Touch

    ;Eye Contact

Techniques to Promote Therapeutic Communication






    ;Open-Ended Statements ;Reflection




    ;Active Listening


Barriers to Therapeutic Communication






    Other Important Concepts ;Boundaries, Personal and Professional

    ;Analyzing Interactions

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