Therapeutic communicatio


Published on

Published in: Business, Technology
No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Therapeutic communicatio

  2. 2. INTRODUCTION:- Communication refers to the reciprocalexchange of information, ideas, beliefs,attitudes between persons or amonggroup of persons. It is goal directedprocess In nursing it used in
  3. 3. DEFINITION OF COMMUNICATION:-“ Communication is process by whichinformation is exchange betweenindividual through common system ofsign, symbol or behavior.”…
  4. 4. COMMUNICATION PROCESS;ReceiverDecoderSenderEncoderMessageFeedbackTwo-way processTYPES COMMUNICATION:-1. Verbal communication2. Non-verbal
  5. 5. DEFINITION OF THERAPEUTICCOMMUNICATION“In therapeutic communication the nursedirects the communications towards thepatient to identify his current healthproblem, plan, implement & evaluation theaction taken.”
  6. 6. GOAL OF THERAPEUTICCOMMUNICATION: Establish a therapeutic nurse-patientrelationship. Identify the most important patient‟s needs. Assess the patient‟s perception of theproblem. Facilitate the patient‟s expression ofemotions Implement interventions designed toaddress the patient‟s
  7. 7. PRINCIPLES OR CHARACTERISTICSOF THERAPEUTIC COMMUNICATION: The patient should be the primary focus ofinteraction. A professional attitude sets the tone of thetherapeutic relationship. Use self-disclosure cautiously & only when ithas a therapeutic purpose. Avoid social relationship with patients Maintain patient
  8. 8. Count… Assess the patient‟s intellectual competence todetermine the level of understanding Implement interventions from a theoreticbase. Maintain a non-judgmental attitude. Avoidmaking judgment about patient‟s behavior. Avoid giving advice Guide the patient to interpret his or herexperiences
  9. 9.
  10. 10. THERAPEUTIC COMMUNICATIONTECHNIQUES1. Listening2. Broad opening3. Restating4. Clarification5. Reflection6. Humor7. Information8. Focusing9. Sharing perceptions10. Theme identification11. Silence12.
  11. 11. 1. listening: It is an active process of receivinginformation Response on the part of the nurse such asmaintaining eye-to-eye contact, nodding,gesturing & other form of receptive non-verbal communication convey to the patientthat he is being listened to &
  12. 12. 2. Broad openings: Encouraging the patient to select topicsfor discussion. eg; “What are you thinking about?”
  13. 13. 3. Restating: Repeating the main thought expressed bythe patient. Eg; “You say that your mother left youwhen you were five years old.”
  14. 14. 4. Clarification: Attempting to put vague ideas or nuclearthoughts of the patient into words toenhance the nurse‟s understanding orasking the patient to explain what hemeans. Eg; “I am not sure that what you mean.could you tell me about that again?”
  15. 15. 5. Reflection: Directing back the patient‟s ideas,feelings, questions & content. Eg; “You are feelings tense & anxious & itis related to a conversation you had withyour husband last
  16. 16. 6. Humor: The discharge of energy throughcomic enjoyment of the imperfect. Eg; “That gives a whole new meaningto the word „nervous‟, said withshared kidding between the nurse &the
  17. 17. 7. Information: The skill of information giving. Eg; “I think you need to knowmore about your medications.”
  18. 18. 8. Focusing: Questions or statements that help thepatient expand on a topic ofimportance. Eg; “I think that we should talk moreabout your relationship with yourfather.”
  19. 19. 9. Sharing perceptions: Asking the patient to verify thenurse‟s understanding of what thepatient is thinking or feeling. Eg; “You are smiling, but I sense thatyou are really very angry with me.”
  20. 20. 10.Theme identification: This involving identification of underlyingissues or problems experienced by thepatient that emerge repeatedly during thecourse of the nurse-patient relationship. Eg; “I noticed that you said you have beenhurt or rejected by man. Do you think thisis an underlying issue?”
  21. 21. 11.Silence: Lack of verbal communication for atherapeutic reason. Eg; sitting with a patient & non-verbally communicating interest &
  22. 22. 12.Suggesting: Presentation of alternative ideas for thepatient‟s consideration relative to problemsolving. Eg; “Have you thought about respondingto your boss in a different way when heraises that issue with you? You could askhim if a specific problem has occurred.”
  23. 23. NON-THERAPEUTIC TECHNIQUES Reassuring Rejecting Giving approval Advising Defending Requesting Belittling the feeling of the patient.These non-therapeutic techniquesshould be
  24. 24. Communication failures:- Failure to perceive the patient as humanbeing Failure to recognize the level of meaning incommunication Failure to listen Failure to interpret with knowledge Use of close ended question only Conflicting verbal) non verbal Giving false reassurance Changing subject if not
  25. 25. Thank