Therapeutic communication is an interpersonal interaction between a nurse and client where the nurse focuses on the client's needs to effectively exchange information. The goals of therapeutic communication are to establish a relationship with the client, identify their main concerns, and assess their perceptions in order to facilitate expression of emotions, teach self-care skills, recognize needs, and guide the client in developing a plan. Therapeutic communication techniques used by nurses include active listening, making observations, asking open-ended questions, and providing feedback to understand the client and address their health issues.
This presentation is intended to serve as an introduction to the long-term care industry, including the scope, purpose and organizational structure of a typical long-term care facility.
While applicable for everyone, this like all of our presentations is specifically designed for caregivers in a long-term care environment.
This presentation is intended to serve as an introduction to the long-term care industry, including the scope, purpose and organizational structure of a typical long-term care facility.
While applicable for everyone, this like all of our presentations is specifically designed for caregivers in a long-term care environment.
Ethical issues of Care of elderly patients:-
Decision making capacity.
Informed consent.
Refusal of treatment.
Advance directive.
Major ethical principles.
Psycho-social aspects of aging.
Nurses’ patient education is important for building patients’ knowledge, understanding and preparedness for self-management. The ultimate goal of patient educational program is to achieve long-lasting changes in behavior by providing patients with the knowledge to allow them to make autonomous decisions to take ownership of their care as much as possible and improve their own outcomes.
CONCEPT OF PATIENT EDUCATION
Education on health issues is necessary for a patient’s physical and mental health.
Everybody finds themselves in situations where they require special knowledge and skills in order to meet their basic needs and sustain their lives.
All patients have the right to be educated on maintaining their health, disease prevention, and health promotion.
Health promotion is the process of advancing knowledge, influencing attitudes, and determining relevant solutions so that people can make informed choices, change their behavior and subsequently attain a desirable level of physical and mental health improve their social and physical environment.
Effective patient education starts from the time patients are admitted to the hospital and continuous until they are discharged. Nurses should take advantage of any appropriate opportunity throughout a patient’s stay to teach the patient about self-care.
The self- care instruction may include teaching patients how to inject insulin, bathe an infant or change a colostomy pouching system.
MEANING OF PATIENT EDUCATIONThe Latin origin of the word doctor “decree” means “to teach" and the education of patients and their families, as well as communities, is the responsibility of all physicians.
Family physicians are uniquely suited to take a leadership role in patient education.
Family physicians build long- term, trusting relationships with patients, providing opportunities to encourage and reinforce changes in health behavior.
Patient education enables patients to assume better responsibility for their own health care, improving patients’ ability to manage acute and chronic disorders.
Patient education provides opportunities to choose healthier lifestyles and practice preventive medicine.
Patient education attracts patients to the provider and increases patients’ satisfaction with their care, while at the same time decreasing the provider’s risk of liability.
Patient education promotes patient-centered care and as a result, patients’ active involvement in their plan of care.
Patient education increases adherence to medication and treatment regimens, leading to a more efficient and cost- effective health care delivery system
Patient education ensures continuity of care and reduces the complications related to illness and incidence of disorder/disease.
Patient education maximizes the individual’s independence with home exercise programs and activities that promote independence in activities of daily living as well as continuity of care needed
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
this presentation tells us about the Terminal illness. the stages in grieving both of the patient and their family is explained in it. This presentation also gives us tips to cope up with grief. this presentation is from the perspective of a counselor and tells us how counselling helps the terminally ill person to recover.
Ethical issues of Care of elderly patients:-
Decision making capacity.
Informed consent.
Refusal of treatment.
Advance directive.
Major ethical principles.
Psycho-social aspects of aging.
Nurses’ patient education is important for building patients’ knowledge, understanding and preparedness for self-management. The ultimate goal of patient educational program is to achieve long-lasting changes in behavior by providing patients with the knowledge to allow them to make autonomous decisions to take ownership of their care as much as possible and improve their own outcomes.
CONCEPT OF PATIENT EDUCATION
Education on health issues is necessary for a patient’s physical and mental health.
Everybody finds themselves in situations where they require special knowledge and skills in order to meet their basic needs and sustain their lives.
All patients have the right to be educated on maintaining their health, disease prevention, and health promotion.
Health promotion is the process of advancing knowledge, influencing attitudes, and determining relevant solutions so that people can make informed choices, change their behavior and subsequently attain a desirable level of physical and mental health improve their social and physical environment.
Effective patient education starts from the time patients are admitted to the hospital and continuous until they are discharged. Nurses should take advantage of any appropriate opportunity throughout a patient’s stay to teach the patient about self-care.
The self- care instruction may include teaching patients how to inject insulin, bathe an infant or change a colostomy pouching system.
MEANING OF PATIENT EDUCATIONThe Latin origin of the word doctor “decree” means “to teach" and the education of patients and their families, as well as communities, is the responsibility of all physicians.
Family physicians are uniquely suited to take a leadership role in patient education.
Family physicians build long- term, trusting relationships with patients, providing opportunities to encourage and reinforce changes in health behavior.
Patient education enables patients to assume better responsibility for their own health care, improving patients’ ability to manage acute and chronic disorders.
Patient education provides opportunities to choose healthier lifestyles and practice preventive medicine.
Patient education attracts patients to the provider and increases patients’ satisfaction with their care, while at the same time decreasing the provider’s risk of liability.
Patient education promotes patient-centered care and as a result, patients’ active involvement in their plan of care.
Patient education increases adherence to medication and treatment regimens, leading to a more efficient and cost- effective health care delivery system
Patient education ensures continuity of care and reduces the complications related to illness and incidence of disorder/disease.
Patient education maximizes the individual’s independence with home exercise programs and activities that promote independence in activities of daily living as well as continuity of care needed
we communicate when we talk and also when we don't talk. the sharing of ideas, thoughts, perceptions, belief between two individuals (client and nurse) which will help nurse to provide effective care and treatment to the client.
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
this presentation tells us about the Terminal illness. the stages in grieving both of the patient and their family is explained in it. This presentation also gives us tips to cope up with grief. this presentation is from the perspective of a counselor and tells us how counselling helps the terminally ill person to recover.
Therapeutic Communication In Nursing.pptxParul Prasher
Therapeutic And Non-Therapeutic communication in Nursing.Verbal communication consists of getting your message across using sounds, words, and languages, while nonverbal communication involves unsaid things like eye movement, body language, and tone.Verbal communication is the words and sounds that come out of our mouths when we're speaking, including tone of voice and things like sighs and groans. Nonverbal communication, on the other hand, is the signs and messages that we communicate using things like body language, gestures, and facial movements.
THERAPEUTIC COMMUNICATION AND NURSE-PATIENT-RELATIONSHIP.pdfTejal Virola
Therapeutic communication is a technique used by healthcare professionals, particularly in the field of mental health and counseling, to establish a supportive and trusting relationship with clients or patients. Its primary goal is to promote healing, foster understanding, and facilitate positive changes in a person's thoughts, feelings, and behaviors. Effective therapeutic communication is essential for building rapport, encouraging self-expression, and facilitating the healing process.
A therapeutic nurse-patient relationship is a professional relationship established between a nurse and a patient with the aim of promoting the patient's well-being, health, and healing. This relationship is built on trust, respect, communication, empathy, and collaboration to meet the patient's healthcare needs effectively. It's a fundamental aspect of nursing practice, especially in providing holistic and patient-centered care.
this ppt contains therapeutic communication and therapeutic nurse patient relationships which is part of basic B.Sc. and M.Sc. nursing
RESPONSE 1Respond to at least 2 colleagues by expanding on.docxcarlstromcurtis
RESPONSE 1
Respond
to at least 2 colleagues by expanding on evidence in support of play therapy.
Colleague 1: Christine
There are many ways play therapy can benefit children and in this case 6 year old Claudia. As children experience trauma service providers may also have difficulty with young children and self disclosure. Here is the list that I came up with after reviewing this discussion resources in relation to how this approach can benefit:
1) Creating a safe space to explore with safety can hold children accountable for responsible behaviors while developing successful insight to harness positive strategies to cope.
2) Children can also benefit as they learn new solutions toward dealing with issues while learning skills to express new and old emotion.
3) There can be a gained awareness to self; understanding thoughts and emotions.
4) Children can learn new social skills as they work with their provider and how to relate to self through creativity. Also, gaining communication skills as they use various forms of play therapy.
5) Children may also develop an awareness toward new and old abilities using a strength-based approach toward therapy.
Another form of play therapy that I am fond of while working with children is storytelling. It isn't for all children specifically concentrating on those that feel comfortable opening up and speaking to others. Storytelling has been beneficial to me while working with children in the past as it has revealed fear and anxieties. Utilizing different platforms of storytelling, self disclosure can build various survival strategies in children as they explore different situations through actions, movements, and changes. (Chiesa, 2012, pp 5)
Overall I feel strongly play therapy in all forms whether it be art therapy, role playing, non-directive/directive play, can promote healing, through self expression of feelings. It can also encourage children to build creative ways to deal with current and future trauma, and allow the development of healthy decision-making.
Chiesa, C, (2012). Scripts in the sand;
Sandplay in transactional analysis psychotherapy with children. Transactional Analysis Journal.
pp. 5
Retrieved from Walden Library databases.
Colleague 2: Tiffany
Play therapy can be beneficial because Claudia is a young child who happened to be in the wrong place at the wrong time and saw a mugging which caused her to be fearful, and develop anxiety. Play therapy helps the child to relax and the child is interested in playing with the toys in the sand. The sand can help the child relax and the toys can help the child create her own world. Usually, children will repeat behaviors or experiences during play. This can help the social worker assess the magnitude of trauma or abuse the child has experienced. This also makes it easier for the child to talk about their trauma or experiences. Play therapy helps children address and resolve their own problems. Play therapy helps to communica ...
Identify the distinction of DSM 5 vs ICD.
Explain the significant change in the fifth edition .
Discuss and differentiate the purposes of mental illness classification.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
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Model Attribute Check Company Auto PropertyCeline George
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June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Biological screening of herbal drugs: Introduction and Need for
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Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
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Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
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Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
2. WHAT IS THERAPEUTIC
COMMUNICATION?
Interpersonal interaction between the
nurse and client during which the nurse
focuses on the client’s specific needs to
promote an effective exchange of
information.
3. Therapeutic Communication
An interpersonal interaction
between the nurse and the client
during which the nurse focuses on
the client’s specific needs to
promote an effective exchange of
information.
Skilled use helps the nurse
understand and emphatize with the
client’s experience
4. Goals of Therapeutic
Communication
Establish a therapeutic nurse-client relationship.
Identify the most important client concern at
that moment (the client-centered goal).
Assess the client’s perception of the problem as
it unfolds. This includes detailed actions
(behaviors and messages) of the people
involved and the client’s thoughts and feelings
about the situation, others, and self.
5. Facilitate the client’s expression of
emotions.
Teach the client and family necessary
self-care skills.
Recognize the client’s needs.
Guide the client toward identifying a
plan of action to a satisfying and socially
acceptable situation.
6. Communication
is the process that people use to
exchange information.
Messages are simultaneously sent and
received on two levels:
1) verbally through the use of words and
2) nonverbally by behaviors that
accompany the words (Balzer Riley, 2000).
7. Verbal communication
consists of the words a person uses to
speak to one or more listeners.
1. Content - the literal words that a person
speaks.
2. Context is the environment in which
communication occurs and can include
the time and the physical, social,
emotional, and cultural environment
(Weaver, 1996).
8. Nonverbal communication
is the behavior that accompanies verbal
content such as body language, eye
contact, facial expression, tone of voice,
speed and hesitations in speech, grunts
and groans, and distance from the
listener.
Nonverbal communication can indicate
the speaker’s thoughts, feelings, needs,
and values that the speaker acts out
mostly unconsciously.
9. Congruent message
is when content and process agree.
For example, a client says, “I know I haven’t
been myself. I need help.” She has a sad
facial expression and a genuine and
sincere voice tone.
10. Incongruent message
content and process disagree—when
what the speaker says and what he or she
does do not agree.
11. Therapeutic communication can help
nurses to accomplish many goals:
Establish a
therapeutic nurse–
client relationship
Identify
Assess
Facilitate
Teach
Recognize
Guide
12. Proxemics
is the study of distance zones between people
during communication.
four distance zones:
Intimate zone (0 to 18 inches between people):
parents with young children.
Personal zone (18 to 36 inches): family and
friends who are talking.
Social zone (4 to 12 feet): in social, work, and
business settings.
Public zone (12 to 25 feet): speaker and an
audience, small groups, and other informal
functions (Hall, 1963).
13. Touch
Functional-professional touch is used in
examinations or procedures.
Social-polite touch is used in greeting,
such as a handshake.
Friendship-warmth touch involves a hug in
greeting, an arm thrown around the
shoulder of a good friend, or the back
slapping some men use to greet friends
and relatives.
Love-intimacy touch involves tight hugs
and kisses between lovers or close
relatives.
Sexual-arousal touch is used by lovers.
14.
15. Active listening
means refraining from other internal
mental activities and concentrating
exclusively on what the client says.
16. Active observation
means watching the speaker’s nonverbal
actions as he or she communicates
17. Conditions Affecting
Communication
Values
Attitudes
Beliefs
Perceptions
Culture or Religion
Social Status
Gender
Age or
developmental
level
Environment
18. Enhancing Communication
Silence
Support/reassurance
Sharing Observations
Acknowledge
feelings
Broad – open ended
statements
Information giving
Interpretation
Restating
Reflecting
Clarification
Confrontation
Offering
Alternatives
Voicing doubt
Role-playing
Use of Humor – use
cautiously/discretel
y
20. THERAPEUTIC COMMUNICATION
TECHNIQUES
TCT Examples Rationale
Accepting—
indicating
reception
“Yes.”
“I follow what you
said.”
Nodding
An accepting response
indicates the nurse has
heard and followed the train
of thought. It does not
indicate agreement but is
nonjudgmental. Facial
expression, tone of voice, and
so forth also must convey
acceptance or the words will
lose their meaning.
21. Broad
openings—
allowing
the client to take
the
initiative in
introducing
the topic
“Is there
something you’d
like to talk
about?”
“Where would
you like to
begin?”
Broad openings make
explicit that the client has
the lead in the interaction.
For the client who is
hesitant about talking,
broad openings may
stimulate him or her to take
the initiative.
Consensual
validation—
searching for
mutual
understanding,
for accord
in the meaning
of the
words
“Tell me whether
my
understanding
of it agrees with
yours.”
“Are you using
this word to
convey that . . .
?”
For verbal communication
to be meaningful, it is
essential that the words
being used have the
same meaning for both (all)
participants.
Sometimes words, phrases,
or slang terms
have different meanings
and can be easily
misunderstood.
22. Encouraging
comparison—
asking that
similarities
and differences
be noted
“Was it
something like . .
. ?”
“Have you had
similar
experiences?”
Comparing ideas,
experiences, or relationships
brings out many recurring
themes. The client
benefits from making these
comparisons
because he or she might
recall past coping
strategies that were
effective or remember
that he or she has survived a
similar situation
Encouraging
description of
perceptions—
asking the
client to
verbalize what
he
or she perceives
“Tell me when
you feel
anxious.”
“What is
happening?”
“What does the
voice seem
to be saying?”
Encouraging the client to
describe ideas fully may
relieve the tension the client
is feeling, and he or she
might be less likely to take
action on ideas that are
harmful or frightening.
23. Encouraging
expression—
asking client to
appraise the
quality of his or her
experiences
“What are your
feelings in regard to .
. . ?”
“Does this contribute
to your distress?”
consider people and
events in light of his or
her own values. Doing
so encourages the
client to make his or
her own appraisal
rather than accepting
the opinion of others.
Exploring—delving
further into a
subject or idea
“Tell me more about
that.”
“Would you describe
it more fully?”
“What kind of
work?”
help them examine
the issue more fully.
Any problem or
concern can be
better understood if
explored in depth. If
the client expresses an
unwillingness to
Explore a subject,
however, the nurse
must respect his or
her wishes.
24. Focusing—
concentrating
on a single
point
“This point seems
worth
looking at more
closely.”
“Of all the concerns
you’ve mentioned,
which is most
troublesome?”
encourages the client to
concentrate his or her
energies on a single point,
which may prevent a
multitude of factors or
problems from
overwhelming the client. It is
also a useful technique
when a client jumps from
one topic to another.
Formulating a
plan of
action—
asking the
client to
consider kinds
of behavior
likely to be
appropriate
“What could you do
to let your anger out
harmlessly?”
“Next time this comes
up, what might you
do to handle it?”
helpful for the client to plan
in advance what he or she
might do in future similar
situations.
Making definite plans
increases the likelihood
that the client will cope
more effectively in a similar
situation.
25. General leads—
giving
encouragement
to continue
“Go on.”
“And then?”
“Tell me about
it.”
indicate that the nurse is
listening and following what
the client is saying without
taking away the initiative for
the interaction.
Giving
information—
making available
the facts that the
client needs
“My name is .”
“Visiting hours
are . . .”
“My purpose in
being here is .”
Informing the client of facts
increases his or her
knowledge about a topic or
lets the client know
what to expect.
Giving
recognition—
acknowledging,
indicating
awareness
“Good morning,
Mr. S . . .”
“You’ve finished
your list of
things to do.”
“I notice that
you’ve
combed your
hair.”
Greeting the client by name,
indicating awareness
of change, or noting efforts
the client has
made all show that the nurse
recognizes the
client as a person, as an
individual.
26. Making
observations—
verbalizing what the
nurse perceives
“You appear tense.”
“Are you
uncomfortable
when . . . ?”
“I notice that you’re
biting your lip.”
Sometimes clients
cannot verbalize or
make themselves
understood. Or the
client may not be
ready to talk.
Offering self—
making oneself
available
“I’ll sit with you
awhile.”
“I’ll stay here with
you.”
“I’m interested in
what you think.”
The nurse can offer
his or her presence,
interest, and desire
to understand.
Placing event in time
or sequence—
clarifying the
relationship of
events in time
“What seemed to
lead up to . . . ?”
“Was this before or
after . . . ?”
“When did this
happen?”
Putting events in
proper sequence
helps both the
nurse and client to
see them in
perspective.
27. Presenting reality—
offering for
consideration that
which is real
“I see no one else in
the room.”
“That sound was a
car backfiring.”
“Your mother is not
here; I am a nurse.”
When it is obvious
that the client is
misinterpreting
reality, the nurse can
indicate what is real.