This document discusses therapeutic communication techniques used in mental health nursing. It defines therapeutic communication and its purpose in establishing a nurse-patient relationship and identifying patient needs. Some key techniques discussed include active listening, open-ended questioning, reflection, and role playing. The document also examines principles of therapeutic relationships and potential issues that can arise such as transference, resistance, and boundary violations. Interventions for overcoming therapeutic impasses focus on self-awareness, clear communication, and supervision.
It is an interpersonal interaction between the nurse and the patient during which the nurse focuses on the patient’s specific needs to promote an effective exchange of information.
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
Therapeutic communication and interpersonal relationship Neha Sharma
Therapeutic communication is defined as the face-to-face process of interaction that focuses on advancing the physical and emotional well-being of a patient. Nurses use therapeutic communication techniques to provide education and support to patients, while maintaining objectivity and professional distance.
berkomunikasi dengan pasie dibutuhkan cara dan strategi yang tepat.... komunikasi terapetik sangat membantu untuk itu.... semoga manfaat (Assoc. Prof. Dr. Arwani, SKM, BN.Hons. MN)
It is an interpersonal interaction between the nurse and the patient during which the nurse focuses on the patient’s specific needs to promote an effective exchange of information.
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
Therapeutic communication and interpersonal relationship Neha Sharma
Therapeutic communication is defined as the face-to-face process of interaction that focuses on advancing the physical and emotional well-being of a patient. Nurses use therapeutic communication techniques to provide education and support to patients, while maintaining objectivity and professional distance.
berkomunikasi dengan pasie dibutuhkan cara dan strategi yang tepat.... komunikasi terapetik sangat membantu untuk itu.... semoga manfaat (Assoc. Prof. Dr. Arwani, SKM, BN.Hons. MN)
Unit 4- Therapuetic communication.pptx coomunication, process recordingS.DHIVYALAKSHMI
Communication refers to the giving and receiving of information. Communication is the means by which people influence the behaviour of another, leading to the successful outcome of nursing intervention.
Therapeutic Communication and Nurse – Patient Interaction 1.pptxWaldoGoesWild
Therapeutic communication is a type of professional communication defined as the purposeful, interpersonal, information-transmitting process that leads to client understanding and participation.
Effective Communication in Nursing is very essential to meet not only the expectation of patients toward Healthcare services but also to help achieve departmental or organizational goals and objectives.
Miscommunication is one of the leading causes of medical errors that may bring harm or permanent damage to patients. Emphasizing the use of effective communication in the healthcare setting lessen the occurrence of such errors.
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.
developmental psychology.pptx for nursing studentsSulekhaDeshmukh
there is notes of developmental psychology it is very important chapter of psychology i make this notes in very easy method easy you can understand, in this unit will get knowledge about the psychological development according to age and what psychological changes will be there according to age, about all these will get knowledge except of these topic will get knowledge about the psychology of challenged individual, psychology of women and psychology of group, this notes will help you for exam if you loke so please like
psychological assessment and test for nursing students unit 8.pptxSulekhaDeshmukh
this is the easy notes of psychology for BSC Nursing 1st year and for GNM 1st year, psychological assessment test will help to know about the person's behavior, here will get what is the psychological assessment test, definition purpose, types of assessment test, this psychological assessment test we use for those peoples who are getting problem in their carrier, it will be help in which field we can make our carrier in this notes will get how we can interpreted test, i make this notes in very easy form definitely it will help for exam
Unit 4- Therapuetic communication.pptx coomunication, process recordingS.DHIVYALAKSHMI
Communication refers to the giving and receiving of information. Communication is the means by which people influence the behaviour of another, leading to the successful outcome of nursing intervention.
Therapeutic Communication and Nurse – Patient Interaction 1.pptxWaldoGoesWild
Therapeutic communication is a type of professional communication defined as the purposeful, interpersonal, information-transmitting process that leads to client understanding and participation.
Effective Communication in Nursing is very essential to meet not only the expectation of patients toward Healthcare services but also to help achieve departmental or organizational goals and objectives.
Miscommunication is one of the leading causes of medical errors that may bring harm or permanent damage to patients. Emphasizing the use of effective communication in the healthcare setting lessen the occurrence of such errors.
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.
developmental psychology.pptx for nursing studentsSulekhaDeshmukh
there is notes of developmental psychology it is very important chapter of psychology i make this notes in very easy method easy you can understand, in this unit will get knowledge about the psychological development according to age and what psychological changes will be there according to age, about all these will get knowledge except of these topic will get knowledge about the psychology of challenged individual, psychology of women and psychology of group, this notes will help you for exam if you loke so please like
psychological assessment and test for nursing students unit 8.pptxSulekhaDeshmukh
this is the easy notes of psychology for BSC Nursing 1st year and for GNM 1st year, psychological assessment test will help to know about the person's behavior, here will get what is the psychological assessment test, definition purpose, types of assessment test, this psychological assessment test we use for those peoples who are getting problem in their carrier, it will be help in which field we can make our carrier in this notes will get how we can interpreted test, i make this notes in very easy form definitely it will help for exam
mental health and mental hygiene for nursing students ptxSulekhaDeshmukh
it is very easy notes of psychology for BSC nursing 1st year students and GNM 1st year mental heath is very important topic every year will get question from this chapter so hear i made very easy notes , here will get notes about what is the mental health, what are the characteristic of mental healthy person, what is mental illness, how we can identify that person is mentally ill person, about the defense mechanism, frustration and conflict , how we can over cum frustration so please if you like my notes please like, it will help for your exam
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
TOP AND BEST GLUTE BUILDER A 606 | Fitking FitnessFitking Fitness
"Feature:
• Intelligent Ergonomically Design Glute Builder Is A Must Have For Those Looking To Target Their Gluteal Muscles And Hamstrings With Precision.
• The Ability To Adjust The Starting Position, This Machine Allows For A More Targeted Workout That Is Tailored To Your Specific Needs.
• Spacious And Supportive Cushioned Seat Provide Added Comfort And Stability During Your Workout."
Get more information visit on:- www.fitking.in
Our mail I.D:-care@fitking.in, fitking.in@gmail.com
Call us at :- 9958880790, 9870336406, 8800695917
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
1. Vidyakirana College Of Nursing
Bangalore
Subject - mental health nursing
Topic - therapeutic communication
Presented by - Mrs. Sulekha Deshmukh
2. COMMUNICATION
• Introduction
• Communication is the
giving, receiving or
exchanging of information
opinions or ideas so that the
message is completely
understood by everybody
involved
3. DEFINITION
• Communication is the process of exchanging
information ,though ,ideas ,and feeling from
one individual to another.
• Communication is the process by which a
massage is passed from the sender to
receiver with the objective ,that the massage
sent is received and understood as intended.
4. Purpose of communication
• To transfer information between one to
another.
• To interpret[understand] and adopt policies in
the organization .
• To improve employer employee relationship.
• To recruit, select, train and develop the
personnel in the organization.
• To encourage participation in decision making
5. • To boost[encourage people] the group moral
of the worker
• To ensure job satisfaction.
• to help in the grievance[ something that you
think is unfair and that you want to
complain] procedure and disciplinary action .
• To prepare the personnel and public for a
change process.
7. DEFINITION
• In therapeutic communication the nurse direct
the communicate toward the patient to
identify current health problem , plan
implement and evaluation the action taken.
• Therapeutic communication is defined as
communication strategies that support a
patient’s feeling of well being.
8. Purpose of therapeutic
communication
• Establish a therapeutic nurse patient
relationship.[establish- start a moral
relationship with somebody]
• Identify the most important patient’s need
• Asses the patient's perception of the problem
• Facilitate the patient's expression of emotion
• Implement intervention designed to address
the patient's need
9. • To identify client's strength and weaknesses.
• Clarify the area of conflict and anxiety.
• Promoting self care and independence.
• To develop trust .
10. Principles of therapeutic
communication
• Treat the client as an individual
• Accept the client as he is .
• Aware the total need of the client
• Emotional and involvement is essential .
• Consistency[same] in behavior
• Encourage the client feeling
• Honest and open communication needed.
11. • Engage in active listening
• Establish trust and rapport.
• Sufficient time is provided to the client to
respond.
• When patient is uncomfortable do not prolong
the conversation.
14. LISTENING
• It is the first rule of therapeutic nurse
relationship. the patient should be talking
more than the nurse during the interaction
listening is sign of respect and is powerful
reinforce[to make some thing stronger] .
Active listening involves all the nurse’s senses
eg. Maintaining eye contact and receptive
non verbal communication
15. BROAD OPENING
• BROAD OPENING – here the nurse is
encouraging the patient to select topic for
discussion. patient should be
welcomed to the communication with warmth
and respect .the patient should feel that nurse
is ready to listen eg. what are you thinking
about ? what shall we discuss today?
Domination of the interaction by the nurse or
rejecting the responses by the nurse result in
poor therapeutic relationship
16. QUESTIONING
• QUESTIONING - the nurse skillfully asks open
ended question [ that mean can not be
answered with yes or no, there is need to
longer response]during the initial admission
avoid asking too many personal questions in
one session eg. How come you stopped
taking your medication?
17. RISTATING
• Nurse is repeating of the main though the
patient has expressed it is also indicates the
nurse is listening to the patient .usually a part
of patient’s statement is repeated
• Eg. Your mother left when you were 5 yr. old?
18. CLARIFICATION
• Here the nurse make specific question to help
clear up a specific point . Patient verbalization
may not be clear when overwhelmed with
emotion , To make clear that which is not clear
understanding between the nurse and patient.
• Eg. I am not sure what you mean ,could you
tell me about it again.
19. with the help of reflection we can direct back
the client’s ideas, feelings, questions and
content.
Eg : You are feeling anxious and tense and it is
related to a conversation you had with your
husband last night?
REFLECTION
20. FOCUSING
• Focusing helps the patient expand a topic and
also helps in analyzing in detail .it helps the
patient talk about life experience and accept
the responsibility for improving them
Eg. I think you should talk more about your
relationship with your husband?
21. SHARING PERCEPTION
• It involves asking the patient to verify the
nurse’s understanding of what the patient is
thinking or feeling
Eg: “You are smiling, but I sense that you are
really very angry with me.”
22. THEME IDENTIFICATION
Themes are underlying [important but hidden]
issues or problems experienced by the patient that
emerge [to appear or come out from somewhere]
repeatedly during the course of the nurse-patient
relationship, like anxiety, depression.
“it sounds like that is very important to you, you
have mentioned it a very few times”
23. Silence:
• SILENCE – Lack of communication for a
therapeutic reason. Eg : Sitting with a client
and non-verbally communicating interest and
involvement .
24. HUMOR –
• HUMOR – The discharge of energy through
the comic enjoyment of the imperfect. That
gives a whole new meaning to the word
‘nervous’ , said with shared kidding between
nurse and the patient.
25. Informing:
Informing or giving information is nurse share
simple facts with the patient. This skill is use in
patient education like when to take medication,
necessary precautions and side effects.
“I think you need to know more about your
medication works”
26. SUGGESTING
• Suggesting is preparation of alternate ideas.
As a therapeutic technique, it is useful
intervention in the working phase of the
relationship. Suggesting or giving advice can be
non-therapeutic. Patient may take nurse’s advice
and still have an unsuccessful outcome, the
patient returns to blame nurse
27. CONFRONTATION
a fight or an argument
• Helping the patient become aware of
inconsistencies in feelings, attitudes, beliefs or
behaviors.
Eg. You say you have already decided what to
do, yet you are still talking a lot about your
options.
28. ROLE PLAY
• Role play is a technique that allows patient to
explore realistic situations by interacting with
other people in a managed way in order to
develop experience and trial different
strategies in a supported environment
32. TYPES OF RELATIONSHIPS .
• SOCIAL RELATIONSHIP - social relationship
give us a way conceive social context, with the
help of social relationship we can fulfill our daily
needs
Ex. – friends, neighbors, coworkers,
33. • INTIMATE RELATIONSHIP An- intimate
relationship is a relationship between two
individuals committed to one another, caring for
and respecting each other . Those in an intimate
relationship usually react naturally with each
other . According to Erikson , the intimate
relationship focus the basis for marriage and
other partner-type relationships .
34. • THERAPEUTIC RELATIONSHIP The therapeutic
relationship between a healthcare professional
and a client ,it is a mean by which the therapist
and a client hope to engage with each other and
effect beneficial change in the client.
35. • HELPING RELATIONSHIP – it is an interaction
process in which the nurse fulfills their role by
using her professional knowledge and skill in
such a way that she is able to help the patient
physically, socially and emotionally.
36. COMPONENTS / ELEMENTS OF NURSE-
CLIENT RELATIONSHIP
• RAPPORT. – a friendly relationship in which
people understand each other very well
• EMPATHY. – the ability to imagine how another
person is feeling and so understand his /her mood.
• WARMTH. – the quality of being kind and friendly
• GENUINENESS - sincerity
• CONFIDENTIALITY.- usually this will mean keeping
things secret between the client and you .
37. THERAPEUTIC INTERPERSONAL
RELATIONSHIP – PHASES .
1. Pre-interaction phase
nurse responsibility in pre – interaction phase
to become well know about own feeling ,fear
and fantasies
Analyze professional strength and weakness
Collect information about the patient like
demographic data, occupational data
Prepare a plan based on the data before meeting
38. Problem found in preinteraction phase
• Anxiety
• Anger
• Depression
• Boredom[ the state of being bored]
Nurse can take help of senior experienced nurse
to overcome anxiety ,analyze self and identify
the limitation.
39. Orientation phase
It is the first meeting of the nurse with her
client , in this phase the main goal of nurse
is to find out the cause of patient seeking [to try
to find something]help
Nurse responsibility in orientation phase
nurse establish rapport ,gain trust and create
a familiar situation in which the patient accept
the nurse.
40. • Nurse initiate effective communication
• They collects all the data about client’s
feeling, emotion, strengths and weakness.
• The nurse identify major area of the problem
and plan for the interventions.
• The nurse discusses with the client how to
solve the problem .
41. Problem found in orientation phase
• both nurse and patient may have problem
accepting each other as a unique individual.
• They may have trust issues between them.
42. Working phase
• Most of the therapeutic interventional
activities carried out in this phase ,nurse and
patient act as a team to identify stressors of
the patient and promote the development of
insight.
Nurse responsibility in working phase
• gather more and more data of the patient to
explore the stressors.
43. • Let the patient understand his behavioral
change by evaluating himself
• The nurse can evaluate the problems and
redefine them.
44. Problem found in working phase
• Some times patient test the nurse
• Making an unrealistic goal can give frustration
to both nurse and patient
• Nurse live problem
• Transference
• Resistance
45. Termination phase
• It is the most important phase of the
relationship , the main aim of this phase is to
bring a therapeutic end to the termination
phase
Nurse responsibility of termination phase
• put reality of separation in front of the
patient
46. • Nurse and patient should mutually explore the
feeling ,emotion and related behavior
• Evaluate the effectiveness of therapy and
achievement of goal
• Discuss future plans for meetings if required
47. Problem found in termination phase
• Anger
• Depression
• Nurse unwillingness to implement any plan
48. REVIEW TECHNIQUES OF IPR /. Johari
Window
• The Johari window is a technique to help
people better understand their relationship
with themselves and others it was created by
psychologist joseph Luft and Harrington
Ingham in 1955 .
49. Open area
Information about you
that both you and others
know
Blind area
Information about you
that you do not know but
others know
Hidden area
Information about you
that you know but others
do not know
unknown area
Information about you
that neither you nor
others know.
50. Need for Johari window
• Self awareness
• Cordial relationship
• Improve communication
• Team development
• Personal development
• Group dynamics
51. Therapeutic impasse and its
intervention
• Therapeutic impasses are the block in the
progress of the nurse-client relationship.
Impasses provokes intense feelings in both the
nurse and the client, which may range from
anxiety and apprehension ( feeling of worry)
to frustration, love or intense anger. They arise
for a variety of reasons and may take many
different forms, but they all create blocks in
the therapeutic relationship
53. Resistance
• Resistance is the patient ‘s attempt to remain
unaware of anxiety producing aspects within
the self , it Is a natural or learned to avoidance
of verbalizing or even experiencing troubled
aspects of self.
54. TRANSFERENCE
• It is an unconscious response of the patient in
which he experience feeling and attitudes
towards the nurse that were originally
associated with significant figures in his early
life
55. Counter transference
• It is a therapeutic impasse created by the
nurse
• It refers to nurse ‘s specific emotional
response generated by the qualities of the
patient
• In this case the nurse identifies the patient
with individual from their past and personal
need will interfere with therapeutic
effectiveness.
56. • The nurse’s unresolved conflicts about
authority ,sex, assertiveness and
independence to create problems rather than
solve them
57. Gift giving
• Receiving a gift from patient make the nurse
to inhibit independent decision making and
created a feeling of anxiety or guilt
• Gift is something of value is voluntarily offered
to another person ,usually to convey a
gratitude
• The timing of a particular situation ,the intent
of giving and the contextual meaning of giving
of the gift
58. Boundary violation
• It occurs when nurse goes outside the
boundaries of therapeutic relationship and
establishes a social, economic or personal
relationship with the patient.
59. Possible boundary violation related to
psychiatric nurse
• the patient takes the nurse out to lunch or
dinner
• Has difficulty in setting limit with patient
• Relates the patient to a friend or family
members
• Has sexual feeling towards a patient.
60. • Feels that she is the only one who
understands the patient
• Feel that other staffs are too critical or jealous
of her relationship with the patient.
61. INTERVENTIONS TO OVERCOME
THERAPEUTIC IMPASSES
• Nurse must have knowledge of impasses and
recognize behaviors.
• Nurses must examine their strengths ,
weaknesses, and values before they can
interact more appropriately with clients.
• Nurses must be open and clear about their
genuine[ real or true] reactions when clients
misperceive behavior .
62. • Limit setting is useful when clients act
inappropriately towards the nurse .
• Maintain open communication with his / her
supervisor[ most senior staff at the place of
work] ,who can assist the nurse in making
discharge plan of the patient.