1. Therapeutic Communication Video
Chapter 26

2. What is communication? Basic human function
Any means of exchanging information or feelings
Consists of verbal and nonverbal messages
Main functions
Influence others
Gain information

3. Communication Process
Sender
Message
Receiver
Response

4. Communication Process

5. Factors to Consider with Verbal Communication
Pace and intonation
Simplicity
Clarity and brevity
Timing & relevance
Adaptability
Credibility
Humor

6. Factors to Consider with Nonverbal Communication
Personal appearance
Posture and gait
Facial expression
Gestures

7. Factors Affecting Communication
Development
Gender
Values and perceptions
Personal Space
Territoriality

8. Factors Affecting Communication
Roles and relationships
Environment
Congruence
Interpersonal attitudes
Boundaries

9. Therapeutic Relationship
Focus on improving the health of the client
Promotes understanding
Establishes a constructive relationship
Involve use of therapeutic communication

10. Therapeutic Communication Techniques (Tab 26-2 pg. 472)
Using silence
General leads
Be specific and tentative
Open ended questions
Touch
Restating or paraphrasing
Seeking clarification/validation

11. Therapeutic Communication Techniques (Tab 26-2 pg. 472)
Offering self
Giving information
Acknowledging
Clarifying time or sequence
Presenting reality
Focusing
Reflecting
Summarizing and planning

12. Barriers to Communication (Tab 26-3 pg. 474)
Stereotyping
Agreeing and disagreeing
Being defensive
Challenging
Probing & using “Why”

13. Barriers to Communication (Tab 26-3 pg. 474)
Testing
Rejecting
Changing topics/subjects
Unwarranted reassurance
Passing judgment
Giving common advise

14. Phases of the Helping Relationship
Pre-interaction
Introductory
Working
Termination

15. Comparative Features of Effective Groups
Atmosphere
Purpose with goals & tasks
Leadership and member participation
Open communication
Group decision making

16. Comparative Features of Effective Groups (cont.)
Cohesion
Conflict tolerance
Power is shared
Problem solving
Creativity encouraged

17. Nursing Assessment Language deficits Sensory deficits
Cognitive impairment
Structural deficits
Paralysis

18. Nurse and Physician Communication
Communication Styles
Nurses are descriptive in verbal and written
Physicians are brief, to the point, and focused on a problem
SBAR (Box 26-7 pg. 487)
Situation
Background
Assessment
Recommendations

19. QUESTIONS?????