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Hlsc110 - Assessment

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Video Vignette: “The Paramedic”

What can I take away from the experience of observing this video that will help me build knowledge and Self-Awareness in Therapeutic Communication?

In observing James (the paramedic) carry out a first aid attendance to a patient, Sally, who is 28-weeks pregnant, I was able to identify a range of Therapeutic Communication techniques and have gained to appreciate the significance of Self-Awareness and what it means to be patient-centred.

Communicating therapeutically typically uses a combination of techniques such as empathy, touch, active listening, clarifying and open-ended questioning as noted by Day, J., Levett-Jones, T., & Kenny, R. (2015). Ultimately, it aims to create a space in which the patient feels sufficiently safe to express their feelings openly and disclose what may often be private and personal, so that practitioners can make accurate assessments and diagnoses. For example, Sally had difficulty speaking, so James worked around this roadblock by asking close-ended questions and held Sally’s hand before asking, “Have you got a headache? Just squeeze my hands if you’ve got a headache.” So as not to make the history note-taking difficult for Sally, James recruited her husband David, to answer the more probing questions relating to her medical history and genetic predispositions. David in turn responded in a cooperative manner which indicated the beginnings of rapport being established. The tone and quality of his voice projected a sense of concern yet reassurance - that in her moment of medical need, he was right there by her. From James’s verbal and non-verbal communication techniques (open stance, crouched down to be closer to the patient), he demonstrated what Therapeutic Communication is about.

An important tool in effective Therapeutic Communication is the concept of Self-Awareness. The practitioner’s

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