Premium Essay

Therapeutic Communication in Patients

In:

Submitted By gcat
Words 1021
Pages 5
Reflection on Video Vignette
What can I take away from the experience of observing this video that will help me develop clinical skill (knowledge and self-awareness) in either therapeutic communication or inter-professional communication?

Video Nine - Occupational Therapy

Therapeutic communication is used continuously throughout the discussion between Elizabeth (occupational therapist) and Sally (client) who is in recovery from a pregnant stroke. It’s a relationship to provide goal-oriented support to the patient in advancing their physical and emotional wellbeing. Listening to the patient means taking onboard both the content and the feelings the client is expressing, while subsiding personal judgement and ideas to centre attention on patient needs and goals. Elizabeth executes effective therapeutic communication which I can confidently mimic, to help me develop skills in clinical.

What?
Sally has been hospitalised for 5 days and is recovering from a pregnant stroke. Elizabeth uses a therapeutic approach to engage and talk to Sally about her needs for returning home and living safely. Elizabeth introduces herself to deliberately ensure Sally knew her name and how she was helping her. This is effective in clinical as patients may have various doctors and can become disoriented with the different people. Introductions ensures the client knows who each person is, and how they are helping them. When talking to clients, showing your body language is engaged with the client’s conversation is important to show engagement and respect. Sitting squarely indicates interest which Elizabeth uses as she lowers herself in a chair to Sally’s bed frame which shows respect as she is now eye level with Sally. Elizabeth adopts an open posture although doesn't face Sally. This can create a barrier with the client as they may think the nurse is disinterested or doesn't care

Similar Documents

Free Essay

Reflection

...video that will help me build knowledge and self-awareness in one of the following areas: therapeutic communication; or inter-professional communication? DOCTOR EMERGENCY DEPARTMENT VIDEO * Therapeutic Communication ‘Therapeutic communication is defined as the face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient’ (Laffan. S, 2011) and as ‘a process in which the nurse consciously influences a client or helps the client to a better understanding through verbal or nonverbal communication’ (Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.). Reflecting on the ‘Doctor Emergency Department’ video (Doctor Emergency Department), I chose to concentrate on therapeutic communication. Therapeutic Communication uses many different strategies to gain trust, demonstrate empathy and to provide the best and most comfortable care for the patient. There are also barriers involved with therapeutic communication, which will hinder healthcare. Therapeutic communication differs from our every ‘day to day’ communication between friends or family (social relationship) as it is a learned skill, that is patient focused and is beneficial to the patient. Therapeutic communication has a defined life line and the relationship will cease when the healthcare for that patient ends. Also ‘The Nursing and Midwifery Board of Australia approves codes and guidelines’ (Nursing...

Words: 1068 - Pages: 5

Premium Essay

Reflection- Assessment Task Two

...video that will help me develop clinical skill (Knowledge and self-awareness) in either therapeutic communication or inter-professional communication? The video I have chosen to reflect upon is the handover of the pregnant stroke patient from the Paramedic to the Nurse. The paramedic introduces himself and the patient Sally. The paramedic describe the past events that lead to sally being brought into hospital and his observation made at the patient’s home. For example her age and weeks of pregnancy and that she is not on any medications that they know of.The paramedic completes his handover leaving the patient in the care of the nurse. The nurses takes over care of the patient and comes down to the patient’s level and introduces herself to patient. The Nurse also explains what will happen next and remains forces on the care of the patient, using Therapeutic communication. This video shows many techniques that may benefit my development of clinical skills and knowledge in relation to Therapeutic communication. This form of communication that is used in the clinical environment is a collaborative partnership between the carer, the patient and their family and/or partner. This partnership as the main interest of meeting the best possible outcomes for the patient within the mutually agreed upon goals for the individual who is in care (Berman, Kozier, & Erb, 2015) . This form of communication is based on mutual trust, respect and acceptance. Currently I have limited clinical skills...

Words: 934 - Pages: 4

Premium Essay

Personal and Professional Health Care Communication

...Commuication HCS/ 350 Feburary 24, 2014 Tracy D. Anderws, DNP,ACNP,CCRN Personal and Professional Health Care Communication Personal and professional health care communication plays a major role in the care of the patient and how information is transmitted from one health care provider to the next. Collaborating with all members of the interdisciplinary team ensures that care will be provided at the highest level and patient safety will be first priority in order to have a good outcome. To better serve the community, these are some steps that we as professional nurses will take a look at to promote quality care for our patients. These includes the definition of health care communication, relevancy of effective personal health care communication to health outcomes, the lack of effective personal and professional health care communications along with theories and principles of therapeutic communication and how it affects the health care setting, patient, family members and the other health care providers. Definition of Health Care Communication According to Northhouse and Northouse (1998) “communication is the process of sharing information using a set of rules.” Communication has several modes of how one can relay pertinent medical information and share within the health care setting. Interaction such as non-verbal and verbal communication, oral, written, telephone conversation, emails and web cam just a few are means of communicating and providing...

Words: 1548 - Pages: 7

Premium Essay

Therapeutic Communication

...Assessment Task 1 – Written Reflection I believe that therapeutic communication is a form of psychotherapy in which the person doing face to face interviewing consciously uses strategies that encourage the patient to express feelings andideas and that convey acceptance and respect they are achieved through advancing the physical and emotional well-being of a patient in a non-judgmental way, while showing empathy and concern. The aim of therapeutic communication is to increase self-worth or decrease emotions such as anxiety and anger by putting together information to determine the illness. Ufema, J. (2008). More than just hand-holding. Nursing, 38(12). doi:10.1097/01.nurse.0000342039.82567.3a All health care professional study techniques of therapeutic communication, these techniques help the patient and health-care professional develop rapport and trust with one another during each other’s company for example when going to an appointment. For therapeutic communication to be successful, a mutual understanding between both the patient and the health care worker needs to be met. It is very important for the health care workers to use proper communication to prevent a misunderstanding between the health care worker and patient. This open communication shows a genuine and continual concern for what the patient is expressing. Throughout this essay I will be using the Driscoll model of reflection in nursing to express my understanding of the vignettes and making reference to...

Words: 1197 - Pages: 5

Premium Essay

Communicatin

...Therapeutic Communication Nursing 4206 Therapeutic Communication Any communication designed to increase the self-worth of the patient or decrease psychological distress Implies unconditional positive regard for the patient from the nurse and is done in a caring, concerned, empathic manner Therapeutic Nurse-Patient Relationship Therapeutic nurse-patient relationships can only occur when each views the other as a unique human being Therapeutic relationships are goal oriented, client-centered and are directed at learning and promoting growth Goals are often achieved through use of the problem-solving model Self-Awareness Process of understanding one’s own beliefs, thoughts, motivations, biases, and limitations and recognizing how they affect others Crucial in developing a therapeutic nurse-patient relationship Conditions Essential for a Therapeutic Relationship Rapport Trust Respect Genuineness Empathy Phases of the Therapeutic Nurse-Patient Relationship Preinteraction Phase Explore self Learn about patient Orientation Phase Honeymoon phase Testing Phase Phases continued Working Phase Patient explores identified problems and strategies to work on them Promote client insight and perception of reality Overcome resistant behaviors Continuously evaluate progress toward goal attainment Phases continued Resolution Phase Stressful for the patient Learning is maximized Patient reactions to termination Denial Anger/hostility Feelings of rejection Regression Variables that Influence Communication...

Words: 280 - Pages: 2

Premium Essay

Cuckoo's Nest Therapeutic Communication

...an immense amount of knowledge and commitment to an evolving patient population beyond the standard administrative practices outlined in the traditional nursing handbook. This knowledge and commitment to the patient is provided by use of therapeutic communication within the nurse-patient relationship. When therapeutic communication is not proficient, patient safety and positive health outcomes are compromised. In the film, One Flew Over the Cuckoo’s Nest (1975), the lack of therapeutic communication used by the nurses in the psychiatric unit had a negative impact on patient safety and positive health outcomes. These patients were verbally abused, treated with no dignity and had very few rights. The nurses were judgmental of the cognitive impairments and coping difficulties the patients endured...

Words: 559 - Pages: 3

Premium Essay

Health Care Communication

...Care Communication Paper HCS/350 Health Care Communication University of Phoenix Personal & Professional Healthcare Communication Paper Professional and effective communication is a vital ingredient to safe and high quality nursing practice. Proper communication with other co-workers, physicians, ancillary staff, patients, and their families is a required skill necessary for all practicing, professional healthcare professionals. Communicating with others has become second nature to us, but are we communicating properly with one another on a day to day basis? The purpose of this paper is to define healthcare communication, identify the relevancy of effective personal healthcare communication with other healthcare professionals, clients/patients; to identify the relevancy of effective professional healthcare communication to health outcomes, to discuss how the lack of effective personal and professional healthcare communication contributes to poor health outcomes; and to discuss theories and principles of therapeutic communication in healthcare settings for healthcare professionals. According to Northouse and Northouse (1998), “communication is the process of sharing information using a set of common rules.” As we all know, communicating with others in the healthcare settings is a complex and multifaceted process that relies on clear and concise delivery of messages, undivided attention from all parties, and full understanding from all. “Healthcare communication is a subset...

Words: 1347 - Pages: 6

Premium Essay

Therapeutic Communication

...TITLE PAGE Therapeutic Communication And Nursing Considerations As a nurse, one must expect to be faced with diverse situations. From teaching patients of varied educational backgrounds to explaining a difficult diagnosis, it is the place of the nurse to build a proper relationship and provide therapeutic communication to each person in the most effective manner possible. This paper first describes the fundamental elements of the communication process, and second, reviews the three levels of communication with nursing applications. Third, this paper differentiates between verbal and nonverbal communications, and furthermore describes the nurse’s focus in the nurse-patient relationship. This paper outlines therapeutic and non-therapeutic communication techniques, with regard to cultural diversity and patients with alternative communication needs. The Communication Process “Communication is an interactive process between two or more persons who send and receive messages to one another”(Varcarolis, 2010, p. 175). “Two common elements of every communication exchange are the sender and receiver. The sender initiates the communication. The sender is a person who has a need or desire to convey an idea or concept to others. The receiver is the individual to whom the message is sent. The sender encodes the idea by selecting words, symbols, or gestures with which to compose a message. The message is the outcome of the encoding, which takes the form of verbal...

Words: 2440 - Pages: 10

Premium Essay

Personal and Professional Health Care Communication/ Nur

...Professional Health Care Communication Personal and Professional Health Care Communication In the health care setting, effective health care communication is essential to deliver the best care for the patients. Different disciplines in the health care field collaborate to provide the safest and highest quality care for the patients. The care of patients involves different individuals with different specialty in the heath care field that needs to communicate effectively to share and discuss patient’s information and treatment goals. To communicate effectively with other professionals in the health care field is as important as professional-client communication. In this paper, the importance of professional and personal health care communication and relevancy of effective professional health care communication to health outcomes will be discuss. The lack of professional and personal health care communications contributes to poor health outcomes and the principles and theories of therapeutic communication in health care settings for the health care professional will also covered in this paper. Communication in health care field is essential. Whether a person works in the dietary services, hospital volunteer, or as a nurse’s assistant, health care professionals should learn the skills to communicate effectively. These communication skills are use to interact with patients, co workers, and management. A lack of effective communication skills in the health...

Words: 1373 - Pages: 6

Premium Essay

Nursing Communication

...effective nurse-patient relationship is therapeutic communication. “Therapeutic communication occurs when the nurse uses communication techniques and processes in ways that effectively promote understanding, are therapeutic for the patient and developmental in relation to the nurse-patient relationship” (Kozier & Erb, 2012, p532) . In the video, even though the patient is unable to speak, the nurse actively engages the patient through speech, touch and movement. The nurse informs the patient that they will be seen by a doctor shortly, and that she needed to take some blood from the patient. She also informed the patient as to the whereabouts of their family member. Whilst explaining all of this to the patient, the nurse used clear and concise language that the patient is able to understand. She also leant closely to the patient so they were eye both at the same eye level whilst touching the patient's shoulder. The nurse also touched the patient's arm to explain that she would need to move the patients sleeve to draw some blood. When the doctor enters the nurse announced to the patient that the doctor had arrived. After briefing the doctor as to the current state of the patient the nurse informs the doctor what procedures she was about to perform and also question the doctor on which specialists need to be contacted. The nurse asked the doctor if he would like her call the midwife and radiographer to which the doctor agreed. The nurse then explained to the patient that she was...

Words: 872 - Pages: 4

Free Essay

Personal and Professional Healthcare Communication

...Professional Healthcare Communication HCS/350 January 9, 2012 Personal and Professional Healthcare Communication Personal and professional health care communication is critical in a professional working environment rapidly changing. Communication collaboratively is more effective than individually. Relevancy of effective personal and professional healthcare communication with others benefit and contributes to a better health outcomes. The lack of personal and professional healthcare communication contributes to poor outcomes. Theories and principles of therapeutic communication greatly benefit the healthcare setting, patients, and the healthcare professionals. Define Healthcare Communication Healthcare communication is defined as a process that facilitates interdependence among members of a healthcare group or unit. Communication has multiple meaning and comes in many ways, and this process enhances the shared ideas within the healthcare setting. Healthcare communication is important, it is narrow in scope, and it concerns the individuals with healthcare related information. Healthcare interaction between individuals that communicate can be verbal, nonverbal, oral, or written. Communication can be personal or impersonal issues dealing within healthcare settings. “In health communication, the focus is on specific health-related transactions and factors that influence these transactions” (Northouse & Northouse, 1998, p. 3). Healthcare communication is not only just with...

Words: 1179 - Pages: 5

Premium Essay

Therapeutic Relationship Paper

...the ways in which a nurse must effectively establish and maintain a therapeutic relationship with their patient through not only treatment and caring, but throughout communication towards a selected client from the City of Horizon online Hospital. The selected client to focus on throughout this assignment is Tai Cam. In this assignment, therapeutic relationships will be discussed, assessing the guidelines and boundaries whilst being compared to the national competency standards which must be followed by nurses. A therapeutic relationship is a relationship between the nurse and the patient, however this relationship is on a personal but professional level. Nurses need to ensure they are not coming...

Words: 1810 - Pages: 8

Premium Essay

Personal and Professional Health Care Communication

...Personal and Professional Health Care Communication Tara Clark HCS 350 October 7, 2013 Penny Horper Personal and Professional Health Care Communication Today’s environment of healthcare is both specialized and clinical. Health care communication is a vital component of health care for every patient. Because nurses have a greater responsibility, interaction with patient’s and families can often be hurried, leaving them feeling like they have many unanswered questions. Communication or therapeutic communication as defined by Ruesch (1961) in health care is “an interactive dynamic process entered into by nurse and client for the purpose of achieving identified health-related goals” (p. 175). Relevancy of Communication Health care communication involves many different aspects from both the sender and the receiver of the message. Health care communication is relevant with other health care professionals, patients, and families because it is vital in establishing a trusting, therapeutic, caring environment for everyone involved and can affect outcomes and satisfaction. A code of conduct defines acceptable and unacceptable behaviors for each organization and promotes a culture of collegiality and is essential for a work environment that strives to provide high-quality patient care. Collaborating with other health care professionals is relevant because it helps create a culture of teamwork and essentially helps provide the best care and leaves...

Words: 1238 - Pages: 5

Premium Essay

Hlsc 110- Pregnant Lady

...Reflection Shelby Strong, S00189447 “Therapeutic communication consists of specific techniques, including the use of open-ended questions, touch, focusing, giving information, acknowledging, clarifying, reflecting, silence, and offering self (Berman & Snyder, 2012), with the goal of establishing a nurse-patient relationship based on mutual trust and respect. It is patient-centered as opposed to provider-centered.” (Kleier, 2013, p. 110) The ‘Handover’ video presented within one of the Pregnant Stroke vignettes shows a noteworthy example of effective therapeutic communication. Through inter-professional communication between the paramedic, James, and the nurse, Louise, both of the health-care professionals were able to create a safe, comfortable environment for their patient. “The nurse's key goal is to gain the patient's cooperation and trust often in a limited amount of time.” (Rosenberg, Gallo-Silver, 2011, p. 2) To do this, the nurse and/or health professional must use a range of techniques to achieve the greatest possible outcome for that individual. As Sally, the patient, is pregnant and had just experienced a stroke, it is crucial to keep her calm and reassure her that she is in the best possible care. As a result of James providing the nurse with all of the critical information needed, Louise was able to start forming a relationship with Sally. This pre-interaction phase is crucial in building a rapport with the patient. “If the person doesn’t feel respected...

Words: 952 - Pages: 4

Premium Essay

Communicatio for Health Professional

...Healthcare Communication xxxxxxxx HCS/350 Health Care Communication Prof: xxxxxxx Date: 1/02/2011 “Communication is the process of sharing information using a set of common rules” (Northouse & Northouse, 1998, p. 2). Health care communication is a specific and narrower form of communication that takes place between the health care professionals and patients regarding health. Communication Human Communication Health Communication Figure One: Relationship among three kinds of communication (source: Northouse &Northouse, 1998, p. 2) Many organization has defined health care communication in different ways. Just like any other human communication, it is person specific. This is a skill health care professionals need to learn by practice. According to The United States Office of Disease Prevention and Health Promotion (2010), "the art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community" (Terminology, para. 4). Communication is a skill that professional needs to learn and practice to be an effective communicator. While practicing, they should employ the four basic communication skills:...

Words: 1521 - Pages: 7