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Therapeutic communication
Therapeutic communication in the patient–provider relationship is interpersonal exchange, using verbal and nonverbal messages, that culminates in the patient being helped
5 Communication Essentials
1.Complete
2.Clear
3.Concise
4.Courteous
5.Cohesive
Encoding
This is the process of forming a message that transmits a specific meaning. The sender encodes messages.
Decoding
The process of deciphering the meaning of a message is known as decoding. The receiver decodes messages.
Non Verbal Communication
•Eye contact
•Gestures
•Personal space
•Physical contact
•Facial expressions
•posture
What % of Communication is Non-Verbal?
70%
What percentage of messages are communicated through tone?
23%
What % of a message is communicated by what is actually sai?
7%
Therapeutic Communication
Therapeutic communication in the patient–provider relationship is interpersonal exchange, using verbal and nonverbal messages, that culminates in the patient being helped
Client Centered Approach
Emphasizes clients’ knowledge and experience, strengths, capacity for choice, and overall autonomy
Close-ended questions
require short, one or two word responses
direct/indirect questions
direct qs leave little doubt about what information the provider is looking for. Indirect qs may not be worded in ways to inform patients what info the provider is seeking
leading questions
restrict or influence patient responses. the wording suggests what answers are sought by the practitioner
open- ended questions
phrased to provoke a wide range of possible responses, and encourage patients to elaborate upon their needs
multiple choice questions
phrased in ways to require patients to consider several possibilities, usually between two or more options
question response burden
a level of demand placed on the patient to answer the providers question
ruling out/ ruling in questions
used to clarify and specify patients’ needs and concerns ; ruling out irrelevent data
active listening
the process of fully understanding what another is communicating
avoidable suffering
harm to a patient from an imperfect healthcare system; can be prevented by organizing care for the patient
compassion
the concern shown for the suffering of patients and includes sensitivity, warmth, tolerance, and empathy
confirmation
a way of communicating acknowledgement and acceptance of others ; validate the other person
empathy
both an emotional and cognitive understanding of the experiences of others ; understanding and valuing the patient’s perspective
emotional knowing
the capability of recognizing one’s own and other person’s emotions being able to identify and label them appropriately
incorporation
the second step in establishing empathy: the experience of the patient that is now known to the provider is taken into the self of the provider
inherent suffering
the consequences of patients’ diagnosis (pain and treatment)
reducing alienation
empathetic responses reduces patients’ feelings of alienation r
reverberation
the third step in showing empathy ; the provider’s similar past experiences help with understanding a patient’s experience
sympathy
the act of feeling the feeling or needs of another ; sadness or pity