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Therapeutic Communication Techniques
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Open-ended Questions
Open-ended questions are questions that cannot be answered with a simple 'yes' or 'no', encouraging the patient to provide more information. For instance, a nurse might ask, 'Can you tell me more about your pain?'
Naming The Feeling
Naming the feeling involves recognizing emotional states the patient might be experiencing. For instance, 'You seem a bit anxious today, is there something troubling you?'
Encouraging Description Of Perception
This technique asks the patient to describe how they perceive situations or symptoms, promoting discussion. For instance, 'Tell me how you feel when you get these headaches.'
Verbalizing The Implied
Verbalizing the implied involves expressing in words what the patient has only suggested or hinted at. For instance, 'It sounds like you’re feeling hopeless about your current health situation.'
Active Listening
Active listening involves giving full attention to the patient, acknowledging feelings, and providing feedback. For example, a nurse may nod and say, 'I see,' as a patient describes their symptoms.
Humor
Using humor can break the ice and relieve tension, when appropriate. For example, joking gently about hospital gowns being unfashionable.
Presenting Reality
Presenting reality is used when clarifying misconceptions by describing how things actually are. For example, if a patient is hallucinating, 'I understand you're scared, but I assure you, there’s no one else in the room.'
Clarifying
Clarifying ensures the nurse's understanding is correct by asking the patient to explain or elaborate. For example, 'When you say you're feeling dizzy, can you describe what that feels like?'
Touch
Therapeutic use of touch can convey caring and provide comfort. For example, gently holding a patient’s hand while discussing their concerns.
Restating
Restating is simply repeating the exact words of the patient to encourage continued talking. For example, Patient: 'I'm so tired of this pain.' Nurse: 'Tired of the pain?'
Reflecting
Reflecting involves repeating back to the patient what they have just said, which can encourage further discussion. For instance, 'You're feeling anxious about the surgery tomorrow—is that right?'
Information Seeking
Information seeking entails prompting the patient to provide more details needed for assessment. For example, 'Could you tell me exactly where you feel the pain and what kind of pain it is?'
Providing Information
Providing information means giving the patient clear, concise and accurate information that they need. For example, explaining a medication’s side effects before administration.
Empathy
Empathy involves understanding and sharing the feelings of the patient. For example, 'I can understand how receiving this diagnosis might be upsetting for you.'
Validation
Validation acknowledges the patient’s feelings, experiences, and concerns as legitimate. For example, 'It's completely understandable that you'd be nervous before this kind of surgery.'
Exploring
Exploring means delving deeper into a subject, detail, or idea the patient has mentioned. For example, 'You’ve brought up your fatigue a few times, can we talk more about that?'
Offering Hope
Offering hope is cautiously giving a patient encouragement regarding their prospects or treatment. For instance, 'Many people with this condition improve substantially with treatment.'
Summarizing
Summarizing involves briefly stating the main points of what the patient has conveyed, helping to clarify and confirm what has been discussed. For example, 'You've mentioned that the pain gets worse in the afternoon and after walking.'
Voicing Doubt
Voicing doubt is expressing uncertainty to encourage patients to recognize and clarify their own beliefs. For instance, 'Are you sure that skipping the medication is helping you feel better?'
Focusing
Focusing helps to steer the conversation to key issues when the patient is rambling or jumping between topics. For example, 'Let's go back to when you first noticed the swelling.'
Sharing Observations
Sharing observations means pointing out things noticed about the patient without assuming or diagnosing. For example, 'I see that you’ve finished all your meals today, how’s your appetite?'
Broad Openings
Broad openings allow the patient to take the initiative in the conversation. For example, 'Where would you like to begin today with our discussion?'
Attempt To Translate Words Into Feelings
This technique transforms the patient's verbal communication into emotional language. For example, 'When you say 'stuck', do you mean you’re feeling frustrated with your progress?'
Genuineness
Genuineness is about being honest and transparent in interactions. For example, 'I’m not sure of the answer, but I’ll find out for you,' demonstrates honesty and a commitment to the patient.
Using Analogies
Using analogies helps explain complex concepts by comparing them to familiar situations. For example, comparing blood flow in clogged arteries to water running through a narrow pipe.
General Leads
General leads encourage the patient to continue speaking. For example, 'Go on,' 'Tell me more about that,' or a simple 'And then?' can prompt further sharing.
Seeking Consensual Validation
This technique checks that the nurse and patient are in agreement about what is being discussed. For example, 'My understanding is that you’re feeling better today, is that correct?'
Encouraging Formulation Of A Plan Of Action
This technique prompts patients to think about future actions concerning their health. For example, 'What might be some steps you could take to improve your diet?'
Self-Disclosure
Self-disclosure involves appropriately sharing personal experiences with the patient to enhance connection. For instance, 'When I had surgery, I felt anxious too; it’s a common feeling.'
Confrontation
Confrontation is used carefully to point out discrepancies in the patient’s behavior or communication. For instance, 'You say it doesn't hurt, but I notice you wince when you move.'
Translation To Felt Need
Translation to felt need means interpreting and responding to the underlying emotions of the patient's message. For example, 'You must be exhausted dealing with these symptoms every day.'
Reassurance
Reassurance helps to alleviate fears and anxiety. For instance, 'We'll be monitoring you closely throughout the procedure and will do everything to keep you comfortable.'
Offering Self
Offering self means being available and showing a willingness to spend time with the patient. For instance, 'I have a few minutes, would you like to talk about what’s on your mind?'
Asking Personal Questions
Asking personal questions should be done with care to obtain necessary clinical information without invading privacy. For example, 'Can you describe your living situation to help me understand how to best support your recovery?'
Giving Leads
Giving leads offers the patient direction in the conversation without overtaking it. For instance, 'Tell me what you’ve been doing to manage your stress lately.'
Cultural Sensitivity
Cultural sensitivity involves being aware of and respecting the patient’s cultural background. For example, 'Would you like to discuss any cultural practices or dietary preferences that are important to you?'
Silence
Using silence effectively allows the patient time to think and gather their thoughts or emotions. For instance, a nurse may remain silent after asking a difficult question to give the patient space to respond.
Encouraging Evaluation
Encouraging evaluation asks the patient to provide their own thoughts about their experiences or health issues. For example, 'How do you feel the treatment has been working so far for you?'
Paraphrasing
Paraphrasing means restating the patient's message in the nurse's own words to show that they are actively engaged and understand. For example, 'So, you're worried that the medication might make you feel tired during the day?'
Encouraging Comparison
Encouraging comparison asks the patient to compare experiences, feelings, or relationships. For example, 'How does this pain compare to what you experienced last time?'
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