medline psych nursing 2011 01 13- therapeuticcommunication

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    Intelectual Property of Felix Alfredo Guiang 1/11/2011

    Not for distribution without the knowledge of

    the owner 1

    Bridge to an Inner Mind

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    fundamental element of the nurse-client

    relationship, client teaching, case management,

    staff development, and all the activities

    performed by nurses

    process of transmitting thoughts, feelings, facts,

    and other information

    People cannot not communicate

    reciprocal in that both the sender and receiver

    must be involved

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    Sender

    encoder

    Generates a message.

    stem from a persons need to relate

    to others,

    to create meanings,

    to understand various situations

    Sender

    Messages are generated

    external factors,

    internal stimuli

    Encoding

    the use of language and other specific signs and

    symbols for sending messages

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    The Message

    a stimulus produced by a sender and responded to

    by a receiver.

    may be

    Verbal

    Nonverbal

    Written materials Arts

    The Channel

    The medium through which a message is transmitted.

    major communication channels:

    Visual

    sight, observation, and perception

    Auditory

    spoken words and cues

    Kinesthetic

    experiencing sensations

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    The Receiver

    the person who intercepts the senders message.

    influenced by

    Complex physiological

    Psychological

    Cognitive processes

    Feedback

    The information the sender receives about the

    receivers reaction to the message.

    Provide the sender with information about the

    receivers perception of a situation.

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    Specific rather than general

    Descriptive

    Provided in a supportive, nonthreatening

    manner Given in a timely manner

    Usable and appropriate to client needs

    Clear and unambiguous

    Direct and honest

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    Perception

    Cultural Context

    Space and Distance

    Time

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    Perception

    persons sensing and understanding of the world

    help a person determine the meaning of the words

    and the content of the messages being

    communicated.

    the listener to confirm what she thinks she has heard,

    because interpretation of the message depends

    upon the hearers perception of the message.

    Cultural Context

    Because behavior is learned, nonverbal

    communication varies from culture to culture.

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    Space and Distance

    Proxemics is the study of the distance between

    people and objects.

    Each person has an invisible buffer zone or personal

    space.

    Culturally defined, this boundary alerts a person as

    to how close another can comfortably approach.

    respects the clients personal space in several ways

    Space and Distance

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    Space and Distance

    Space and Distance

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    Time

    chronemics - The study of the effects of time on the

    communication process

    The amount of time spent in communicating depends

    on the clients needs.

    Keeping clients waiting conveys a message that they

    are unimportant.

    Prompt and who allows time for the client to talk

    communicates nonverbally, You are important to

    me, and I value you as a person.

    Perception

    Cultural Context

    Space and Distance

    Time

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    Verbal Messages

    messages communicated through words and

    language, either spoken or written

    paraverbal (paralinguistic) cues:

    tone and pitch of voice;

    Speed

    Inflection

    Volume

    Grunts

    Other nonlanguage vocalizations

    Nonverbal Messages

    Unspoken messages often carry more weight

    can be more reliable.

    Cues to determine the meaning of changes inclient behavior

    Facial Expression

    Posture

    Gesture

    Touch

    Physical Appearance and Artifacts

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    Nonverbal Messages

    Unspoken messages often carry more weight

    can be more reliable.

    Cues to determine the meaning of changes in

    client behavior

    Facial Expression

    Posture

    Gesture

    Touch

    Physical Appearance and Artifacts

    Fundamentals of Nursing: Standards & Practice,

    Second Edition

    by Sue C. DeLaune, Patricia K. Ladner

    Psychiatric Mental Health Nursing

    by Sheila L. Videbeck, PhD, RN