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Client Nurse Relationship and Therapeutic Communication - Coggle Diagram
Client Nurse Relationship and Therapeutic Communication
Professional Vs. Social Relationship
Professional
Focus: client
Goals: client needs and concerns
Parameters: healthcare setting, relationship has a beginning and end. Self disclosure only as needed
Social
Focus: both parties
Goals: personal companionship
Parameters: social situation, relationship is ongoing, sharing life events
Phases of the Professional Client-Nurse Relationship
Orientation
Introduction - names and role
Identify/clarify the client's problem
Collect information on health status
Orientate to facility
Formulating the contract - goals to be accomplished
Build trust - privacy, confidentiality
Working
Explore and determine solutions: Nursing Process (ADPIE)
Assessment
Nursing diagnosis
Planning
Implementation
Evaluation
Pre-Interactional
Time to examine your role as a professional Registered Nurse
Your feelings about the Client - age, diagnosis, cultural considerations, previous interactions
Termination/Discharge
BEGINS WITH ADMISSION
Identify goals met
Identify future needs
Closure
Discharge planning
SMART goals
Communication
Verbal
the words we use, our language
Nonverbal
gestures, facial expressions, posture, physical appearance
Social factors
relationship, environment, previous experience
In healthcare
Client focused
Client and nurse focused on the client, the healthcare problem, with defined boundaries
Client feels cared for/understood
Significant others are included
Health teaching / preventative care included
Communication Barriers
Topic changes by either client or nurse
May be related to being uncomfortable with the subject
Nurse attempts to redirect conversation back to topic at hand unless the topic is too uncomfortable for the client
Consider cultural norms
Compare nonverbal and verbal bahavior
Communication Techniques
Physical attending
Active listening
Use of silence
Empathy
Touch
Open ended questions
Modify communication
Restatement (summarize the message)
Reflection (emotional theme)
Focusing (goal orientated questioning)
Clarifying
Giving information (not telling what to do)
Summarizing and planning
Non-Therapeutic Responses
False or inappropriate reassurance
Giving advice/offering solutions
Changing the subject
Stating your opinion
Inappropriate use of facts
Closed ended questions
Stereotyping
Cultural Considerations
Language
Social structure
Religious/health beliefs
Diet and nutrition practices
Time orientation
Family
Roles
Perspective on Illness
Nonverbal communication