Therapeutic Communication and Support Systems

by Anne Vanderputten

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    Hi, I am Anne Vanderputten and welcome to the review of Therapeutic Communication and Support systems. I like to start off by giving an overview of communication and what is it. "Communication is the process of conveying and receiving ideas and information." There are three main components to communication. Receiving the message, understanding the message and sending the message. And breakdown can occur in any point within those three main components. So it seems very simple but communication can be very fragile at times. So let's look at the nursing and goals of therapeutic communication. The first goal is to establish therapeutic rapport which in return equals trust with the patient. If you can develop this rapport the patient will trust the nurse. You also want to assess the client's perception of the problem. What ever the problem might be? It may be their health. Why they are there? Why they have to be there? It's their perception. But through therapeutic communication you establish a confidence the patient has in you. So the patient can then feel safe. So when we identify the client's concerns and problems. Again the security in that for the patient again, safety. And then of-course you guide the client towards a satisfying and socially acceptable solution which is giving the patient information which satisfies their needs at the moment. Or whatever they may need during their stay with you. So for nurses an establishing therapeutic rapport through good communication. There are some key things that you want to always do. So you always want to lead the patient with open ended questions. That allows them to feel free to add on to that. You don't wanna answer the patients before themselves to speak. And you want be always an active listener and be attentive. If...

    About the Lecture

    The lecture Therapeutic Communication and Support Systems by Anne Vanderputten is from the course Psychosocial Integrity. It contains the following chapters:

    • Therapeutic Communication
    • DOs
    • DON'Ts
    • Support Systems - Patient and Family
    • Care and education
    • Nursing Summary

    Quiz for lecture

    Test your knowledge with our quiz for lecture Therapeutic Communication and Support Systems.

    1. “It is normal to feel nervous and you will have the best care. Can you tell me your concerns?”
    2. “I can page the doctor to explain things to you.”
    3. “You have nothing to worry about, it is a minor surgery.”
    4. “The surgeon knows what you need. I think you should have the surgery.”
    1. Use open ended questions and demonstrate active listening
    2. Tell the patient they have nothing to worry about
    3. Assume the patient is angry because of the new diagnosis and demonstrate sympathy
    4. Silence – to allow the patient to verbalize feelings
    1. Printed, visual, educational material because the patient may have difficulty receiving auditory education
    2. Include a family member to give the patient the information
    3. Briefly go over the education since the patient will not likely understand
    4. Ask the patient how they feel about the planned surgery
    1. Asking the patient preference for family to be included in their plan of care
    2. Informing the family of the patient’s diagnosis and ask if they have any questions
    3. Sharing feelings of sympathy with the family
    4. Requesting the family to leave and return during regular visiting hours
    1. “The visiting hours are the same, do you have concerns I can help you with?”
    2. “Your welcome brochure has all the information you need.”
    3. “Don’t worry about that now, your family will visit you when they are able.”
    4. “Why do you ask?”
    1. Ask the clerk to wait while the nurse inquires from the patient if they would like visitors.
    2. Ask if the visitor requires education
    3. Tell the clerk to send the patient’s visitor in to the unit
    4. Tell the clerk nursing is too busy to have visitors at the bedside.
    1. “It is helpful to have a friend you can rely on for support, would you like your friend to be included in your plan of care?”
    2. “Can you tell me what caused your family dispute?”
    3. “That is very sad and I think you should let your family know about your health issues.”
    4. “I understand but we only allow next of kin to visit on this unit.”
    1. “It sounds like your sister is supportive. Would you prefer if we include this education when your sister can be here with you?”
    2. “Your sister can not be here and this education is important to you as the patient.”
    3. “This is very basic information but I will try to make it simpler for you.”
    4. “Will your sister take care of you?”
    1. Inform the patient the use of the cardiac monitoring, educate as appropriate, and offer the patient the opportunity to verbalize feelings.
    2. Tell the patient why cardiac monitors are used but stay near the door so the patient knows you cannot spend much time.
    3. Laugh with the patient about this exaggeration and tell them not to worry.
    4. To be honest and inform the patient how busy the unit is currently but will return if possible to answer any questions.
    1. Sitting near the patient, the nurse may consider using caring touch to share the patient’s feelings and allow the patient time to verbalize
    2. Offering sympathy to the patient and sharing a story about her family member with cancer.
    3. Using silence will let the patient know the nurse has time
    4. Refer this patient for a psychiatric consultation

    Author of lecture Therapeutic Communication and Support Systems

     Anne Vanderputten

    Anne Vanderputten

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