Therapeutic Communication Techniques Presentation

Therapeutic
Communication
THERAPEUTIC COMMUNICATION
 Therapeutic communication is defined as the

face-to-face process of interacting that focuses
on advancing the physical and emotional well-
being of a patient.
 The distinguishing aspect of therapeutic

communication is its application to long-term
communication interactions. This kind of
communication has three general
purposes: collecting information to determine
illness, assessing and modifying behavior, and
providing health education.
 Some of the emotions associated with
therapeutic communication include but are
not limited to the following: Professionalism,
Confidentiality, Courtesy, Trust, Availability,
Empathy, and Sympathy.
 When used to collect information, therapeutic
communication requires a great deal of
sensitivity as well as expertise in using
interviewing skills. To ensure the
identification and clarification of the patient’s
thoughts and feelings, the interviewer must
observe his behavior and listen carefully.
 Listening is one of the most difficult skills
to master. It requires you to maintain an
open mind, eliminate both internal and
external noise and distractions, and channel
attention to all verbal and nonverbal
messages. Listening involves the ability to
recognize pitch and tone of voice, evaluate
vocabulary and choice of words, and
recognize hesitancy or intensity of speech as
part of the total communication attempt.
THERAPEUTIC
TECHNIQUES
Therapeutic communication
begins with the nurse showing
respect for the patient and
family members and
recognizing that
communication includes not
only verbal responses but also
nonverbal expressions, such as
tone of voice, body language
and facial expression. The nurse
must listen and observe
carefully and use
communication techniques that
promote better communication
in order to understand the
needs and feelings of the
patient.
THERAPEUTIC TECHNIQUES
 Offering Self
-making self-available and showing interest and
concern.
-“I will walk with you”
 Active listening
-paying close attention to what the patient is
saying by observing both verbal and non-verbal
cues.
-Maintaining eye contact and making verbal
remarks to clarify and encourage further
communication.
 Exploring
-“Tell me more about your son.”
 Giving broad openings

-What do you want to talk about today?
 Silence
-Planned absence of verbal remarks to allow patient
and nurse to think over what is being discussed and
to say more.
 Stating the observed

-verbalizing what is observed in the patient to, for
validation and to encourage discussion
-“You sound angry”
 Summarizing
-reviewing the main points of discussions and making
appropriate conclusions.
-“During this meeting, we discussed about what you will
do when you feel the urge to hurt your self again and
this include…”
 Placing the event in time or sequence

-asking for relationship among events.
-“When do you begin to experience this ticks? Before or
after you entered grade school?”
 Voicing doubt
-voicing uncertainty about the reality of patient’s
statements, perceptions and conclusions.
-“I find it hard to believe…”
 Encouraging descriptions of perceptions
-asking the patients to describe feelings, perceptions
and views of their situations.
-“What are these voices telling you to do?”
 Presenting reality or confronting

-stating what is real and what is not without arguing
with the patient.
 “I am Mae, your nurse, and this is a hospital and not a
beach resort.”
 Seeking clarification
-asking patient to restate, elaborate, or give examples
of ideas or feelings to seek clarification of what is
unclear.
-“I don’t think I understand what you are saying”.
 Verbalizing the implied
-rephrasing patient’s words to highlight an underlying
message to clarify statements.
-Patient: I wont be bothering you anymore soon.
-Nurse: Are you thinking of killing yourself?
 Reflecting
-throwing back the patient’s statement in a form of
question helps the patient identify feelings.
 Restating
-repeating the exact words of patients to remind them
of what they said and to let them know they are heard.
- Patient: I can’t sleep. I stay awake all night.
- Nurse: You can’t sleep at night?
 General leads
- using neutral expressions to encourage patients to
continue talking.
 Empathy
-recognizing and acknowledging patient’s feelings.
 Focusing
-pursuing a topic until its meaning or importance is clear.
-“Let us talk more about your best friend in college”
 Interpreting
-providing a view of the meaning or importance of
something.
-Patient: I always take this towel wherever I go.
-Nurse: That towel must always be with you.
Encouraging evaluation
-asking for patients views of the meaning or
importance of something.
Giving information
-providing information that will help patients make
better choices.
Feedback
-pointing out specific behaviors and giving impressions
of reactions.
-“I see you combed your hair today”.
Reinforcement
-giving feedback on positive behaviors.
“To effectively communicate, we must realize
that we are all different in the way we
perceive the world and use this
understanding as a guide to our
communication with others.”
Anthony Robinns
END ♥

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Therapeutic

 Therapeutic communication is defined as the

 The distinguishing aspect of therapeutic

 Giving broad openings

 Stating the observed

 Placing the event in time or sequence

 Presenting reality or confronting

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