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Concepts of therapeutic communication
Concepts of therapeutic communication
Therapeutic communication
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A2 Edna, a 79 year old woman with bilateral leg ulcers, is visited by community nurses twice a week to change the dressing on her legs. She lives alone and has recently been feeling socially isolated. This essay will demonstrate the different techniques in which the nurse and Edna will communicate, whilst also identifying socio-political factors that could impact Edna in her daily life. It is predicted that with an ageing population, by 2031 there will be more than 14.5 million people with hearing loss and over 2 million with severe hearing loss in the UK (The Ear Foundation, 2014). Subsequently, due to Edna’s age, this essay will also discuss the impact of ageing body systems on Edna’s life and as barriers when communicating with her. The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in …show more content…
The community nurses that visit her twice a week should be analytic of the environment she is living. This is because a quarter of older households live in non-decent housing, impacting not only on the size of their heating bills but also on their health (Age UK, 2013). If this is the case, the outcome of poor housing conditions such as damp, indoor pollutants and cold have all been associated with physical illness including eczema, hypothermia and heart disease (Chartered institute of Environmental Health, 2015). This puts Edna at risk of further complications to her health and due to her age makes her more vulnerable to being affected with more serious health
Mollie is the patient in our case study. Mollie lives with her daughter and son in law, both in their 70’s. A home health aide assists Mollie five days a week for three hours each day. At age 94, Mollie is an older adult, considered to be part of a vulnerable population, at risk for hearing, visual and mobility deficits. This at risk population can experience changes in cognitive or physical status making the activities of daily living difficult to perform (Meiner, 2011). As people like Mollie age, gradually becoming less able to function independently, their grown children, potential caregivers, may be preoccupied with the demands of their own lives and not prepared to care for an older
Molly O’Brien (pseudonym) is a 72-year-old retired primary school who lives with her 65-year-old sister Petra in a bungalow. Molly receives regular visits from a district nurse to monitor and redress her current leg ulcer. She is mobile and independent with the use of a walking stick but needs some assistance when showering.
Therapeutic communication can help promote a relationship between the nurse and the client, by focusing on the client’s needs. The nurse can do this by using various types of communication skills, such as giving recognition, giving information, and offering self. Giving recognition is acknowledging the client’s needs in a non-judgmental way.An example of giving recognition in Bed Number Ten is “After you’re a little better, we’ll be taking you to the physical therapy department for regular work to rebuild your strength” (54). Sue enjoyed the conversation with Charles because he was the first to spoke to her about getting better. Giving information is providing specific factual information the client may or may not request. “All the way through,
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
Globally it is estimated that there will be a “252% increase in people aged over 65 with one or more chronic condition by 2050” (Procter et al, 2013). The Department of Health’s 2013 Vision and Strategy for District Nurse detailed the increasingly important role that District Nurses have in the delivery and coordination of community healthcare. It described the District Nurse role as “Managing and accountability for an active caseload and providing population interventions to improve community health and wellbeing; Working with a range of health and social care partners in order to provide services for adults and their carers, at home”. A large part of the District Nurse caseload is managing patients with long term conditions and multi-morbidities.
the social conventions of the time. She spends more time on her art. She goes
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
Care is defined as an action by an individual or group of people showing deliberate care and concern for one another and acting to meet the best interests of an individual. The act of caring for others has been recognised as one of the most important aspects of the nursing profession and labelled an “art.” Nursing encompasses autonomous and collaborative care of individuals or groups, sick or well and in all settings. A nurse’s work includes promoting health and preventing illness as well as caring for the ill, disabled and dying; however, the most important aspect of nursing care is meeting the potential and actual health needs of a client. Because a patient is at one of their most vulnerable points in life, it is imperative that nurses can effectively demonstrate they genuinely care for their patients by meeting the needs of a client holistically rather than merely focusing on the visible or physiological needs of their patients. This essay will explore how nurses can demonstrate their care for their patients in a deliberate and meaningful way.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
Mental health nurses are skilled at using therapeutic communication techniques. They use different forms of communication with patients to help them either heal or cope with their mental state. Giving recognition, being available and accepting, offering encouragement, verbalising observations, restating what the patient has said, seeking clarification, putting feelings of the patient into words, and many other therapeutic techniques are used when communicating with a patient.
Therapeutic communication is an important skill for a nurse to utilize when it comes to relationships between the patient and nurse. In Regina’s case, integration of empathetic and compassionate communication skills in combinat...
Interpersonal systems include interaction, communication, role, stress, stressors, and transactions. A nurse must keep this in mind as he interacts with the patient, using his communication skills to read both the patient’s verbal and non-verbal languages, identifies each other roles, conflicts or stressors, and aims for a successful goal achievement or transaction. One example is a situation when a patient needs to get out of bed after a surgery. After the nurse explained the reason, his support, and the patient’s role, he must assess and explore the patient’s motivation or reservation to accomplish the task. Additionally, when a family member is present, he may get involved in the interaction to influence the patient’s
Therapeutic relationship is well-defined as the process of interrelating, that concentration on advancing the physical and emotional comfort of a patient. Nurses use therapeutic practices to provide support and evidence to patients. It may be compulsory to use a variation of techniques to achieve nursing goals in collaborating with a patient. By discovering the reluctance of the patient to study, as well as the opinions and beliefs of the client and their family, the nurse work together with the client to discoveraexplanation. The...
As a teenager who has never experienced hearing loss or the loss of physical movement, I have never been very aware of the obstacles that elders face. After carrying out the activity for this week, I have gained a better insight as to what older Americans experience while living in a country that so dearly values youth. Many young citizens in our country see older people as incapable citizens that need taking care of, which makes them seem like a burden to the American ideas of independence and stability. However, it is only once people grow older that they become aware of the struggles that older people fight through in order to seem independent. While temporarily impairing my hearing, I learned more about myself, the people around me, and especially more about the older people in my life and the struggles that they must endure because of their age.