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Communication

Communication. Nursing 103. Development Values and Perceptions Roles and Relationships Environment. Congruence Interpersonal Attitudes Gender Personal Space Territoriality. Factors Influencing the Communication Process. Stereotyping Agreeing and Disagreeing Being defensive

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Communication

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  1. Communication Nursing 103

  2. Development Values and Perceptions Roles and Relationships Environment Congruence Interpersonal Attitudes Gender Personal Space Territoriality Factors Influencing theCommunication Process

  3. Stereotyping Agreeing and Disagreeing Being defensive Challenging Probing Testing Rejecting Changing topics and subjects Unwarranted reassurance Passing judgment Giving common advice Barriers to Communication

  4. Infants: Communicate through senses. Touch is important Toddlers and Preschoolers: Give them time to respond. Picture drawing used to communicate School-Age Children: Talk at eye level. Include child in conversation Adolescents: Build rapport. Active listening, nonjudge- mental, nonreactive. Communication With Children

  5. Physical or Cognitive problems Sensory deficits Cognitive impairment;dementia Neurological deficits R/T stroke-paralysis or aphasia Obtain appropriate resources to improve interaction and socialization Simple, face to face conversations Include family/friends Use reminiscing to maintain memory and self identity. Communication with the Elderly

  6. Communication and the Nursing Process • Assessing: Determine communication barriers or problems • Diagnosing: Determining the nursing diagnosis R/T the etiology of the communication impairment. • Planning: Nurse and client plan desired outcomes to resolve factors impairing communication

  7. Communication and the Nursing Process • Planning: Plans ways to promote more effective communication • Implementing: Nursing interventions to assist client with achieving more effective communication.

  8. Communication and the Nursing Process • Evaluating: Listen attentively, observe nonverbal cues, use therapeutic communication to determine if the client is effectively communicating. • Process Recording

  9. Directive Interview Nondirective Interview Rapport Types of Questions Closed Questions Open-ended Questions Interviewing

  10. The Interview and the Setting • Time: Comfortable, convenient, pain free • Place: Free of distraction and interruptions • Seating: 45 degree angle in bed • Distance: 1-3 feet; Men require more space than women; anxiety increases need for space. • Language: Translate medical terminology

  11. Stages of the Interview • The Opening: Most important part • Establishing Rapport: Create goodwill and trust • Orientation: Explains the purpose of the interview • The Body: Client expresses what he or she thinks to questions from the nurse. • The Closing: Nurse terminates when information is collected. Or, client terminates.

  12. Belief that others can help and will help Open and authentic,spontaneous, nondefensive. Concerned with helping others Assures client of getting quality care Put yourself in another’s position;communicate that you understand the client’s reality and feelings Willingly receives the client’s honest feelings and actions without judgment. Review

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