lecture week 5.1 pharm

8/11/2019 Lecture Week 5.1 Pharm

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WEEK 5


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Objectives

Articulate how verbal communication style

affects the nurse-client relationship.

Articulate how nonverbal communication

styles affect the nurse client-relationship.

Analyze other factors that may influence

communication with clients.

Explain and use therapeutic communicationconcepts.


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Define communication

Combination of verbal and non-verbal

behaviors integrated for the purpose of sharing

a message.

Communication terms:

Denotation- common meaning

Connotation- personal meaning to object


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Culture and communication

Anybody watch NCIS?

Know Ziva? What does she do when she is

speaking at times?


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Verbal communication

Words used to communicate with others,

influenced by age, race, socioeconomic group,

educational background, and sex.

As a nurse, communication is vital. The book

talks about caring for an unconscious patient

and her remembering the voice of her nursewhen she woke, never forget this!


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Make sure to avoid

Slang and jargon

Medical jargon


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How you say it can have a huge

impact

With your shoulder partner use the exercise on

p. 173

Take the 3 sentences and change them into

positives.

Now lets talk about what you came up with,

was it challenging?


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Non-verbal communication

Allow silence

Use congruent nonverbal behaviors- what you

are saying matches your body language.

Use facilitative body language-

Posture

Facial expressions

Eye contactGestures

Touch


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Mr. Beans holiday

Lets do this

Watch the following movie clip

Half of the class write down dialogue that you

think should be spoken by Mr. Bean

Half of class write down dialogue that you

think the police officers should be saying


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Mr. Beans holiday

http://www.youtube.com/watch?v=EKMWjyVja6

Y
http://www.youtube.com/watch?v=EKMWjyVja6Yhttp://www.youtube.com/watch?v=EKMWjyVja6Yhttp://www.youtube.com/watch?v=EKMWjyVja6Yhttp://www.youtube.com/watch?v=EKMWjyVja6Yhttp://www.youtube.com/watch?v=EKMWjyVja6Y


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Mr. Beans activity continued

Lets put them together and see if the

nonverbal were interpreted the same, would

love 8 volunteers.

Lets make one last connection, how did the

interpretations vary? How does this get

applied to the nursing profession?


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Non-verbal activity

Stack the deck

Everyone gets a card, dont share your card withanyone.

No talking.

Using nonverbal communication, get into 4 groupsaccording to your card. There will be a spadesgroup, hearts, clubs and diamonds group.

Now, get in numeric order, from smallest numberto largest (2-Ace).

Quickest group wins!!


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How do we identify our own

communication style?

Clients get frustrated with the communication

of their caregivers, understanding your own

behaviors will create an environment of

healing and not of frustration.

Lets figure our styles out.


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First, do this

On a blank sheet of paper, identify how you

feel you communicate with strangers.

Now, with the students I assign you, walk

through your IPOWER statement.

Have each student give you feedback, do youthink this is similar to how you will

communicate with patients?


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Now, do this

Reflect on what you just learned and

recognized with your behaviors. What did you

do great? What are you going to be aware of

when caring for others?

Dont be afraid to use the box on page 172 to

reflect on ideas.


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Therapeutic communications

Got skills?


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Define Therapeutic

Communication

An interactive dynamic process, involving

nurse and client to achieve health-related

goals. Verbal and nonverbal communication.

Done with a purpose!


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Essential components

Active listening- what is the patient not telling

us?

Words with a purpose


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What alters the process on the

patient side?

Being preoccupied

Unable to understand

Emotions

Feeling defensive

Confusion, dont understand the message

No privacy

Hearing or cognitive impairments


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What alters the process on the

nursing side?

Preoccupation

Being in a hurry

Making assumptions

Cultural stereotypes

Defensiveness or personal insecurity

Thinking ahead to next question

Client who is emotional or aggressive


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Client centered communications

Begins with.

Building rapport

Observing

Asking questions- open ended questionsencourage the client to drive the conversation,

focused questions places limitations on the

answer you are seeking, closed ended

questions narrow the focus even more to a oneword answer usually.


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Active listening

Minimal cues and leads

Clarification

Restatement

Paraphrasing

Reflection

Summarization

Silence


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Negative listening skills

False reassurance

Giving advice

False inferences

Moralizing

Value judgment

Social responses


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Lets watch

http://www.youtube.com/watch?v=h2_FdDqI7B

I
http://www.youtube.com/watch?v=h2_FdDqI7BIhttp://www.youtube.com/watch?v=h2_FdDqI7BIhttp://www.youtube.com/watch?v=h2_FdDqI7BIhttp://www.youtube.com/watch?v=h2_FdDqI7BIhttp://www.youtube.com/watch?v=h2_FdDqI7BI


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What is your take away????

Lets go through each scenario. What could

they have done even better?


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Lets do this

I will pair you up, spend 5 minutes sharing a

random story with your partner, something

they would know nothing about.

Return to your desk, we will discuss.

lecture week 5.1 pharm

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