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information through a complex variety of verbal and nonverbal behavior and consists of various components like the sender, message to be send, receiver and feedback. The therapeutic interaction between the nurse and the patient helps to develop mutual growth of two individuals and the
Communication is an ongoing, dynamic and multidimensional process. Its basic elements are;
sender message channel receiver
Feed back
Verbal
Senders
communication skill (Nurse) Receivers understanding level (Clients) Communication process Silence
Listening
Voicing doubt
Clarifying
Reflection
Giving Information Encouraging formulation of a plan (suggesting) Testing discrepancies Using silence
TOUCH IS ONE MECHANISM OF COMMUNICATING,CARING,SUPPORTING AND NURTURING TO CLIENTS WHO MAY FEEL COMFORT FROM ISOLATION AND FEAR. THERAPEUTIC TOUCH WAS DEVELOPED IN 1970S BY DOLORES KRIEGER AND DORA VAN GELDER KUNZ .
Giving Advices
Challenging Defending Making Stereotyped Comments Offering false reassurance
Social Responding
Asking close-ended questions Changing the subject
Belittling
Probing Giving reassurance Rejecting Interpreting
Goal Oriented
Interventions
Discuss with the client which changes are possible and which are not possible.
Have
alternative.
Assist
Assist the client to evaluate outcomes of the change and make modifications as required.
Therapeutic
The
Johari Window It is representation of the self and a tool that can be used to increase selfawareness. It is divided into 4 quadrants; The Open or Public Self The Unknowing Self The Private Self The Unknown Self
The
pre-interaction phase The orientation phase (introductory) The working phase The termination phase
Phases:
(i) Pre-interaction phase perception
Goals:
Explore self
Establish trust
Contract for intervention Promote client - Evaluate goal attainment ensure therapeutic closure
Resistance
Transference Counter
Peplau (1991) identified several sub roles within the role of the nurse. They are The Stranger The Resource person The Teacher The Leader The Surrogate The Counselor
K. Lalitha , Mental Health & Psychiatric Nursing 1st edition, W.M.G. Book House Publications, 2007, Page No:160-165
Townsent M.C., Psychiatric Mental Health Nursing, 5th edition, Jaypee Publications, New Delhi, 2007, Page No:111-113 Kalpan and Saddocks, Comprehensive Textbook of Psychiatry, 7th edition, volume I, Lippincott William, Philadelphia, 2000,Page No:214-215 Stuart.W., Principles and Practice of Psychiatry Nursing, 8th edition, Mosley Publications, 2005
Kalpan
and Saddocks, Synopsis of Psychiatry, 8th edition, B.I. Waverly Pvt. Ltd. Publications, New Delhi, 1998, Page No.249 259
E, Health Psychology, 6th edition, Tata McCraw Hill Publishers, 2006, Page No:252-266 & Kozier, Fundamentals of Nursing, 8th edition, Pearson Publications, 2008, Page No: 1060-1066
Taylor
Erbs