1. What is Therapeutic Communication ?
Answer :
Therapeutic communication is a collection of techniques that prioritize the
physical, mental, and emotional health of the patient. Nurses provide patient
support and information while maintaining professional level of distance and
objectivity. With therapeutic communication, nurses often use open statements
and questions, repeat information, or use silence to ask patients to solve
their own problems.
2. Why therapeutic
communication is essential for nurses and patients ?
Answer :
Because
therapeutic communication helps the patient in clarifying and reducing the
burden of thoughts and feelings for basic action to alter the situation when
the patient believes in what is needed. Assist effective action, strengthen the
interaction of both parties, between patients and nurses professionally and
proportionally in order to help solve clien.
3. Define some skills
that you know to be used in therapeutic communication ?
Answer :
Here are
some techniques that are used in therapeutic communication
a. Listen attentively
Nurses try to listen to clients and deliver verbal and non-verbal messages, to
show that nurses are concerned about clients needs and problems. Listening
intently is an attempt to understand all the verbal and non-verbal messages
that are being communicated.
b. Shows acceptance
Accepting
here does not mean to approve. Accepting means being willing to listen to
others without showing any doubt or disagreement. Nurses do not always have to
accept all client behavior. Nurses should avoid facial expressions and body
movements that show disagreement, such as frowning or shaking their heads as if
not believing.
c. Asking related questions
The purpose of the nurse asks is
to get spesific information about the client. It is best if the question is
related to the topic being discussed and by using words in the client's
cultural context. Things to watch out for, questions are asked in order.
d. Repeating the speech of the client with his
own words
This fourth therapeutic communication technique can be explained that by
repeating the client's speech, the nurse provides feedback, so the client knows
that the message is understood and expects the communication to continue.
e. Clarification
In
case of misunderstanding, the nurse can stop the conversation to clarify by
equating perception. In order for the message to arrive correctly, the nurse
needs to provide a concrete and understandable example of the client.
f. Focusing
This method is done with the aim
of limiting the conversation, so it is more specific and understandable. The
nurse should not stop the conversation when the client presents the problem,
unless the conversation continues without new information.
g. Convey the results of observation
Delivering what the nurse has observed from the
clients verbal and non-verbal message can be used as feedback on what the
client has said. This often makes the client can communicate clearly, without
having to increase by focusing and clarifying message that have been delivered.
h. Offer information
This
additional information enables deeper appreciation for clients of their
circumstances. Providing additional information means providing health
education for clients. In addition, it will increase the client's trust in the
nurse. The nurse should not advise clients when offering information, but
facilitate clients to make decisions regarding their circumstances.
i. Be quiet
Silence gives nurses and clients time to organize his thoughts. The use
of the silent method requires skill and timeliness, otherwise it will cause
uncomfortable feelings. Silence allows the client to communicate with himself,
organize his thoughts, and process information. Silence is especially useful
for clients when it comes to making decisions
j. Summarize
Summarizing is a repetition
of a major idea that has been briefly communicated. Summarizing the
conversation can help the nurse repeat an important aspect of the interaction
so that it can continue to spread on related topics.
4. Roleplay about Therapeutic Communication
"In a room in the hospital, there are
patients who have wounds and nurses will do wound care"
Nurses
1 and 2 :
"Good morning"
Patient : "Good morning,
what is it ?"
Nurse
1 and 2 : "Introduce me
Nurse Ai and Rahmi We will take care of mother from 7 am to 4 pm. Looks like
mother's bandage should be replaced and mother's wound must be cleaned too,
what if I clean?"
"But
the patient refused to clean his wound and the nurse tried to persuade
him"
Patient : "But I do not
want to because it will hurt"
Child
Patients : "Mothers
wounds must be cleaned in order to recover quickly"
Nurses
1 and 2 : "Yes
it's true that the wound must be cleaned to dry quickly and recover
quickly"
patient : "But I still do
not want nuns"
Child
Patient : "Mom only
briefly and definitely will not hurt"
Nurse
1 and 2 : "Yes it's just
a little while and even though it hurts I'm sure you can hold it for a while,
if the maternal bandage is not replaced and the mother's wound is not cleansed
it can cause a slow healing process and will cause a new wound"
Patient : "Is that
true?"
Nurse
1 and 2 : "Yes right
then the wound must be cleaned and the bandage must be replaced to recover
quickly"
Patient : "Yeah well I
want my wound cleaned"
"Finally,
the patient's wound was cleaned and the bandage changed, because the nurse
explanation about the importance of wound care so that the patient who did not
want the wound was cleaned and the bandage in the end finally want to do wound
care"
Nurse
1 and 2 : "Well sir, the
wound I've cleaned and the bandage I've changed How do you feel now?"
Patient : "I feel
better"
Nurse
1 and 2 : Okay because the
maternal wound care is over, we want to go back to the room and when the mother
needs us, the mother can call us in the nurse's room. "
Child
Patient : "Yes Sisters
Thank You"
Nurses
1 and 2 :
"Yeah are the same"
"The
patient feels better and the nurse leaves the patient's room"
Conclusion : We as a nurse must be skilled in
communicating with the patient and provide an explanation of the actions to be
performed as clearly as possible.
