Wk 4 Communication, Interviewing and the complete Health History abbreviated student notes 2015

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Communication, Interviewing & the Complete Health HistoryWeek 4
ResourcesStephen, T.C., Skillen, D.L., Day, R.A., Jensen, S. (2012). Canadian Jensen’s nursing health assessment. Philadelphia, PA: Lippincott, Williams & Wilkins.College of Nurses of Ontario (2009). Therapeutic nurse-client relationships. Retrieved from .Registered Nurses Association of Ontario (2002). Client centred care. Retrieved from Registered Nurses Association of Ontario (2002). Establishing therapeutic relationships. Retrieved from ionships.pdf
Communication & Interviewing
Nurse-Patient RelationshipTherapeutic use of selfPrivileged relationship Communication is a complex, ongoing, interactive process that forms the basis for building the nurse-patient relationship
Therapeutic CommunicationBasic tool used in the caring relationshipInteraction focuses on the patient and the patient concernsInvolves asking the right questions and then careful listeningDemonstrates caring & empathy
Model of Communication6/16/166You will cover this in your nursing theory course as well.
Process of communicationSending Receiving Internal factorsExternal factors
Communication SkillsNonverbalMajority of communication is nonverbal - 7% verbal, 38% vocal cues,55% body cuesPhysical appearanceFacial expressionPosture & positioning GesturesEye contactUse of touchPersonal spaceVerbalSpeak at moderate pace & volume using:RestatementReflectionEncourage elaborationSilence Focusing ClarifyingSummarizingActive listening
Nontherapeutic ResponsesFalse reassuranceSympathy vs empathyUnwanted advice Biased questionsChanges of the subjectDistractionTechnical or overwhelming languageInterruptingNonprofessional involvementSexual boundary violation

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