Presented by:

Maj® Mrs Nazma Noreen

Learning Objectives
By the end of this session, we all will be able to:
• Describe the therapeutic communication
• Elaborate therapeutic communication skills
Therapeutic Communication
• Therapeutic communication is a collection of techniques
that prioritize the physical, mental, and emotional well-being of
patients
• Nurses provide patients with support and information while
maintaining a level of professional distance and objectivity
• With therapeutic communication, nurses often use open-ended
statements and questions, repeat information, or use silence to
prompt patients to work through problems on their own.
Attentive listening
• Listening actively using all the senses, as opposed to listening
passively with just the ear.
Physical attending
• Actions of physical attending:
 Face the other person squarely
 Adapt an open posture
 Lean forward to a person
 Maintain good eye contact
 Try to be relatively relaxed
Using silence
• Accepting pauses
• Keeping silence for few seconds or minutes
Providing general leads
• Using a statement or question that :
a) Encourages client to verbalize
b) Choose a topic to conversation
c) Facilitate continued verbalization
Using open ended questions
• Asking questions that lead or invite the client to explore thoughts or
feelings
• Specify only the topic to be discussed
• Invite answers that are longer than one or two words
Using touch
• Providing appropriate forms of touch to reinforce caring feeling
• Tactile contacts vary among individuals, families and cultures
Restating or paraphrasing
• Actively listening for the client basic message and the repeating those
thoughts or feelings in similar words
Seeking clarification
• A method of making the clients’ broad overall meaning of the
message more understandable
Perceptional checking
• It verifies the meaning of specific words rather than the overall
meaning of a message
Offering self
• Suggestion one’s presence, interest or wish to understand the client
Giving information
• Providing in a simple or direct manner, specific factual information
the client may or may not request
Acknowledging
• Giving recognition in non judgmental way, of a change in behaviour,
an effort the client has made, or a contribution to a communication
Clarifying time or sequence
• Helping the client clarifying an event, situation or happening in
relationship to time
Presenting reality
• Helping client to differentiate the real from unreal
Focusing
• Helping the client expand on and develop a topic of importance
Reflecting
• Directing ideas, feelings, questions or content back to clients to
enable them to explore their own ideas and feelings about a situation
Summarizing and planning
• Stating the main points of a discussion to clarify the relevant points to
discussed