Your client, Mrs Avery, has been diagnosed with breast cancer.You spend time with her and allow her to talk about her concerns regarding her upcoming surgery and treatments. When Mrs. Avery states, "I just want this over". You reply by saying "You want this over?" Later,when ask Mrs. Avery how she feels about her treatment decisions , she states she is comfortable with her decision but you notice her frown with slight grimacing. As you sit with Mrs. Avery , you allow periods of silence. When needing to leave her room , you assured her that you will return and ask that she push the nurse call light if she needs anything at all before you return.( 1. ) List all the therapeutic communication techniques utilized in the above scenario and their rationale. (2) Explain any discrepancies between Mrs Avery verbal versus her nonverbal communication. Which form of communication is considered the most reliable and why?

 

Answer:

Therapeutic communication techniques such as active listening, silence, focusing, using open ended questions, clarification, exploring, paraphrasing, reflecting, restating, providing leads, summarizing, acknowledgment, and the offering of self, will be.

Identifying and promoting the communicative needs of patients could lead to a considerably better care of patients under treatment. Therefore, therapeutic communication, as an integral part, should be incorporated into the care plan for patients with breast cancer and their families in the Oncology and Palliative Care wards.

Communication is a form of interactive behavior, and thus professional interactions of health-care team are regarded as a communicative process in providing care to the patient. In some studies, "Communication" has been referred to as the main theme by both the patient and families.The studies conducted over the past decade view communication as the need resulting in patients' comfort, provision of quality care, a positive impact on the outcome, and response to treatment of patients.The results of a study carried out, showed that good relationship with patients has a significant effect on patient's participation in treatment, care and follow-up processes as well as accepting treatment regimen. In the absence of proper communication, patients' needs and priorities will be neglected in the caring process.Therefore, nurses are required to take the nursing care into consideration based on patients' perceived needs to help remove the concerns of patients.

The need to establish communication between the health-care team and patients is important so much so that it helps streamline treatment; as viewed by the participants. The participants need to communicate with patients, and their health-care team is of paramount importance to keep pace with, and thus improve treatment. "Trust-building therapist," "soothing presence," and "crying out to be heard" are the subcategories forming the main category.

2•Since Mrs Avery is in depression she says she wants end of this but internally she is frightened. So she is trying to be strong but internally in depression.