David Doucette
553 Discussion Post
10/24/2017
1. Review the “Strategies for Communicating with Clients” on page 213 in the Schell & Schell book; can you think of some examples of when you observed a clinician using one of these strategies? What was the result?
Here is an example of an occupational therapist that I observed using questioning, listening, and encouraging as a way to communicate with the client. When a lady came in with lymphedema in her right hand, the therapist asked her many questions about how this injury affected her daily occupations. He then listened to her talk about many of her concerns. Some of the concerns included getting dressed, cooking, and driving to work. Later when he was helping her practice put on pieces of clothing, he continuously encouraged her at every step of the process. The result of doing these three strategies was a better therapeutic alliance between
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It is our job, as therapist, to communicate with the clients and try to help them return to doing what they need to do and love. When a therapist tries “shifting conversation” but the client does not want to stop talking about something unrelated to therapy, it can be difficult to make progress in therapy. A possible way to overcome this may be to take a break and excuse themselves for a minute so they can come back and change the subject of the conversation to something more pertinent. Another example of a barrier would be “creating choices” for someone who does not want to pick from a list of choices. A way to overcome this barrier could be for the therapist to choose for the client and slowly work on helping the client make their own decisions. The final barrier I came up with is that of “gesturing.” Some people do not understand or comprehend a gesture. Therefore, a way to overcome this complication includes purposefully being more vocal in what the therapist wants from the
This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication.
Therapist discussed further using coping skills with client. Therapists introduced new coping skills with client. Therapist encouraged the client to verbalize his emotions in regards to his daily mood and how it changes from time to time and using it as coping
• Assess the role of 4 aspects taken from the scenario (i.e. one to one communication/ cultural differences etc). Explain why communication is so important and how this may impact on effective communication and interpersonal interaction at Happy Valley Special School. Make sure that you make links to theories of communication.
For example, according to Therapeutic touch, a child with a gastrointestinal tract disease may have suffered from trust issues and helping the child work through their trust issues may alleviate a few of the symptoms of the disease. Alleviating symptoms of the disease would improve their abilities to focus and learn in school and life. Therapeutic touch taught me that working with children (and adults) from all angles such as emotional, social, physical, and mental, impacts their development deeper than just working in one specific area. An Occupational Therapist’s job is to work with a child in each area of development and to set goals for the
As a leader within my fraternity, I've performed and practiced therapeutic communication without even being aware of it. This week I was able to active listen to patients, such as a patient who explained his glaucoma to us and how it was partially fixed, but a complication arose that needs to be assessed and stabilized. I also was able to sit down and talk with a patient before her bath to see what she wanted to wear. Asking open ended questions, active listening, being silent to give her time to respond, etc. enforced my therapeutic communication within the healthcare setting. A non-therapeutic bias I've come to realize is that instead of talking to the patient, I communicated to the nurse instead.
The therapist encourage the patients with words like “You did great” or phrases like “You were able to use both hands, that’s awesome”. During one of the activity, the patient could not get the last balls from the container and the therapist helped him by bending down on the floor and putting the container at an angle in order for him to bend his trunk just enough and not be at risk of falling out of his chair. She wiped all equipment being used to promote a clean environment for the patient and provided him with hand sanitizer at the end of the session. She also reminded his next therapy treatment was and the time. I was both, an observer and a student during the treatment session.
The client could not understand; yet he was feeling uncertain and this interpretation pinpoint the reason why by connecting his past to his future. 4. What do you think was effective about the therapist’s approach in this session? The session was more open and free formed.
How this alliance is created is by him asking questions about the client such as “why are you here”, “what are your strengths”, and “what do you wish to gain from therapy”? This technique helps him get to know the client and establish a better understanding of the client’s case. Nonetheless, this helps the client “unfold” and become comfortable to disclose more information about the issues. After they have become comfortable, they start to create goals together that are in the client’s interest. The kinds of questions he prefers to ask this population is “where do you see yourself in five years”, “how were your past relationships”, and “what are your strengths”?
In ST, however, the therapist will involve the client in explicit communication of the change process. This enables them to see the actual progress, and adapt the therapeutic programme and techniques to increase its effectiveness. ST therapists also use exploration of the past events, but unlike in PDT, they do not focus on finding hidden meanings and going through all the details, they rather use this information to conceptualize the problem patients are facing. Case formulation enables them to further educate the patients regarding their core issues and defence mechanisms they are using. This serves a purpose of cognitive restructuring, experiential learning and behavioural pattern breaking (Boterhoven De Haan, Lee,
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
Introduction: Through studies of various Models of Counselling, therapists are able to gain knowledge on how to determine client growth and where and when certain therapies are applicable. Through investigation of theoretical aspects of talking therapies Feltham has explained how therapists are able to not only treat a patient according to known counselling models but are also able to explore avenues that that have not previously been explored. This summary will provide an abridged view of the chapter: Models of Counselling by Feltham. Psychoanalysis and its variants: ● Sigmund Freud, who is considered to be the father of the talking cure and Psychoanalysis, incursions with neurosis treatment, exploration of catharsis and hypnosis,
The key to establishing a trusting relationship is the integration, usage, and mastery of therapeutic communication skills (Belcher & Jones, 2009).Due to the high importance of effective communication in mental health nursing, it is essential in therapeutic interventions. (Peplau, 1952) states that effective interpersonal skills are central to a mental health nurse’s ability to form a sound therapeutic alliance and to the role of mental health nurses. Excellent interpersonal aptitudes are what every mental health nurse needs to communicate effectively with clients. Active listening is more than just hearing what the client has to say, nurse must be actively engaging with the client, physically, emotionally and mentally. Effective listening is therefore a cognitive, behavioural and an affective process (Arnold and Underman Boggs,
The judgement of the therapist is very fast. They don’t deny when they are in doubt as they assume that it is quite embarrassing to clarify with the client. Also as the client, they cannot argue with the therapist. Hence there is an unequal balance of
Here are two examples of non-therapeutic communication: Changing the subject (interrupting/introducing a new topic), Giving unsolicited advice (telling the client what to do, making decisions for the client, implying that the client cannot handle his or her own life
Writing and journaling is common advice for therapists to give out to their