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Communication

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Communication Therapeutic Communication and Active Listening Stroke can often affect a person s ability to communicate ideas, wishes, thoughts and feelings. – PowerPoint PPT presentation

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Title: Communication


1
Communication
  • Therapeutic Communication and Active Listening

2
Communication
  • Stroke can often affect a persons ability to
    communicate ideas, wishes, thoughts and
    feelings.
  • It can also affect the persons ability to
    understand an others ideas, wishes, thoughts and
    feelings.
  • Changes in communication after a stroke often
    result in distress, and it is important to
    communicate in a way that is meaningful for the
    person.

3
Rules for Effective Communication
4
Activity
  • Use the following directions to draw a picture
    (work on your own and do not ask any questions
    about the directions)
  • Draw an egg shape.
  • Draw a small circle touching the egg shape.
  • Draw a small circle inside the circle you have
    just drawn.
  • Draw three straight lines coming out of the
    circle that touch at one end.
  • Repeat just below.
  • Draw two longer lines coming out of the egg
    shape.
  • Draw a line to join up these two lines.
  • Draw three straight lines inside the shape you
    have just created.
  • Draw two lines coming out of the bottom of the
    egg shape.
  • Draw two short lines coming out of the lines that
    you have just drawn.
  • Do not move on to the next slide until you have
    finished the above.

5
Does Your Drawing Look Like This?
6
Barriers to Effective Communication
  • The environment
  • Own circumstances, levels of stress and
    priorities
  • Own personal style
  • Patient characteristics

7
Core Counselling Skills
  • Rogers (1957) talked about core counselling
    conditions, which he thought were essential
    ingredients for a therapeutic relationship.
  • Empathy - Empathy is the ability to stand in the
    patients shoes .
  • Genuineness - To be real, natural and open and
    not act your job role, being spontaneous and
    willing to share your own experiences and
    feelings (this has to be done carefully!)
  • Warmth - Remaining open. Not showing
    defensiveness or blame the patient or others for
    situations/events and treating everyone with
    equal worth.
  • Unconditional Positive Regard - Accepting and
    valuing the person, regardless of their
    background. convey positive regard and respect
    for them

Unconditional Positive Regard
8
Active Listening
  • Repeating
  • Select something the person has just said that
    seems important, and repeat it back to them.
  • Re Phrasing
  • Saying the same thing but re-wording it slightly.
  • Paraphrasing
  • Summing up the main points of the story to ensure
    you have picked up on all of the important
    details.
  • Reflection of Feeling
  • Listening to the patient and deducing from what
    they are telling you, how they are feeling.

9
Dealing with Discomfort
  • Contain distress, which means making the
    person feel it is ok, allowed (people often say
    sorry for crying), and safe and contained.
  • Try not to take anger or frustration personally.
    It can help to reflect back the feeling It
    sounds like . . ..
  • Paraphrasing and summarising can be used to draw
    out key points things you may have identified
    that the person could move forward.

10
Summary
  • Good communication skills are not necessarily
    something that come naturally, or easily, no
    matter what your role is and how much patient
    contact you have.
  • We could all improve on our communication skills
    by using some of the techniques mentioned, but
    the most important of all is active listening.
  • We asked many patients about their experiences in
    hospital following stroke and the majority of
    them said that the one thing they really could
    have done with was somebody to listen to them.
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