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Therapeutic Communication in Patients

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Reflection on Video Vignette
What can I take away from the experience of observing this video that will help me develop clinical skill (knowledge and self-awareness) in either therapeutic communication or inter-professional communication?

Video Nine - Occupational Therapy

Therapeutic communication is used continuously throughout the discussion between Elizabeth (occupational therapist) and Sally (client) who is in recovery from a pregnant stroke. It’s a relationship to provide goal-oriented support to the patient in advancing their physical and emotional wellbeing. Listening to the patient means taking onboard both the content and the feelings the client is expressing, while subsiding personal judgement and ideas to centre attention on patient needs and goals. Elizabeth executes effective therapeutic communication which I can confidently mimic, to help me develop skills in clinical.

What?
Sally has been hospitalised for 5 days and is recovering from a pregnant stroke. Elizabeth uses a therapeutic approach to engage and talk to Sally about her needs for returning home and living safely. Elizabeth introduces herself to deliberately ensure Sally knew her name and how she was helping her. This is effective in clinical as patients may have various doctors and can become disoriented with the different people. Introductions ensures the client knows who each person is, and how they are helping them. When talking to clients, showing your body language is engaged with the client’s conversation is important to show engagement and respect. Sitting squarely indicates interest which Elizabeth uses as she lowers herself in a chair to Sally’s bed frame which shows respect as she is now eye level with Sally. Elizabeth adopts an open posture although doesn't face Sally. This can create a barrier with the client as they may think the nurse is disinterested or doesn't care

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