...Therapeutic Listening (TL) is an evidence-based therapy intended to help with sensory, communication, social and self-regulation skills that are often deficit in those with autism. Learn about how TL benefits those with autism in this lesson. Brief Overview and Definitions Billy is a 6-year-old with moderate to severe autism. He still wears diapers as he cannot fully control bodily functions like going to the bathroom on his own. Part of this is due to his difficulty with sensory processing. Billy's pediatrician speaks with his mother and recommends that he try Therapeutic Listening, as it has been proven to help with organizing sensory experiences in the brain. After two months listening to a CD for 30 minutes twice a day, Billy is now using the restroom more on his own, following instructions, and communicating more with his parents. Therapeutic Listening (TL) is an evidence-based therapy technique that involves listening to music or sounds through specialized headphones for 30-minute sessions, twice a day, in order to help with numerous problems and disorders. It was developed by Sheila Frick, an occupational therapist with a specialty in sensory processing disorders. TL has been proven to help with: Sensory processing Attention Social skills Communication Following directions Timing and organizing motor skills Mood...
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...Active Listening Skills 1 Active Listening Skills in the Health Care Environment Teresa Soto-Gomez HHS307: Comm Skills for Health & Human Service Personnel Instructor Long February 2, 2013 Active Listening Skills 2 Introduction In the healthcare environment, professionals must use discretion in the matters concerning listening. This paper will provide a brief definition and description of active listening and how it is used in the therapeutic setting. Examples of how I utilize my active listening skills in my work situations will be included. The results of my active listening skills test will be presented, identifying my strengths and areas for improvement. Changes within my personal communication skills that would improve my active listening will also be discussed. Since active listening enhances the understanding of patients’ needs and improves patient problem-solving, especially in controversial issues needing special attendance, these skills should be a necessity for healthcare professionals to learn. Active listening refers to a sensitive, discerning use of the sense of hearing described by Theodor Reiks as “listening with the third ear”, (Servellen, G., 2009). It is a way of listening and responding to another individual that improves mutual understanding. It is a type of listening that focuses the attention on the speaker. Active listening, when done right, can not only reveal what the sender is saying but what the sender is thinking and feeling...
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...‘Developing therapeutic listening’, which you will find at the end of this EMA. The main purpose of the research study in the article by Lee and Prior (2013) was to explore and analyse the listening practice study components and experiences of first year students on a counselling Masters programme. The study specifically selected first year students since they were embarking on the initial steps towards developing and transitioning to therapeutic listening from ordinary listening. The students were recorded in stable triad group listening practice sessions once every eight weeks, with each of the students adopting the roles of talker, listener and observer to each other. Towards the end of the first year, when all videos recordings and feedback had been completed, it was assumed that the students would be sufficiently advanced to be able to reflect on their experiences as a listener. The students then recounted their experiences in semi-structured 50-70 minute interviews which were conducted following phenomenological interviewing principles. The...
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...What? Observing and understanding qualities used by others in professional medical situations can help develop my skills as a nurse when handling various situations in the work place. After watching the 'Pregnant Stroke' video related to the Doctor Emergency Department, and using Driscoll's method of reflection I believe that one of the key factors to an effective nurse-patient relationship is therapeutic communication. “Therapeutic communication occurs when the nurse uses communication techniques and processes in ways that effectively promote understanding, are therapeutic for the patient and developmental in relation to the nurse-patient relationship” (Kozier & Erb, 2012, p532) . In the video, even though the patient is unable to speak, the nurse actively engages the patient through speech, touch and movement. The nurse informs the patient that they will be seen by a doctor shortly, and that she needed to take some blood from the patient. She also informed the patient as to the whereabouts of their family member. Whilst explaining all of this to the patient, the nurse used clear and concise language that the patient is able to understand. She also leant closely to the patient so they were eye both at the same eye level whilst touching the patient's shoulder. The nurse also touched the patient's arm to explain that she would need to move the patients sleeve to draw some blood. When the doctor enters the nurse announced to the patient that the doctor had arrived. After briefing...
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...Reflection on video vignette – Video 6 In this reflective essay I will be discussing how my observation of a video vignette can help me to understand and build knowledge of therapeutic communication and also how I can further develop characteristics of therapeutic communication which I see within myself already. I have selected vignette 6, consultation with the midwife in emergency to observe and reflect upon my knowledge and awareness of this subject. In particular I will be focusing on how active listening and clarifying with a patient can affect the communication. The vignette opens in the emergency department of a hospital, a young woman Sally, who has probably suffered a stroke waits with her husband for a midwife to arrive and check the health and status of her fetus as she is 28 weeks pregnant. The midwife enters and introduces herself explaining that she will be listening for the heartbeat of the baby. After establishing that the baby is alive she answers some questions David the husband has and advises she may come back to check on them later in the day. The conversation was carried out in a professional and appropriate tone. The midwife suitably introduced herself and explained to the patient what she would be doing. However after this point I felt the content and relevance of the communication was lost on the patient and her husband. In particular, the way that the midwife did not elaborate on the health of the fetus and that she failed...
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..."There are a broad range of counselling micro skills that can be utilized effectively in therapy sessions. Within the context of their personal history, effective micro skill applications can encourage clients to tell their stories in colourful and extensive detail. Such effective implementation of micro skills facilitates the development of rapport and a positive therapeutic alliance thereby permitting clients to enrich their perspectives regarding problem and opportunity situations in their lives (Egan, 2007). Three important counseling techniques will be explored, all of which have been clinically demonstrated to be efficacious in a broad range of counseling settings (Egan). The skills of active listening, empathy and sharing empathic highlights will be discussed and analysed within the framework of a counselling case study. Accordingly, the purpose of this paper is to examine the use, efficacy and deficiencies of how these skills were employed within a counselling session with a mother, let's call her Mary. Mary presented to counselling with a five year history of frustrated attempts to get her daughter to sleep consistently in her own bed. On one hand, she had gone to extraordinary efforts to influence and sustain effective sleep patterns in her daughter. On the other, a feeling of being out of control permeated drained resourcefulness. Mary felt she was too compliant with her daughter's unwilling behaviour and sought help from a counsellor. The surface structure of...
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...‘What do you think therapeutic helping means in a nursing context? What do you think your strengths are as a helper and what do you think you need to develop?’ The therapeutic relationship between nurse and patient can be described as being useful to the patient. In the nursing context helping means that the nurse gets to know their patient in order to provide direct aid and knowledge to them, as well as interpersonal support. Therapeutic can be defined as healing and growth and can be seen as the purpose of nursing. Nursing is understood to mean a therapeutic helping relationship devoted to promoting, restoring, and maintaining the health of individuals, families, groups, and communities. Having an effective relationship and caring for the patient are seen as essential to nursing care. Nurses are expected to be knowledgeable and skillful in helping. To have a therapeutic helping relationship it is vital that the nurse trusts them self as well as others, as for the relationship to progress the patient and nurse need to place confidence in each other. Caring is an interpersonal process, and having interpersonal trust means that one person in the relationship believes that the other person can be relied and depended on. One of my strengths is that I am able to build a trusting relationship with the patient, through meeting their expectations that will be respected, listened to and treated as an individual. I am good at listening to the patient’s needs which I think is an important...
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...proportion of time exchanging information with their patients and listening to their needs. Therefore, effective communication and interpersonal skills are vital in building caring professional and ethical nurse-patient relationships. These enable the delivery of personal centered care which is particularly important for mental health patients. For instance, therapeutic communication in mental health services can promote the well –being of the clients. To address these issues, this essay aims to identify key components of effective communication that can enhance good quality care for people with mental health problems. Poor practice examples that are resulted from the lack of sufficient communication are investigated for example, report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (2013). Finally, the influence of effective communication on my future practice is discussed. Communication is the process by which people use to exchange information through verbal or nonverbal messages. It comprised of both verbal and nonverbal messages, such as; body language, eye contact, facial expression, tone of voice, rate of speech, context and hesitations that accompany the words (Videbeck 2011). Morrissey and Callaghan (2011) states that communication in mental health nursing is a primary factor of all therapeutic interventions. It is important for a mental health nurse to have the knowledge and interpersonal skills of communicating effectively in order to help people experiencing...
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...Pre-School Children | Creative and Therapeutic activity | Singing and listening to songs together | Benefits of the activity | The Social benefits of this activity is that the children will get to sit in a large group with one another and learn songs. The children will then be able to learn from each other like the words of the songs and be able to help each other with the lyrics if one doesn’t know. By sitting together in a large group they are then able to communicate with each other and be able to enjoy each other’s company. This will help them to start a friendship and become friends. By singing together as a group they are interacting with one another. It also creates creativity and brings everyone together. | | Social Benefits | Health and Social Care Settings | Residential Home | Client Group | Adults with learning Disabilities | Creative and Therapeutic activity | Exercise | Benefits of the activity | The Social benefits of Exercise is that adults are able to get along and interact with one another. They get to get to help each and give support on certain exercise movements. They can then be able to enjoy each other’s company and feel comfortable with one another. Service users are able to relate with one another and begin to start some form of companionship. | | Social Benefits | Health and Social Care Settings | Play Group | Client Group | Under 5s (Pre-school Children) | Creative and Therapeutic activity | Musical Instruments | ...
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...Communication plays an important part of all therapeutic interventions in mental health nursing. Most importantly, knowledge and interpersonal skills, used by mental health nurses is to communicate with people with mental health issues. It also facilitates and develops a positive relationship between a nurse and a client. In mental Health nursing, Communication is the foundation of each intervention. To gain effective communication mental health nurses have to be experienced in using the communication tools. Listening has been referred as the core and more challenging skill. Through listening to a client, this gives them a chance to interact. There has been a report from number of studies...
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...holistic approach and some great communicative skills such as expressing empathy, active listening, encouragement and providing information. 'The focus needs to be person-centred rather than nurse- or task-focused and the relationship is a key element’(Bach and Grant, 2011). By taking time to do this, health care workers can advance their therapeutic relationships with patients, encouraging compassionate care. From this we can therefore see that it is different from social and collegial communication. In this essay I will discuss the communication techniques used and demonstrated in the first vignette, how they are applied and explain why they are successful. Empathy in one of many ways can be described as the ability to supportively communicate a sensitive awareness and affirmation of another person's feelings and the unique meanings attached to them (Mearns and Thorne, 2007). Healthcare workers who are committed and compassionate also must use empathy as a tool to build a rapport with their patient. This is demonstrated in the first vignette through the paramedics active listening and understanding of concern by Sally and her husband. He allows them to voice their feelings, identify and acknowledge their emotional experience in order to treat Sally in a respectful, dignified way. He also uses touch as a means of connecting and reassuring, by touching her hand he is telling her (non verbally) that he is listening, she can trust him....
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...of health information. Relevancy of Effective Personal Health Care Communication with other Health Care Professionals, Clients, or Patients. Personal interactions between health care professionals and patients create an impact on health outcomes leading to improved patient self-care, better compliance, and increased patient satisfaction. If patients are satisfied and have a clear understanding of their disease and treatment, they would be more likely to be compliant. On the other hand, poor communication among patients and health care providers would lead to negative health outcomes. To achieve effective communication in health care, it is vital to share an understanding of the situation and the course of action; therefore skills such as active listening, goal setting, assertiveness, and negotiation are needed. Health professionals and patients should have access to information necessary to perform adequately their roles. The use of medical terminology, jargon, and abbreviations might influence how information is shared affecting its...
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...Therapeutic Relationship Patients [pic] Translate This Page [pic] Powered by [pic]Translate [pic][pic] Download PDF Free Essay Quote This piece of reflection will focus on my experiences whilst on practice placement; I will be using the (Gibbs 1988, cited in Jasper 2003, p.77) model of reflection. Gibbs cycle is set out in order of categories made up of different headings. (See appendix 1). By using this cycle it allows me to reflect in structured and effective way. The subject of this final piece of reflection will cover the development and utilisation of interpersonal skills in order to establish and maintain therapeutic relationships. Neal (2003, p100) states a therapeutic relationship can be described as being between nurse and patient and is based on patients needs for care assistance and guidance. It is a relationship that is established solely to meet the patient’s needs and therefore, is therapeutic in nature. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult sometimes life threatening situations. I felt the need to develop therapeutic relationships with the patient’s so that they could feel they could put their trust in me, also that I was there to listen and talk to them not just care for them. There...
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...and assessed the situation and found it necessary that the patient seek further care due to her hypertension, tachycardia and Glasgow coma scale score of 13. As the paramedic hands over to the nurse they both utilise inter professional techniques such as listening actively, willingly communicating with team members and effective communication skills as Kozier emphasises that “Communication between colleagues is based on an understanding of communication concepts and techniques such as attending, listening, probing and instructing” (Kozier and Erb, 2015). Inter professional communication consists of health workers communicating with each other in an open, collaborative and responsible manner. This type of communication builds trust amongst colleagues and team members. So What? As the paramedic hands over the patient to the nurse he incorporates sophisticated terminology that the nurse is familiar with therefore they can mutually understand and interpret the patient’s situation and apply the correct care. These skills are necessary for any professional seeking a health directed career as “Effective communication between health professionals is vital for safe care” (Kozier and Erb, 2015). I have not developed these skills as yet and through continuous study and research I can build up my knowledge of terms such as tachycardia. Due to the patient’s family history of stroke, this may be a cause of what has happened as signs and symptoms, for example, neurological deficits (speech)...
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...Using ‘Person Centred’ Communication Skills and Models to Help Clients Admitted for the First Time to a Mental Health Hospital Introduction Communication is one way of exchanging information and feelings from one person to another (Bach and Grant 2009). It is transmitted through verbal and non-verbal behaviour. Communication is an essential and fundamental aspect of nursing care (Timmins 2011). It is a major and important part of daily nursing practice in the nurse-client relationship (Sheldon et al. 2006). Communication in nursing is unique and it is different from communication between healthcare providers because nurses are at the start of the healthcare service as they spend more time with the client than other healthcare professionals (McCabe and Timmins 2006). Therefore, nurses have to pay more attention to improving their communication skills for better client care. In order to establish a positive relationship with the client, it is necessary to communicate effectively and subsequently improve the quality of nursing care (McCabe and Timmins 2006). Effective communication is key to a therapeutic relationship with the client. It is defined as a ''purposeful form of communication used in the helping relationship'' (Ruesch 1961 cited in Arnold and Boggs 2007, p18). It is developed by the nurse for the purpose of assessing, planning, implementing and evaluating client care (Arnold and Boggs 2007). The establishment of a nurse-client relationship was a key element...
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