Communication Styles
This type of communication style is running over others to get what you want, forceful and authoritarian, leaves no room for discussion or debate, and is controlling and overpowering and very demeaning.
aggressive
what can happen if assertiveness is not used?
depression, resentment, frustration, temper/violence, anxiety which leads to avoidance, poor relationships, physical complaints, parenting problems
What are sensory barriers and what can they do?
sight, hearing, touch, smell, taste
They can isolate the patient and reduce their ability to convey their needs to the healthcare worker
This type of crisis involves accidents, MIs, assault, illness, and death, is sudden/extraordinary events, which cannot be planned or controlled
situational
This component of crisis the threat is immediate, needs action, preparedness can reduce response time critically
urgency
This style of communication is basically "you matter and so do i". It is controlled, confident, clear and honest, patients expect it from nurses, and is important to have.
Assertive
What are advantages of assertiveness
more likely to get what you want if you ask for it clearly
people respect clear, open, honest communication
stand up for your own rights and feel self respect
more independent
more at peace and comfortable with self
What are types of physical barriers and what may they do?
paralysis
tracheostomy
cleft palate
intubated
may inhibit verbal and non verbal communication
This crisis is starting school, or birth, and are shifts in growth and development.
developmental
this is precipitated by potential danger or.......
threat
This type of communication is uncertain, lacks confidence, fails to show respect for self, and diminishes self esteem. You want to please at any cost, avoid conflict, rarely express own needs, continually apologize, and defer to others and dont stand up for yourself.
passive
What do passive aggressive people often do?
mutter to themselves rather than confront issue or person
have difficulty acknowledging their anger
use facial expressions that dont match how they feel
sarcasm
deny there is a problem
appear cooperative while purposely doing things to annoy and disrupt
use subtle sabotage to get even
These type of barriers you need to be specially aware of to find a way to communicate with interactions outside the patients family, so you dont disrespect them
cultural
These are natural or created disasters such as bombings, floods or fires.
This component is unexpected and unanticipated, but again preparedness is essential
uncertainty
This type of communication is when someone acts passively towards a person then becomes aggressive, such as complaining behind his or her back, does not communicate about issue with the person, is usually manipulative and use denial, blame, and sarcasm.
passive aggressive
What is appropriate approach for passive/aggressive person?
give them options and a sense of control in a way
cooperate without anger or judgement
appeal to their strengths and downplay their weakness
This type of barrier is do to the way someone speaks, can be verbal or non verbal, use silence and time or find an interpreter
language
How should you communicate during a crisis?
listen and allow expression of emotions, and convey attitude of acceptance and concern especially to a patient who is fearful and crying
keep calm yourself and watch body language, tone and volume of voice,
avoid false reassurances
clarify fantasies, contrast with facts
set limits on behavior
maintain safety
This type of communication style allows to confidently and comfortably express your thoughts/feelings while still respecting rights of others, requires a deep respect for yourself and for others, it does not require you to raise your voice or become emotional, makes interactions more even sided and has positive benefits for all.
These type of barriers need special attention because patients may find it difficult to express their feelings or needs because of whatever is happening because pt cant understand or process information.
mental and emotional barriers
What are normal responses to crises, and its not a good time for what?
fear, shock, disbelief, distress, helplessness, resentment, anger, depression, and out of control
accept the clients perception of crisis
not a good time to ask or expect people to problem solve!
What are more ways to help a person communicate in a crisis?
be patient
be persistent
expect feelings to change quickly and completely
focus on putting feelings into words