1	Mastering the Art of Therapeutic Communication Linking the Brain, Mind, and Teaching Barbara Sbarra October 20, 2007
2	What is Therapeutic Communication An interpersonal interaction Involves nurse and patient Focus on patient’s needs DOES NOT focus on nurse’s needs
3	Target Audience Nursing Students in a Licensed Practical Nurse Program Multi-cultural background
4	Learning Objectives Discuss the process of communication and factors that influence it. Compare and contrast between verbal and nonverbal communication. Identify therapeutic and non-therapeutic verbal communication skills. Identify barriers to communication. Discuss boundaries in therapeutic communication with respect to distance and use of touch. Given a hypothetical situation, select an effective therapeutic response to the patient.
5	Goal To have nursing students communicate effectively with patients, families, and other members of the health care team.
6	Classroom Environment Comfortable temperature Adequate lighting Adequate ventilation Desks Background music
7	Technology Computer Power point Television DVD player Video/DVD Camcorder
8	Primacy-Recency Prime Time One Lesson 2 – 20 minutes Therapeutic and non-therapeutic skills Barriers Boundaries – touch & distance Lesson 1 – 20 minutes Process of communication Methods of communication Influences on Communication
9	Primacy-Recency Down Time Lesson 2 – 20 minutes Role-play Lesson 1 – 20 minutes Telephone game Video
10	Primacy-Recency Prime Time Two Lesson 2 – 20 minutes View tape of role play Question/answer Lesson 1 – 20 minutes Goals of therapeutic communication Question/answer
11	Gregorc’s Learning Styles Concrete Random Hypothetical situations Videotape role-play Abstract Random Group discussion Role-play Process recordings Abstract Sequential Lecture Handouts Critical thinking exercises Concrete Sequential Demonstrations Telephone game Role-play Process recordings
12	Gardner’s Multiple Intelligences Linguistic/verbal = lecture/ power point, video Logical/mathematical = critical thinking exercises Spatial/visual = video, power point Musical = background music Bodily/kinesthetic = role-play, telephone game Interpersonal = group discussion, patient’s responses Intrapersonal = self-mastery; confidence
13	Lobes of the Brain Frontal Parietal Temporal Occipital
14	The Limbic System Amygdala Hippocampus Thalamus Hypothalamus
15	Sense and Meaning
16	Defined Outcome The student nurse will successfully communicate with a patient using therapeutic communication techniques. The student nurse will be comfortable and confident while communicating with their patient.
17	Assessment and Evaluation Process recordings Role-play Critical thinking exercises Written test
18	References Boeree, Dr. C G. (2005). The emotional nervous system. Retrieved October 11, 2007, Web site: http://webspace.ship.edu/cgboer/ limbicsystem.html Gardner, H. (1983). Frames of mind: The theory of multiple intelligences. New York: Basic Books. Gregorc, A. Ph.D. (1985). Style delineator. Columbia, CT: Gregorc Associates, Inc. Kailasanath, V (2004, April 29). The hopes-brain tutorial. Retrieved October 10, 2007, Web site: http://www.standford.edu/.../basics/ braintut/ab4.html Kneisl, C., Wilson, H., & Trigoboff, E. (2004). Contemporary psychiatric mental health nursing. Upper Saddle River, NJ: Pearson Education, Inc., p. 59-65, 148-150. Silver, H, Strong, R, & Perini, M (1997). Integrating learning styles and multiple intelligences. Educational Leadership. September, 22- 27.
19	References Sousa, D. (2006). How the brain learns, 3^rd edition. California: Corwin Press, Inc. Videbeck, S. (2006). Psychiatric mental health, 3^rd edition. Philadelphia: Lippincott Williams & Wilkins, p. 106-129.