Communication (connection) with the patient to gain access to mental health

Communication (connection) with the patient to gain access to mental health1. Educational objectives: (Mental Health)
 At the end of nurse training to be able to:• Identify the concept of communication (communication).• identify the elements of communication.• comparison between the verbal communication and non-verbal.• Apply effective communication techniques.

2. Elements of the lesson: (Mental Health)• Definition of communication.• Elements of communication.• factors affecting communication.• Types of communication.• communication techniques.


Communication (contact) (mental health)• Introduction:Communication or contact in the delivery and exchange of ideas, information and trends and feelings between two people or a group of people, and to communicate is to be the availability of components, such as:• Elements of communication:1. The sender / author.2. Message (content / content).3. Transmission channels / methods of delivering the message.4. Future / recipient / consignee.5. Echo the message, or a reaction to the message / reply message / letter returning the so-called feedback (feedback)

• Sender: (Mental Health)A person who starts the process of communication with others (in need of a message). The person who is sending / reporting / presentation of the message to the future may be the sender of any person capable or qualified to deliver the message.• Message: (Mental Health)The information that is sent or to express them to others and said messages are those that are organized, are expressed in a manner familiar to the good and the future.There are elements that must be met in the letter as if to be clear / concise / organization / simple / specific ... Which may affect their access to the future in a way friendly and the message can be an idea - information - Opinion - Trend - a sense.• communication channels / methods of communication:The message is sent in various ways (channels) Calcmaa or vision (seen) or touch. For example, can send the message clearly through the silence (silence / silent language / signs / gestures) or body language if the pat on the back of the receiver and can be connected to the message by word audio or formulate the words.• Future (mental health)A person who receives the message and receive the interpretation or interpreting it.• Echo Message: (Mental Health)
Often the message is not an incentive / a cause for the future (the recipient) responds to the message to send reply to the sender, which is often an indication of the extent of understanding the meaning of message received and interpreted well when the arrival of echo message to the sender becomes communicate mutual, effective and influential and is more effective and influential when the content of the message the sender is the same content at the receiver.

• Types of communication: (Mental Health)The communication consists of the elements of verbal and non-verbal and verbal communication is said to be 10% and 90% non-verbal and communication in order to be effective, must use both, verbal and non-verbal.
1. Verbal communication: (Mental Health)
By word spoken or written the literal sense:§ consists of all words spoken by the person and talk is more common in acts of public communication with others and the primary means of guidance and to express their needs and the arts and all areas of our lives and when we talk, we communicate and learn about ourselves and our world unique.§ Even in the presence of the same background of the sender and the future, the mental perception of the word may not carry the same meaning in both the sender and the future. Although they are talking about the same thing except that the sender and the future may in fact talking about different things altogether.Conversation between people with different cultures can be confusing if you move one of expressions of different messages may move one of the messages explicitly, or in the true sense, if someone says to another: (Why do not you see you) is not intended to call for a visit, otherwise he would have set a time certain and time certain for the visit, so we something that can be uttered at the same time, we mean something else is contrary and there are many words we say as a courtesy for example, may meet one of us and tells him good morning .. How حالك? Of course he does not want to ask him about his health so that it may go separate ways is not expected to even respond to them.
2. Non-verbal communication: (Mental Health)
Behaviors and non-verbal behavior: the behavior displayed by a person more than utter it out loud. The tone of voice and the way that spoken by the person of the examples of communication is verbal, as well as facial expressions and the development of the person and the movements of the eyes and signs of the hands and eye contact and fidgeting and yawning any body language also includes general appearance and the distance between the parties to communicate and respond to physiological and touch.Factors affecting communication (mental health)Communication is a complex process involving various factors, personal or environmental impact may have to send or receive the message.• personal factors: (to get to our goal of mental health)
 That can hinder the accuracy of the transfer or interpretation of the message include:§ factors because of the emotion such as anger and anxiety.§ natural physical factors such as pain and disease.§ due to factors such as levels of knowledge and intelligent use of language.§ social factors Kachtlav cultures and ethnic groups and language.• environmental factors: (to get to our goal of mental health)
          Which include:§ Kaldaudhae physical natural factors and the lack of a means of ensuring privacy and comfort Kalaqama and transitions.§ Ctoagd social factors or other people expected to attend ... Etc..And effective communication that helps to create a communication depends on how successful the attempt to transfer or deliver the target of the message and deliver completely objective meaning to the future or the recipient, whether intentionally or unintentionally.The success of such interaction depends on other factors that can be evaluated and how they recognize the sender and the recipient access the message for the future.Overlap (reactions) to communicate verbal and non-verbal:As mentioned include two components of verbal communication (words) and non-verbal (non-verbal behavior) that gives a wide range of human action and there is an overlap between the two components and a combination of both is the process of communication. And sometimes the message attributed to the verbal content of the message and non-verbal behavior is attributed to process and display the message when the message content in accordance with the presentation currency of the communication understand the message clearly. An example to say that the student would like to get excellent grades and then start to buy books and references and the maintenance of good achievement means that the content of the message consistent with the non-verbal behavior.Also, if the message was opposed to verbal non-verbal behavior, the message is muddled and unclear, and this is called the message different or double.It is therefore important to compare the content of verbal and non-verbal behavior and should be well aware that what the person may not agree often with non-verbal behavior.• Examples of non-verbal behaviors:Actions using the body: such as the situation and body movements, signs, gait as a way to relax is on the seat and placing the hand on the cheek and shook his legs.Facial expressions: Kalaptsama and moving eyebrows and gloom and disgust and Msamsh lips and tongue movements, such as showing one's disgust at the speaker, but the situation changed after the departure of the speaker.Actions due to the sound, such as tone of unity and the intensity of the sound or silent.Actions due to the physiological response, such as increased breathing rate, sweating and breadth of the center of the eye and facial discoloration.Appearance: Kalza, hygiene and the willingness to talk and knowledge of the subject, and facial expressions.

Communication techniques (to get to our goal of mental health)1 - listen to the positive (to get to our goal of mental health)Is good to listen and respond to events related to the subject. This kind of listening may help to a great extent the person who suffers from a problem, and that listening creates a situation may allow the client to express himself freely and it should be noted the client of all aspects of the message sent by the body, touch, and the message the silent and the message verbally, and in return the interest the customer may to explore the perceived success of the communication or failing to understand the subject of the message or listen good.And listening means all of the right to listen to what is said, as well as a full understanding of the meaning of what is being said. This means that the nurse should listen carefully to the message content, as well as the way in which the client throwing, and what he felt when he mentioned the letter. And should not boycott the client.To acquire the skill of good listening Mounct must do the following:1 - re-expression of what the client and, using his words.2 - Use non-verbal behavior, which shows up as a nod of the head.3 - the transfer of emotions as expressed by the client using his words.4 - give the explanation as to the meaning of what was said by the client.The Customer agrees that the nurse's statement reflects what is already felt. It is therefore important for the nurse noted that the exact behavior of the client, even gaining the ability to understand.2 - to ask questions (to get to our goal of mental health)Help open-ended questions to receive:Information and understanding of the client and therefore must be the health care providers to ask questions of the client to encourage him to talk about dragging out the same so that they can help him.And must use the following questions:§ Open, which can be answered by more than one (yes or no).§ easy to understand and at the level of the client.Example: How do you feel?Also, the use of in-depth questions that help to focus on a particular topic for example:§ Can you talking to me more than his reputation for the hospital.§ Or, do you think that you can discuss this with your doctor.Should avoid leading questions, for example:§ Do you think that the drive has caused many to sleep?3 - re-expression (to get to our goal of mental health)Re-expression means that the nurse re-expression of what the client and, using his words and uses it to make sure that the correct understanding of what the client says and indicates a good listen and understand.Examples:"Customer: I can not take the drive I hear it Stbb addiction and prevented from having children .. This is terrible.""Nurse: It seems to me that you say that you are reluctant to use medication because it will lead to addiction."4 - give the response that reflects the feelings of the client: (to get to our goal of mental health)By careful observation and listening can be good for health providers to Stjeloa is felt by the client. Accordingly, they can face giving him the response that reflect his feelings.Meet the client's feelings and focus on feelings than on content.Feelings that may appear expressed obscurely Vidrkha clearly and thus be able to control.Steps that follow the customer in the face of his feelings: (to get to our goal of mental health)1 - determine the sentiments expressed by the client or is going through.2 - described the feeling as a person perceives that the interviewer and that it refers to his name.3 - are observed, the customer response and whether the interventions of the person responsible for the advice useful.§ identify the feelings and signals as specified by the customer or say it.Examples: (to get to our goal of mental health)When it appears that the client suffers from any of the following feelings nurse to answer the following:- Seems to me that you feel very angry.- Seems that you feel may be injured.- Seems to you that you feel frustrated.- Seems you confusion.Examples of some of the talks, which may occur between the nurse and hesitant, which show how the response can be given that reflects the feelings of the client.Customer: It was supposed to attend my husband since hours ago.Nurse: It seems you concern.5 - clarification: (to get to our goal of mental health)Often occurs during the nurse to talk with the client to discover the lack of understanding of what was said. And then it is imperative that the request for clarification.The request for clarification must be to reflect the interest of the nurse and sincere attempt to create understanding between them and the client.Meet the client's feelings and focus on feelings rather than on content.Feelings that may appear expressed obscurely Vidrkha clearly and thus be able to control.Examples:- "I'm not sure I understand it well - Is it possible to return it."- "I think he missed some words that I mentioned."- "I do not Otaatbek well - Is it possible to remember that the other way."6 - Abstract: (to get to our goal of mental health)The summary includes the linking of the many ideas that were mentioned and feelings that were expressed in one sentence, after the end of the discussion or at the end of the interview with the development of the end of successful interventions.This helps to clarify and focus group imbued with ideas and helps the client in the sense of progress towards the exploration of feelings and ideas.The purpose of the Abstract: (to get to our goal of mental health)- Focus on the ideas and feelings.- End of discussion on a particular topic.- Helps the client to know the extent of understanding of what the nurse said.- Give the customer the opportunity to review the information and Asafh what may be anonymous about it.- Provide a summary at the positive end of the interview shows the customer how much progress has been made.7 - to give information (to get to our goal of mental health)The nurse instruct the client and give the necessary explanation and description in a simplified, clear and correct, and she used simple words and easy customer can understand.8 - silence (to get to our goal of mental health)This method is used to help the client to think about what was said, and must not exceed a period of silence on the point that the client feels the anxiety and tension.

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