Koopmeiners investigated behaviors of health professionals that influence patients hope.

Areas of communication that promotes hope: Taking time to talk Giving information Click to edit Master subtitle style Demonstrating caring behaviors Being friendly, respectful and honest

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 In a pilot study, patients were asked to describe their idea of a good communicator. Most of them mentioned: Being a good listener or being available to listen to their particular concerns Asking simple questions Using open, not leading questions

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We communicate our support to others both verbally and non-verbally, and there must be consistency between these two forms if we are to be perceived as GENUINE. Try to relate to dying people on a personal as well as a professional level. Benjamin (1981) emphasized the necessity of congruence between verbal and non-verbal communication in effective counseling. 4/21/12

NON-VERBAL COMMUNICATION We can judge for ourselves

the extent to which our words match our actions We can see ourselves as the interviewee may see us Most of all, do we only sound genuine or do we look genuine as well?

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NON-VERBAL COMMUNICATION In a video programme (video

interactive guidance) used to improve communication skills in children and families, nonverbal communication such as joint gaze and the use of gesture have been found important in the construction of meaning. Non-verbal communication and turn-talking must be in place before verbal communication 4/21/12 becomes effective.

NON-VERBAL COMMUNICATION For example, three major

themes emerged from Perrys (1996) study of exemplary oncology nurses. Two of these concerned the importance of non-verbal communication, i.e. dialogue in silence and mutual touch, in providing support. Silence emerged repeatedly from the study as an approach that was used by excellent 4/21/12 in the study. nurses

NON-VERBAL COMMUNICATION SILENCE was important for

listening and hearing the message and Perry recommends listening with openness. Sometimes silent messages were encoded in actions of the nurses. The second non-verbal theme identified by Perry was MUTUAL TOUCH. Sometimes eye contact was 4/21/12 combined with touch to

NON-VERBAL COMMUNICATION Perrys third theme

encompassing non-verbal and verbal behavior was the use of HUMOR. This was described as a lighthearted attitude, common among the skilled nurses in the study. Benjamin ( 1981) also advocates the use of humor as a means of support. He is careful to point out that he 4/21/12not mean sarcasm, does

PROMOTING HOPE
Nurses can help patients cope with these anxieties, not with false reassurance but by encouraging them to talk about their fears and by providing appropriate medical information. It is important that, in the earlier stages of advanced disease, patients are able to put their illness into perspective, so that they can participate in other aspects of life. 4/21/12 can help patients to Nurses

PROMOTING HOPE
Maintenance of the individuals perception of control over loss is essential to preserving hope. In a study of what dignity means to those who are terminally ill, McClement identified factors that support and undermine dignity in these patients. One aspect of the patients dignity-conserving list is continuity of self. The implication for staff is 4/21/12 that they should view

HELPING PEOPLE WITH COMMUNICATION DIFFICULTIES

People with verbal communication difficulties can experience emotional distress caused by loneliness, lack of self-esteem or depression. These people may include those who have had a stroke or who suffer from learning difficulties. Kopp noted that language impairments or problems with hearing could often occur in settings where 4/21/12 people were nursed. elderly

HELPING PEOPLE WITH COMMUNICATION DIFFICULTIES

Ham (1991) suggested that, if people with dementia are not aware of their condition at an early stage, they cannot make choices about their future care. Time to come to terms with the diagnosis may enable them to make any financial, spiritual and medical decisions while they are still able to do so. Viewing dementia as a disability rather than a 4/21/12 allows us to view the disease

 Staff often depend on families to communicate with children when a family member is seriously ill. Sheldon (1994) found that parents may underestimate their childrens needs, partly in the belief that they are protecting them and partly because they themselves are exhausted and 4/21/12 distressed by preparing

COMMUNICATION WITH CHILDREN

 The familys ability to support children will depend on pre-existing communication and coping styles. The Clinical Standards Board for Scotland outlined the need for children to be given information to help them understand the likely outcome of the patients illness. Sheldon noted that greater emphasis is now 4/21/12 being placed on including

COMMUNICATION WITH CHILDREN

 Macpherson and Cooke introduced a workbook for families of hospice patients to help parents better understand their childrens knowledge of the patients illness and to begin to explore their childrens thoughts and feelings. It provided opportunities to interact and build relationships with the staff. However, the authors noted that it was important to fully inform parents about the workbook as it raised issues about 4/21/12 death and dying that might be unacceptable to

COMMUNICATION WITH CHILDREN