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Therapeutic Communications for Health Care 3rd Edition

Carol D. Tamparo, Wilburta (Billie) Q. Lindh

  • Published
  • Previous Editions 2000, 1993
  • 272 Pages

Overview

This is your comprehensive guide for the most important component of the relationship between caregiver and patient: communication. Successful communication with patients can decrease patient anxiety, increase patient compliance, and result in a positive experience for all involved. This book focuses on the therapeutic response to specific situations and client needs, with examples of both good and bad communication to help you communicate therapeutically and effectively in diverse health care settings.

Carol D. Tamparo,

Dr. Tamparo, PhD, CMA-A (AAMA) is the former Dean of Business and Allied Health at the Lake Washington Institute of Technology in Kirkland, Washington, and founder of the Medical Assistant Program at Highline College. The author and co-author of four texts for allied health professionals, she is also a member of the SeaTac American Association of Medical Assistants and the National American Association of Medical Assistants.

Wilburta (Billie) Q. Lindh, Highline Community College

Ms. Lindh, CMA (AAMA) is Professor Emerita at Highline College in Des Moines, Washington, where she served as Program Director and a consultant to the Medical Assistant Program, and received the Outstanding Faculty Member of the Year award for reshaping the program. The co-author of several textbooks on medical assisting, Ms. Lindh conducted workshops and lectured at events across the country during her tenure, and remains an active member of both the SeaTac Chapter of the American Association of Medical Assistants (AAMA) and the National American Association of Medical Assistants.
  • Chapter content has been reorganized to flow from basic to more complex concepts and applications
  • Chapter on Multicultural Therapeutic Communication discusses different cultural responses to care
  • New content on substance abuse as well as acute, chronic, and life-altering illnesses
  • Chapter opening case studies provide a real-world context for each chapter
  • Icons highlight important Legal, Growth and Development, and Self-Awareness concepts
  • StudyWare CD-ROM features self-test quizzes with immediate feedback for each chapter, and unique case studies with video clips to help you practice what you learn
CHAPTER 1 COMMUNICATION SKILLS
Chapter Objectives
Opening Case Study
Human and Technical Relations Skills
Social and Therapeutic Communications
Genetic Influences
Cultural Influences
Economic Influences
Life Experience
Spiritual and Moral Values
Models/Mentors
The Therapeutic Process
What is Self-Awareness?
The Value of Self-Analysis
Professional Application
Case Study
Communication Cycle
The Sender
The Message
The Receiver
Feedback
Verbal Communication
Nonverbal Communication
Two Key Points to Successful Communication
Types of Nonverbal Communication
Facial Expression
Touch
Territoriality
Position
Posture
Gestures/Mannerisms
Word of Caution
Influence of Technology on Communication
Electronic Mail
Fax Messaging
Video and Teleconference
Team Communication
Listening Skills
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
End Notes
Resources
CHAPTER 2 MULTICULTURAL THERAPEUTIC COMMUNICATION
Chapter Objectives
Opening Case Study
Introduction
Developing Cultural Communication
Barriers to Therapeutic Multicultural Communication
Lack of Knowledge
Fear and Distrust
Racism
Bias, Prejudice, and Ethocentrism
Stereotyping
Health Care Rituals
Language
Perceptions and Expectations
The Therapeutic Response
Manifestations of Cultural Diversity
Communication Context
Caregiving Structure
Time Focus
Generalized Manifestations of Cultures and Religious
Caucasian Western Culture
African American Western Culture
Black, African or Caribbean Culture
Asian Culture
Native American South Sea Islander Cultures
Hispanic and Latino Cultures
Religion-Induced Cultures
Judaism
Hinduism and Buddhism
Muslim
Ancient Greek Influence on Culture
Cultural Brokering
Using a Medical Interpreter/Broker
The Therapeutic Response
Recognizing Types of Medicine
Western Medicine
Holistic Medicine
Oriental Medicine
Folk Medicine
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
End Notes
Resources
CHAPTER 3 THE HELPING INTERVIEW
Chapter Objectives
Opening Case Study
Introduction
Changes in Today’s Health Care Climate
Interview Components
Control Factor
Orientation
Risk/Trust
Warmth/Caring
Genuineness
Sympathy/Empathy
Sincerity
Identification of Problem
Responding Skills
Sharing Observations
Acknowledging Feelings
Clarifying and Validating
Reflecting and Paraphrasing
Levels of Need
Questioning Techniques
Closed Questions
Open-Ended Questions
Indirect Statements
Roadblocks to Communication
Reassuring Clichés
Giving Advice/Approval
Requiring Explanations
Belittling/Contradicting/Criticizing
Defending
Changing the Subject/Shifting
Moralizing/Lecturing
Shaming/Threatening/Ridiculing
Resolution of the Problem
Case Study Resolution to Chapter 1 Opening Case Study
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
End Notes
Resources
CHAPTER 4 THE THERAPEUTIC RESPONSE ACROSS THE LIFE SPAN
Chapter Objectives
Opening Case Study
Introduction
Case Study
Infants
The Therapeutic Response
Case Study
Children
The Therapeutic Response
Case Study
Adolescents
The Therapeutic Response
Case Study
Adults
The Therapeutic Response
Case Study
Elderly
The Therapeutic Response
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
Resources
CHAPTER 5 THE THERAPEUTIC RESPONSE TO STRESSED AND ANXIOUS CLIENTS
Chapter Objectives
Opening Case Study
Introduction
Stressors and Stress
Stress Theories
Alarm
Fight or Flight
Exhaustion
Return to Normal
Stress and the Life Span
How to Reduce Stress
The Therapeutic Response
Anxiety
Mild Anxiety
Moderate Anxiety
Severe Anxiety
Panic Anxiety
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
Resources
CHAPTER 6 THE THERAPEUTIC RESPONSE TO FRIGHTENED, ANGRY, AGGRESSIVE, ABUSED/ABUSIVE CLIENTS
Chapter Objectives
Opening Case Study
The Frightened Client
Case Study
Panic Attacks
The Therapeutic Response
The Angry Client
Case Study
The Therapeutic Response
The Aggressive client
The Therapeutic Response
The Abusive and Abused Clients
Case Study
Phases of Violence
Tension Phase
Crisis Phase
Calm Phase
Types of Abuse and Violence
Intimate Partner/Spousal Violence
Physical
Sexual
Psychological/Emotional
Child Abuse
Elder Abuse
Rape
Indicators of Abuse
Treatment
Reporting and Documentation
The Therapeutic Response
Understanding Self
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
Resources
CHAPTER 7 THE THERAPEUTIC RESPONSE TO DEPRESSED AND/OR SUICIDAL CLIENTS
Chapter Objectives
Opening Case Study
Introduction
Types of Depression
Minor Depression
Major Depression
Reactive Depression
Endogenous Depression
Involutional Depression (Melancholia)
Unipolar Disorder
Bipolar Depression (BPD)
Seasonal Affective Disorder (SAD)
Postpartum Depression (PPD)
Substance-Induced Mood Disorder
Depression and the Life Cycle
Children
Adolescents
Adults
Elderly
The Therapeutic Response
Case Study
Suicide
Four Stages of Contemplating Suicide
Danger Signs of Suicide
Communicating Suicide Plans
The Therapeutic Response
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
CHAPTER 8 THE THERAPEUTIC RESPONSE TO CLIENTS WITH SUBSTANCE USE DISORDERS
Chapter Objectives
Opening Case Study
Introduction
Diagnosis of Substance Use Disorders
Substance Dependence
Substance Abuse
Addiction
Commonly Abused Substances
Nicotine
Alcohol
Marijuana
Barbiturates and Tranquilizers
Opiates
Cocaine
Amphetamines
Hallucinogens
Inhalants
Treatment
The Role of Family and Friends in Drug Dependency
The Therapeutic Response
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
CHAPTER 9 THE THERAPEUTIC RESPONSE TO CLIENTS WITH LIFE-ALTERING ILLNESS
Chapter Objectives
Opening Case Study
Introduction
Illness Types
Acute Illness
Chronic Illness
Life-Altering Illness
Losses Faced by Persons with a Life-Altering Illness
Psychological Effect of Life-Altering Illness
Medication Considerations
Cultural Influence on Life-Altering Illness
The Therapeutic Response
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
Resources
CHAPTER 10 THE THERAPEUTIC RESPONSE TO CLIENTS EXPERIENCING LOSS, GRIEF, DYING, AND DEATH
Chapter Objectives
Opening Case Study
Introduction
George L. Engel
Elisabeth Kubler-Ross
Cultural Influences on Grief and Death
Kinds of Losses
Case Study
Factors that Influence Grief
Anticipatory Grief
Dysfunctional and Unresolved Grief
Losses Faced by Persons with a Life-Threatening
Illness
The Therapeutic Response
The Right to Die
Summary
Exercises
Review Questions
Multiple Choice Questions
For Further Consideration
Case Studies
End Notes
Resources

APPENDIX A
Introduction
Overview of Ivan Pavlov, Behaviorist
Overview of B. F. Skinner, Behaviorist
Overview of Sigmund Freud’s Psychosexual Stages of
Development
The Id
The Ego
The Superego
Freud’s Erogenous Zones
Overview of Jean Piaget’s Stages of Cognitive
Development
Overview of Abraham Maslow’s Humanistic Psychology
Overview of Lawrence Kohlberg’s Stages of Moral
Development
Overview of Eric Erikson’s Eight Stages of Psychosocial
Development
Resources
APPENDIX B
Introduction
Defense Mechanisms
Resources

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  • ISBN-10: 1133483135
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