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Nur861 1-6 therapeutic relationships with children
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Nur861 1-6 therapeutic relationships with children
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Nur861 1-6 therapeutic relationships with children Phases of therapeutic relationship with child - answer 1) Pre-orientation: read chart, history, **-think about developmental level; what can I expect from them, How can I communicate with them?2) Orientation: **-BOUNDARIES extremely important, set up boundaries and guidelines right away.
-begin a good rapport right away
3) Working: pretty much same as adults 4) T ermination: pretty much same, termination begins at orientation
-always have to deal with parents in all of these phases.
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Guidelines for Communication with Children - answer -establish a setting that enhances communication (safe place, not scary); appropriate
intro (talk to parents first, Mr. and Mrs.) Privacy & confidentiality (privacy important with shy kids
-Watch non-verbals: convey most significant message to kids, watch theirs too
-Allow the child time to feel comfortable and not threatened (avoid sudden movements and big gestures)
-Assume an eye level position with child
-Transitional objects: teddy bear, doll, show them first on object. Safer- "teddy bear doesn't like you" -Give older children an opportunity to talk w/o parent. As early as 11, a MUST for adolescence
-Speak in a quiet, unhurried and confident tone
-Speak clearly, be specific, use simple words and short sentences
-State suggestions and directions positively
-Offer a choice only when one exists (you're going to take your medicine, do you want grape or apple)
-Be honest (don't say it won't hurt when it will)
-Allow them to express their concerns and fears
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Consider SAFETY when communicating with child - answer Emotional: safe place, take them to treatment room for "mean" stuff like shots so their room is a safe place and they aren't scared every time you walk into the room
Physical: falling off exam table while you are turned around, objects in room are out of reach
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