Discuss about the Communication Techniques in Counselling System.
This report entails a counseling review protocol for Patient Katherine referred due to an occurrence of recurrent flashback images due to post-traumatic stress disorder. The patient has been having imaginations intuitive images of past event, of her friend whom she had an accident with a cooking stove. The symptoms have been frequency as it was observed when she visited her fiancé and kept getting images of suspicion of fire arising from the stove. The traumatic of experience of Katherine friends of the fire has had a painful experience on him, she has developed post-traumatic stress disorder which has threatened her relationship with her fiancé, thus being at risks of loneliness and isolated. Post-traumatic stress disorder on the patient is occasioned by the images continuum on the veridical reconstruction of the mind to construction in the hypothetical situation of the patient. The traumatic experience of her friend has put the status of Katherine at a vulnerable stage which is occasioned with dissociative responses which have affected her senses and loss of emotional responsiveness.
Thus this assessment seeks to assess the patient and offer appropriate counseling protocol for the patient. In-depth communication model, communicative on strategies, barriers and interprofessional provision of care are discussed below.
One of the most effective and innate aspects of building the effective relationship and enhancing the desire to connect with other person is through the ability to connect to that person. Communication can often be difficult to define. Studies done by Bramhall, (2014 ) communication needs to build meaning and can be enhanced with symbols. Thus from this angle, enhancing effective corporation with patient Katherine is key towards care process and effective counseling approaches. Humans are social in nature and thus need cooperation for them to thrive along, (Delunas, & Rouse, 2014).
Effective communication to be utilized for the patient is the transactional model of communication which offers the simple unidirectional form of communication. In this model, the sender transmits the information to the receiver which is also influenced by the feedback which the involved persons. From this perspective, both the individuals are communicators, as they receive and send the communication, (Eaves & Leathers, 2017). Thus utilizing this model in the care process and counseling steps for the patient are geared at ensuring that there are free communication and direct feedback from the client to the counselor.
The ability to build the connection with the patient is key in developing the rapport with the client. Building intimate connectedness offers for the reflective satisfaction of the social self. Building the connectedness and communication is key to achieving full disclosure from the patient, (Gibson, Dollarhide, & Moss, 2010).
Building a good rapport with the patient can be challenging as it needs building positive interaction. Empirically, in this case, the patient is so much connected to the trauma which is causing periodic vivid images, thus making the communication difficult. The belief s and thoughts which Katherine has can make the interaction and expression to be difficult, (Meyers et al, 2013). In matching myself as a counselor with the patient, there is the need to first procedure is breaking the ice. This will be done by offering nonthreatening topics for initial small contact, such as established and shared experiences which might be common. Further, there is the need for a counselor to avoid talking too much. Listening to patient Katherine and looking for experiences or any circumstance is key. This provides more talking at the initial stages.
Further as a counselor, injecting slight elements of humor through laughing together creates humor experience and even creating a joke in the situation. Further, there is needed to be conscious of the body language and other nonverbal cues. Maintaining eye contact is key at this point. Further showing some empathy to the patient is key in enhancing and demonstration the patient point of view. Hence finding similarities and being on the same wavelength with the patient are key aspects of building effective rapport, (Kaplan & Gladding, 2011).
Counseling is a conversation dialogue between the counselor and the client. The counselor needs the certain aspect of communication in order to facilitate change. Thus effective strategies that will employ as a counselor entails;
This refers to the ways which my concentration needs to focus on the client, in both physical and psychological. Effective attending on the patient gives her the impression of being with them and that they can share what they have with the counselor. Application of SOLER principles are effective, they include, sitting squarely and facing the client, having the open posture with the client, leaning forward to show involvement and interest on the patient, having eye contact and maintaining it with the patient and being relaxed, (Bor & Watts, 2016).
This refers to the ability of the counselor to be able to capture the messages of the client as she narrated the story and past experience which is transmitted verbally.
Active listening entails listening and understanding client verbal messages, listening and interpreting client’s nonverbal messages, listening and understanding the client context and listening with empathy for the patient, (Thompson, 2018).
Empathy involves listening to the client and having the time to understand their concerns. Listening with empathy offers an opportunity to ensure that the counselor sees the world of a client through patient lenses.
This involves asking questions to the patient and exploring the full relevant issues of their lives and the significant events in their lives. Probing skills often can take any form of the past Katherine history of the fire and stove, (Evans et al, 2017).
As much as communication is key in building a relationship with the patient, at times problems occur in the communication process. Barriers interfere with the counseling process as they prevent patient client communication thus hindering free and informed decisions on the case assessment, care process, actions and sustainability of agreed intervention protocol, (Bramhall, 2014).
In this case, some of the susceptible barriers to effective communication include physical barriers between the counselor and the patient. This can happen in the review of location and setting of the counseling process. Further differences in social and cultural factors can bring hindrance in effective communication with the patient. Also psychological barriers of the patient as observed in the patient history of post-traumatic stress disorder of past episode. Further, there are barriers caused by the patient and further language and education levels between the counselor and the patient Katherine can hamper effective communication, (Meuter et al, 2015). Other physical barriers can include environmental factors which prevent the opportunity for reduced opportunities for the effective communication process. This can include, counseling room which doesn’t offer enough privacy, dirty and untidy room, uncomfortable sitting arrangement, occasion’s distractions and objects in the counseling room.
Nonverbal barriers can include gesturing, frowning, showing signs of boredom signs of disgust, signs of despair and shaking of the head which are linked to the patient due to a remembrance of the past experience episode. Further traditional and insensitive counselor can be a barrier to effective communication. In cross-cultural counseling, lack of multicultural training can be a barrier to conducting effective counseling. Despite the fact that counseling has adopted issues of race, culture, and ethnicity, this can be a brief not effectively covered in the process., (Pavord & Donnelly, 2015).
Current counseling needs have adopted complex health problems which require more than one discipline to address the patient status. Involving other professionals in the counseling process of patient Katherine is key in ensuring that interprofessional teams can communicate and address the challenging needs of the patient. Interdisciplinary collaboration in counseling process is the best strategy in addressing the crucial social problems, (Mellin, Hunt, & Nichols, 2011, p. 140). Collaboration between disciplines is key and effective in delivering services, (Morphet et al., 2014).
In this case, professionals in the field of social welfare and psychology therapist will be needed. There is a need for assessment of the social status of the patient, as the current situation is affecting the social status of the patent, hence social attention is needed. Further psychology therapy for the patient is needed to ensure that display of stove doesn’t have any effects on post-traumatic disorder on the patient, (Nancarrow et al, 2013). Key ethical considerations will be considered in this approach. Principles of beneficence on the patient and ensuring the promotion of safeness and promoting good for the patient are followed. Further, the principle of doing no harm to the patient will be adhered to ensure that all care process don’t worsen the status of the patient. Confidentiality in the medical profession is key, hence sharing of the patient information among health care professionals does well to the patient, (American Counseling Association, 2014). (Meyers et al, 2013).
Conclusion
Hence communication process for patient Katherine is key and effective approaches should be integrated into the counseling process. As a skilled counselor, offering attention and listening and being able to understand the patient offers a good grip on the post-traumatic stress disorder currently facing Katherine. Creating a positive rapport, embracing effective communication strategies, eliminating communication barriers and offering collaborative care for the patient is key towards offering effective counseling process.
References
American Counseling Association. (2014). ACA code of ethics. Alexandria, VA: Author.
Bor, R., & Watts, M. (Eds.). (2016). The Trainee Handbook: A Guide for Counselling & Psychotherapy Trainees. Sage.
Bramhall, E. (2014). Effective communication skills in nursing practice. Nursing Standard (2014+), 29(14), 53.
Bramhall, E. (2014). Effective cPavord, E., & Donnelly, E. (2015). Communication and interpersonal skills. Lantern Publishing.
Delunas, L. R., & Rouse, S. (2014). Nursing and medical student attitudes about communication and collaboration before and after an interprofessional education experience. Nursing Education Perspectives, 35(2), 100-105.
Eaves, M., & Leathers, D. G. (2017). Successful nonverbal communication: Principles and applications. Routledge.
Evans, D. R., Hearn, M. T., Uhlemann, M. R., & Ivey, A. E. (2017). Essential interviewing: A programmed approach to effective communication. Nelson Education.
Gibson, D. M., Dollarhide, C. T., & Moss, J. M. (2010). Professional identity development: A grounded theory of transformational tasks of new counselors. Counselor Education and Supervision, 50(1), 21-38.
Kaplan, D. M., & Gladding, S. T. (2011). A vision for the future of counseling: The 20/20 principles for unifying and strengthening the profession. Journal of Counseling & Development, 89(3), 367-372.
Mellin, E. A., Hunt, B., & Nichols, L. M. (2011). Counselor professional identity: Findings and implications for counseling and interprofessional collaboration. Journal of Counseling & Development, 89(2), 140-147.
Meuter, R. F., Gallois, C., Segalowitz, N. S., Ryder, A. G., & Hocking, J. (2015). Overcoming language barriers in healthcare: A protocol for investigating safe and effective communication when patients or clinicians use a second language. BMC health services research, 15(1), 371.
Meyers, F. J., Hales, R. E., Young, H. M., Nesbitt, T. S., & Pomeroy, C. (2013). Restructuring academic health centers to advance interdisciplinary collaborations: opportunities for psychiatry departments. Academic Psychiatry, 37(2), 72-75.
Morphet, J., Hood, K., Cant, R., Baulch, J., Gilbee, A., & Sandry, K. (2014). Teaching teamwork: an evaluation of an interprofessional training ward placement for healthcare students. Advances in medical education and practice, 5, 197.
Nancarrow, S. A., Booth, A., Ariss, S., Smith, T., Enderby, P., & Roots, A. (2013). Ten principles of good interdisciplinary teamwork. Human resources for Health, 11(1), 19.
Thompson, N. (2018). Effective communication: a guide for the people professions. Macmillan International Higher Education.
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