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Related Concept Videos

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
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Therapeutic Communication01:30

Therapeutic Communication

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Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
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Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Related Experiment Video

Updated: Apr 13, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Communication with older, seriously ill patients.

Liesbeth M van Vliet1, Elizabeth Lindenberger2, Julia C M van Weert3

  • 1Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, Bessemer Road, London SE5 9PJ, UK.

Clinics in Geriatric Medicine
|April 29, 2015
PubMed
Summary

Effective communication strategies are vital for older, seriously ill patients and their caregivers. This includes empathic communication, clear information delivery, and shared decision-making to meet their unique needs.

Keywords:
CommunicationDecision makingEmpathyGeriatricsInformationPalliative careSurrogatesTailoring

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Last Updated: Apr 13, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

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Area of Science:

  • Geriatrics
  • Palliative Care
  • Medical Communication

Background:

  • Older adults face unique challenges in serious illness communication.
  • Effective communication is crucial for patient-centered care and decision-making.

Purpose of the Study:

  • To outline effective communication strategies for older, seriously ill patients and their surrogates.
  • To enhance empathic communication, information provision, and shared decision-making.

Main Methods:

  • Review of communication skills in geriatric and palliative care.
  • Focus on empathic communication techniques (e.g., 'NURSE' statements).
  • Strategies for tailored information delivery and facilitating decision-making.

Main Results:

  • Empathy skills, including 'NURSE' statements and relationship assurance, improve patient-provider interactions.
  • Tailored information and empathic communication overcome age-related barriers.
  • Eliciting patient goals of care is key for decision-making; surrogates require support.

Conclusions:

  • Implementing specific communication strategies enhances care for seriously ill older adults.
  • Addressing both patient and surrogate needs is essential for optimal outcomes.
  • Improved communication supports informed decision-making and patient well-being.