Nurs 3632 Process Recording Final

Introduction NURS 3632 PROCESS RECORDING FINAL Therapeutic communication is a skill which is developed through purposeful practice. This assignment assists the student in evaluating his/her own communication skills during a conversation with a patient. The process recording helps the student objectively examine both the environment and the interaction between two individuals. What is a Process Recording? A process recording is a learning tool which aids a student to develop observation and communication skills. A nursing student/patient interaction is recorded verbatim (or as closely as possible). Included are: 1. Descriptions of both the student nurse and patient’s non-verbal behavior and communication techniques; 2. Facilitator (F) or barrier (B) utilized; 3. Interpretation/revision of the student and patient’s verbal and non-verbal communication and communication technique. 4. Instructor feedback will be provided when appropriate. Purpose of Process Recording: 1. To guide the student in the development of self-awareness of impact of own behaviors - verbal and non-verbal, on a patient. 2. To encourage the student to explore a variety of strategies to accomplish stated communication goal. 3. To enable student to become more objective in the processing of patient messages. 4. To create an opportunity for student to propose interpretation/revision of verbal, non-verbal and communication techniques. 5. To provide the student with a means to see their development of communication skills. 6. To assist the instructor in gaining an understanding of the student’s ability to communicate therapeutically with patients and families, and provide concrete examples and remediation. Process Recording Guidelines: 1. First, interview a patient in a health care facility for about 5-10 minutes. As soon after the interview as possible, write down the exact conversation. Since both verbal and nonverbal messages play a role in communication, record both the exact verbal exchange and nonverbal communication. At least sender-receiver exchanges must be included. The introductory and closing statements are not considered as exchanges. 2. Then, collect pertinent patient data for the top section of the assignment. To protect the patient and student's privacy, use the word patient or abbreviation pt., not ever use names or initials, when referring to patients. If another individual is included in the process recording use terms such as pt’s nurse, pt’s husband, etc. NEVER EVER USE REAL NAMES OR INITIALS. 3. Next, identify facilitators and blockers (refer to your Videbeck textbook). When communication facilitators are identified, name the type of communication facilitator. When communication barriers are identified, name the type of communication barrier and identify alternative therapeutic responses. 4. Last, write one paragraph summarizing your evaluation of the communication process. Process Recording Submission Requirements: The process recording is: 1. Typed; no handwritten papers will be accepted. 2. Recorded on form provided. 3. Must have grade sheet attached 4. Must have at least 15 sender/receiver exchanges, not including opening and closing statements. 5. Due date and submission requirements as Due October 30, 2020 at 2359. NO LATE SUBMISSIONS WILL BE ACCEPTED AND YOU WILL RECEIVE A ZERO. Setting in Facility: Patients Home Students Name: Fabiola Gonzalez Goal or Purpose: After doing a home assessment/evaluation i noticed patient was more depressed than usual, i asked if she wanted to talk about it. Patient will verbalize feelings of sadness and depression. Will discuss current marital problems Date: 10/25/20 Patient Age: 36 Patient Sex: Female Patient Diagnosis: Stress/Depression Student’s Verbal Student’s Patient’s Patient’s Non- Communication Interpretation/ Statements (Exact Non-Verbal Verbal Verbal Technique Used Revision Quotes) Behavior Statements Behavior Identify (Give suggested (Exact VIDEBECK (F) Facilitators alternate Quotes) or (B) Barriers response) VIDEBECK Introduction: Eye I am a bit Eye contact: f- Broad No revision: Hey i noticed contact: down today looking away openings— my opening you a little Direct I didn’t Facial: allowing the was straight uneasy today, Facial: think it was Frowns, client to take forward are you ok? curious, that looks blue the initiative concerned, noticeable. Body: pt in introducing worried head is down the topic she is slouchy 1 Do you want Eye Oh, it’s Eye contact: f- Broad I could have to talk about contact: really not still looking openings— been more anything before direct that around allowing the inviting for I go? Facial: important. I Facial: tries client to take her to talk concerned will be ok to smile to the initiative about her its no big look happy in introducing situation deal Body: hugs the topic herself and rubs her arm 2 I can sit with you a while. I am interested in how you are feeling Eye contact: direct Facial: expressive faces Body: accepting position My husband and I are at war, again! Eye contact: wandering eyes Facial: confusing faces Body: Closed body position Offering self— making oneself available 3 At war? Eye Yes, I am Eye contact: Verbalizing I should have You’re saying contact: im so dramatic Pt is crying the implied— been more you and your looking I know. I Facial: sad, voicing what caring here- husband are around called him frowning, the client has used more fighting? As in Facial: a liar, crazy some hinted at or non verbal an argument? look of and shivering suggeste communicatio confusion obsessive n like pat on Body: posture because he was spying on my conversatio n when he was gone. the back or a hug 4 What are Facial: He is Eye contact: Encouraging I should not your feelings in riased crazy! I direct expression— have said he regards to him eyebrows lashed out Facial asking the was invading invading your at him I expression: client to her privacy I privacy? don’t angry appraise the feel as though understand Tone: quality of his I was why he LOUD, pt is or her accusing him can’t yelling experience it was not my respect me place to or my space im sure he is listining to my conversatio n right now I don’t want to say too much 5 Are you Body: NO! there Eye contact: Making I am uncomfortable? moving, is cameras none pt is observations concerned for We could move pointing to or voice crying —verbalizing pt. Did I upset to a different a different recording Tone: pt is what the nurse her? Should I area if you’d area devices SCREAMIN perceive have not like. Nodding everywhere G made the head yes . I hate it Facial: RED- suggestion to here. I feel pt is making move. like a angry faces prisoner in Body: my own Standing home. slammed her hands on the tabel 6 Lets go to the Body & I just don’t Pt is moving Suggesting I should have kitchen. I can Facial know what slowly collaboration offere her make you some expression else to do. I Pt is crying —offering to tissue or tea, it will help s: inviting, cant talk share, to maybe you relax. walking about my strive, and to stopped the towards personal work with the conversation kitcen life with client for his here after Places hand on pt back for support anyone because he is so private but he also wont allow me to express myself with him or her benefi noticing how distraught she was 7 Here you Body: I am this smells Pt seems Verbalizing I feel better are, please be being great! is it happier the implied— now that she careful it is a careful Mint? I She is voicing what seems ok little warm. Do with the hope this excited and the client has you feel that no tea helps me. I smiling about hinted at or one understand Walking usually her tea suggeste you? slowly drink chamomile or lavender tea to help me relax but i think my stress is too strong for teas Student’s Verbal Statements (Exact Quotes) Student’s Non-Verbal Behavior Patient’s Verbal Statements (Exact Quotes) Patient’s Non-Verbal Behavior Communication Technique Used Identify (F) Facilitators or (B) Barriers Interpretation/ Revision 8 I am sorry you are feeling this way, i can only imagine being in a situation like this. Have you talked about personal space and privacy with a professional or seeking help from a therapist? Or any other theraputic techniques? Body: pat patient on back Eye contact: direct there is no point it’s like talking to a brick wall when i try to express my feelings. I don’t even know why I am still with a man who doesn’t respect me, maybe i don’t deserve it Facial: sad, looks of defeat, crying Eye: watery eyes Formulating a plan of action—asking the client to consider kinds of behavior likely to be appropriate in future situation I should have ended the conversation as it was becoming gossip 9 You absolutely deserve respect. You matter, your feelings matter. Even if they are good or bad all feelings are important. My tone is a little aggressive I am squinting my forehead I am red in the face Thank you, i am glad to know that someone cares. You are understanding and supportive i wish he could be like this. I wish it was this easy to talk to him. Loud sigh with relief Pt smiles Presenting reality—offering for consideration that which is rea I knew I needed to remind her that she was important and reassure her that her feelings were not to be ignored 10 How are you feeling now? Did the tea help you? You seem calm and relaxed facial expression: raised eyebrow looks of curiosity it helped me very much and it is delicious. Could you give me the recipe? I will be making this more ofthen. What else could i do to help with stress and depression eye contact smiling seems interested Reflecting—directing client actions, thoughts, and feelings back to client I am satisfied that the tea helped her 11 I encourage you take time for yourself. Maybe out door activities, going for walk, participating in a hobby you enjoy. These are all things that can take your mind off what is stressing you change in tone of voice making enthusiastic facial expressio All those sound great but i am more of a home body, i dont like to get out or socialize very much placed her mug down on the table and pushed it away from he pt looks disappointed Encouraging comparison—asking that similarities and differences be noted Find more resources 12 If these dont interest you, there are several other options to consider. May i offer you some medical resources for stress/depression Pt is making enthusiastic facial expression Medical recourses? oh no i take enough daily medication as it is. What are they? im all ears patient chuckle turns her head to the side and points at her ear Encouraging comparison—asking that similarities and differences be noted Find more resources 13 While i cant offer you any medication perhaps a professional can. eye contact And what professional can i talk to about this eye contact Providing more resources for pt 14 I urge you to see a doctor as soon as you can, im sure they will direct you to the best therapist or counselor who could be of more assistance to you body: getting up and walking towards the doo i appreciate you taking the time to listen to me today. The other ladies who usually come by to check on me just do their job and go. Thank you i will take these into consideration Eye contact: direct Facial: smiling Body: reaching for a hug Formulating a plan of action—asking the client to consider kinds of behavior likely to be appropriate in future situations 15 Please remember that your feelings are important no matter what others may think. Eye contact is direct I placed my hand on her shoulder I will try to keep that in mind next time I fall into a depression episode. Pt looks better Is smiling Giving recognition—acknowledging, indicating awareness Closing For now, thank you trusting me I look forward to seeing you next week. Eye contact Gives hug See you then. Hugs back waves Offering self—making oneself availabl Was honest and nice Overall Self Evaluation: This has been the most difficult assignment for me. I felt uncomfortable many times through out the conversation. I have only been working with this private home company for 3 weeks, this was only my fourth time visiting this patient. She requires daily home visits while her husband is at work because she was an alcohol abuser who has tried to commit suicide twice. When she revealed that her husband had cameras and recording devices in their home I became very nervous. It is required for the patients to mention this in the contract they have with this private home company, i didn't not remember reading that there was surveillance in her contract. I wish now that i would have stopped and contacted my supervisor to make him aware of the situation just in case her husband were to be upset with me communicating with her. I was also hesitant to use this situation because it seems like gossip but i felt confident in my response and therapeutic communication i provided her.