NURS 223L - Interpersonal Process Analysis 2.

NURS 223L - Interpersonal Process Analysis 2. Student: NAME HERE Date: 05/19/20 Clinical Instructor: Name (initials only): JA Unit: SECURE PSYCH UNIT Current Legal Status (Vol., 5150, 5250, 30-day, T-Con, LPS-Conservatorship): Patient has siblings 2 sisters and a brother, including her Father and Mother that are her support system. And mother as the responsible party. Multiaxial Diagnostic System: Axis I (Clinical Disorder): Depression, Anxiety and PTSD. Axis II (Personality Disorder / Mental Retardation): Personality disorder (PTSD) Axis III (General Medical Conditions): none Axis IV (Psychosocial and Environmental Problems): Patient was out going, was on the cheerleading squad before her boyfriend broke up with her. Axis V (Global Assessment of Functioning Scale): Patient some danger of hurting herself/committing suicide. 1. Description of the patient: Age? Sex? Ethnicity? Marital Status? What precipitated hospitalization? Number of days in the hospital? Mental Status, etc. Client is 17 years old single Caucasian female with history of depression, Anxiety and PTSD. Patient living with parents who are her support system, with two other sisters and a brother. Patient mother is responsible party. Patient was admitted to Millwood Hospital, due to her suicide attempt today 05/19/20. On the admission process, when asked the reason for her admission, Patient states “I don’t want to live anymore. My boyfriend broke up with me” but the family indicated that patient broke up with the boy friend and her prom is in two weeks, so that is making her sad and depressed. Patient is alert and oriented x 2. Patient has been cooperative with care, has a poor judgment, ambulates independently, she has a low tone and blunted speech, when asked about her suicidal ideation, patient admits that she has suicidal ideation. Pt is so sad and depressed, her of the perception that her life is over because her boyfriend broke up with her before one of the biggest events in her life. although she denies having visual or auditory hallucination, and denies having delusion. 2. Description of environmental setting where interaction took place. Explain the reasons for a supportive or non-supportive environment. (e.g. noise, distractions, light, temperature, etc.) The Discussion with patient took place in patients’ room, and it lasted for 50 minutes, as patient was so sad and has a lot to say about her boyfriend. When I entered the room, patient was in with the family, I respectfully asked her if she would be willing to answer a few questions and to discuss about her admission process. The client affirmed to it and I went ahead and began my interview process. The environment was quite conducive for the conversation, as the room was quiet, dark as the window curtains were closed with the cold air. The client was very cooperative and answered all the question, she confirmed having suicidal ideation. So after the interview, Patient was put on 1:1 care as the charge nurse went ahead to call the Provider to get the order. INTERPERSONAL PROCESS ANALYSIS NAME: Taiwo Aniyede DATE: 05/16/20 Student: Patient: Communication Techniques Critique and Analysis • Verbal (quotes) and Nonverbal Verbal (quotes) and Nonverbal • Identify communication technique (effective or not effective? Could have said…) Communication (behavior, tone of voice, eye contact, mannerisms, etc.) • Document at least 5 interactions • Goal for each interaction (realistic and measurable) Goal: My goal was to introduce and acquaint myself with the patient Verbal: With a calm voice introduced myself to patient Nonverbal: sitting down facing the patient Goal: My goal was to have an initial conversation with the patient, to get the history of what brought her to the hospital. Verbal: With a calm voice asked. So, tell me what Goal: To know if patient has any plans of hurt self or others. Communication (behavior, tone of voice, eye contact, mannerisms, etc.) Verbal: Patient responded back with her name as JA Nonverbal: Sitting facing me with no eye contact. Verbal: “I don’t want to live anymore. My boyfriend broke up with me” Nonverbal: Sitting facing me with no eye contact Verbal: Patient states “I don’t want to live anymore. My used then define your communication techniques • Was the communication therapeutic or non- therapeutic? • Which defense and coping mechanisms didthe patient use? Rationale based on your patient. Trying to establish nurse patient relationship. Therapeutic. Conversion: Responding to stress through the unconscious development of physical manifestation that was no caused by physical illness. I used the interpersonal communication techniques with open ended questions. Therapeutic Rationalization: I don’t want to live anymore. My boyfriend broke up with me” I used the interpersonal communication techniques to ask patient, if she intend to Document your thoughts and feelings during the interaction. Was your goal met? Goal was effective, I was able to establish an acquaintance with the client. Goal was met patient was able to verbalize her consign and the reason why she is in the hospital Goal was met, patient agreed and voiced out her intent about her suicidal ideation. Page 4 of 7 This study source was downloaded by from CourseH on :20:11 GMT -05:00 INTERPERSONAL PROCESS ANALYSIS SUMMARY 1. Evaluation: After analyzing the interaction, provide a description on how the interaction progressed. Identify the reasons for successful process or unsuccessful process. What did you learn from the interaction with your patient? In the wake of setting aside the effort to break down my communication with the patient, I could state that I had an overall positive experience. It was sure a good experience been my first time communicating with a suicide, psych patient. This gave me incredible knowledge of how certain psychological maladjustment show on a person. Be that as it may, I feel that my general conduction of the meeting went well as I would have loved for it to be. I over overflowed the patient with questions, and the patient also responded to my questions, without any hesitation. From this meeting, I discovered that I should be progressively wary when I pose certain inquiries also learn fitting approaches to speak with the patient. At the beginning of the conversation I wasn’t so sure that patient was going to respond to all my questions because of her mood. But I have learnt that sometimes we don’t have to judge or conclude before carrying out an action, but have a positive mind as you go on with your job, most especially in the nursing field. 3. How did you personally feel about the interaction? What would you change if you had to redo the interaction? After the interview with the patient, I feel that I increased a great deal from having the chance to collaborate with my patient. Nonetheless, I do accept that my therapeutic communication needs further improvement. If I had the chance to change anything it would have be me changing my own suspicions about the patient's emotions. Be that as it may, this is a learning procedure and I will have the open door later on to interface with another patient and applying appropriate communication techniques, and not be carried off by client emotion. STUDENT SIGNATURE: Taiwo Aniyede DATE: 05/22/20 INSTRUCTOR SIGNATURE: DATE: COMMENTS: