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Conference recording for pshychiatric rotation

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PACE UNIVERSITY LIENHARD SCHOOL OF NURSING DEPARTMENT OF UNDERGRADUATE STUDIES NURS 258 ROCESS RECORDING THREE Name of Student _EDITH OWUSU-ACHIAMPONG Patient’s Initials J.F. 1.) On a separate piece of paper write a brief description of interviewee (patient) and the setting of the interaction Patient Says Patient Does (Non-verbal) Nursing Student Responds (Verbal and Nonverbal) Possible Alternative Responses Analysis and Interaction (feelings, concerns, questions, thoughts) - Hello! My name is Angie and I am a nursing student ( I place my hand out to give her a hand shake) -My name is Angie 1) I am from Pace University May I have a conversation with you for about 30 minutes? 1) I should have asked the patient if we may have a conversation for about 30 minutes instead of telling her 2) My school is not located in White Plains How long have you been 2) The patient was trying to make the conversation all about me That is why I told 1) Hello! What school you go to? 1) The patient shook my hand and smiled as she asked me a question 1) I am from Pace University I would like to have a conversation with you for about 30 minutes 2) Okay, no problem Your school is located in White Plains? 2) The patient crosses her legs 2) No, the school I go to is not in White Plains, but I am here to talk -The expression on the patient’s face seemed welcoming Patient Says Patient Does (Non-verbal) Nursing Student Responds (Verbal and Nonverbal) about you How long have you been on this unit? 3) I have been here about a week Well not really a week, it has been shorter than that I recent had a visit with my mother and brother My mother is going senile She keeps on telling people all these lies about me She told them that I pushed which is not true I knew she stole my clothes, so I just pushed the door to see if they were in her room 4) Yes, I live with her There is a lot of places I can live but I felt bad because she is getting 3) The patient on crossed her legs 4) The patient has a smile on her face when she begins to speak about living with her brother on this unit? 3) Do you and your mother live in the same home? 3) Who you live with? 4) So you live with your mother because you feel bad for her? 4) What are your feelings towards living with your mother? rk: 8/12/2009 NURS 406 Fall 2009 Possible Alternative Responses Analysis and Interaction (feelings, concerns, questions, thoughts) her I was here to talk about her I did not want her to think that it was okay to talk about my life instead of her 3) I should have asked an open-ended question 4) I wanted to clarify the patients feeling towards living with her mother Patient Says Patient Does (Non-verbal) Nursing Student Responds (Verbal and Nonverbal) Possible Alternative Responses 5) How did you feel when you lived with your brother? 5) What feelings did you have when you lived with your brother? old I use to live with my brother 5) Yes, she getting old and going senile 6) I loved living with my brother I always use to play on the computer with my niece I don’t feel so alone when I use to live with my brother 6) The patient held her hands together 7) I know that you believe your mother is going senile, but what emotions you have in regards to living with her? 7) My mother is just a lonely person Honestly she is really going senile 8) Its okay I mean sometimes I get only One time I came home and the gas was on She wasn’t even cooking anything 9) It really shows you 6) Now that you have moved in with your mother how you feel? 8) The patient begins to look at her surroundings instead of me 9) The patient crosses her legs 8) How did you feel when that situation occurred? 9) Do you think that living with your rk: 8/12/2009 NURS 406 Fall 2009 6) How you feel about moving in with your mother? 7) I know you believe your mother is going senile, but what are your personal feelings towards living with her? 8) What feelings did you have when that situation happened? Analysis and Interaction (feelings, concerns, questions, thoughts) 5) I saw the happiness in her face when she talked about her brother previously 6) I wanted to get a better understanding of how she felt living with her mother That is why I asked the question again 7) The patient was trying to focus on her mother instead of talking about herself 8) The patient really seemed to be focused on her mother problems Patient Says Patient Does (Non-verbal) that she is getting senile Honestly I am tired of taking care of her I asked my boyfriend to live with him 10) Yea, I am tired of taking care of her You ever heard of the phrase “I am cutting the cord”? 10) The patient seems to become more relaxed She seats back in the chair 11) Well that is what I am doing with my mother I have guys telling me at work all the time that they would like to buy me things I use to be in the real estate business, so I know it will not be a problem Nursing Student Responds (Verbal and Nonverbal) Possible Alternative Responses boyfriend will be a better environment for you to get better? 9) Do you believe that living with your boyfriend is a more productive environment? 10) Yes, I have heard of that phrase 10) No, I have not heard of that phrase 11) Will you also participate in an outpatient program, when you leave this unit? 11) Besides finding another place to live you plan on attending an outpatient program? 12) The staff here is trying to find me a program They seem to Patient Says Patient Does Nursing Student Responds rk: 8/12/2009 NURS 406 Fall 2009 Possible Alternative Analysis and Interaction (feelings, concerns, questions, thoughts) 9) I wanted to figure out if living with her boyfriend was just a way to get away from her mother 10) I could have told the patient I have not heard of that phrase to see what the phrase meant to her 11) Since she talked about being on the outside I wonder if she was planning to participate in an outpatient treatment (Non-verbal) keep people here longer then they need to be 13) They will probably keep me here longer then I need I feel that once a patient learns how to use their medication properly they should be okay to leave 14) I learned not to make assumptions Just because someone is upset it is not always my fault I should check with the person 15) Yea, that was the word I was looking for The staff here does not any one on one communication like we are doing now 16) I like the groups because you hear other Patient Says (Verbal and Nonverbal) Analysis and Interaction (feelings, concerns, questions, thoughts) 12) How you feel about your length of stay here? 12) What feeling you have about the amount of time you are going to spend here? 12) I wanted to know if the patient felt that she was going to be here longer then she needed 13) The patient seemed a little frustrated went talking about her how long she might be on the unit 13) What else have you learned here besides staying on your medication? 13) What are some of the coping mechanisms you learned while being here? 13) I was wondering if the was patient actually trying retain the information she was being taught 14) The patient paused a few seconds before answering the question 14) You learned to clarify your assumption? 14) Clarifying your assumptions is something u learned here? 14) I was just making sure that I clearly understood what she was trying to explain 15) The patient had a smile on her face 15) Do you feel that more one on one therapy would be more helpful for you? 15) Would like to have more one on one therapy? 15) The patient seemed happy to talk to me As the conversation progressed she became more relaxed 16) Would you like to participate in more one on one therapy? Nursing Student 16) Is one on one therapy more helpful to you? 16) The patient did not answer my question So I decided to repeat it a Analysis and Interaction Patient Does rk: 8/12/2009 NURS 406 Fall 2009 Responses Possible Alternative (Non-verbal) Responds (Verbal and Nonverbal) Responses peoples’ problems and what they are going through (feelings, concerns, questions, thoughts) little differently 17) Not really, I am ok I assume it would be more helpful to other patients It is hard for me to open up to anyone because sometimes they misinterpret what I am saying 17) The patient leans in a little closer to me when answering my question 17) What is the communication like with your doctor? 17) How well you communicate to your doctor? 17) I can see she has problems opening up to people because she rarely answers any of the questions about her I usually have to restate them 18) I really don’t talk to my doctor But I my sister in-law is on the phone waiting for me I really enjoyed talking to you 18) The patient stands up 18) Thank you for talking the time out to talk If you have trouble with anyone on the staff you should the other staff members know about it ( I reach out to give her a hand shake) 18) If you are having difficulty with one of the staff members you should notify someone, to help make the situation more comfortable for you Thanks you 18) Through this whole conversation I made sure that the conversation was about the patient Not answering the question directly was away for J.F to guard herself Throught out the conversation it seemed like the patient was trying to convince me that there was something wrong with her mother rk: 8/12/2009 NURS 406 Fall 2009 EDITH OWUSU-ACHIAMPONG Nurs 258 03-24-2011 Clinical Brief Description of Interviewee (Patient) The patient was a 50 year old Caucasian female She is diagnosis with paranoid schizophrenia This is the patient second time at the facility She was also here when he was 29 years old She arrived at the facility on a stretcher from the crisis team, her admission was voluntary Her attitude is guarded and hyperactive She reports her mother has Alzheimer and was physically aggressive with her mother for the first time The patient works for a water company, mainly deals with paper work The conversation took place at Stamford Hospital , Connecticut The patient and I seat on a couch in the hallway rk: 8/12/2009 NURS 406 Fall 2009 ... situation more comfortable for you Thanks you 18) Through this whole conversation I made sure that the conversation was about the patient Not answering the question directly was away for J.F to guard... physically aggressive with her mother for the first time The patient works for a water company, mainly deals with paper work The conversation took place at Stamford Hospital , Connecticut The patient... was wondering if the was patient actually trying retain the information she was being taught 14) The patient paused a few seconds before answering the question 14) You learned to clarify your assumption?

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