Alert and oriented x4 definition

MENTAL HEALTH

Name (initials only): N.J Unit: Nursing Home

Current Legal Status (Vol., 5150, 5250, 30 day, T-Con, LPS-Conservatorship): Voluntary

Multiaxial Diagnostic System: Axis I (Clinical Disorder): Depression disorder

Axis II (Personality Disorder / Mental Retardation): None

Axis III (General Medical Conditions): Hypertension, Diabetes, fracture RT ankle from fall,

osteoarthritis, macular degeneration.

Axis IV (Psychosocial and Environmental Problems): Lack of family support

Axis V (Global Assessment of Functioning Scale): Not found in chart

1. Description of the patient: Age? Sex? Ethnicity? Marital Status? What precipitated hospitalization? Number of days in the hospital? Mental Status, etc.

N.J is an 81-year-old black female. She has been in the nursing home for 8 months following time in the hospital with a fractured right ankle after a huge fall. She lost her husband about four years ago. Her youngest sister was the only person who used to pay her a visit but has since stopped after being diagnosed with a heart attack 9 weeks ago. She arrived at the psychiatric health facility on 09/08/2020 for a depression disorder. N.J is alert and oriented x4 to person, place, time, and situation.

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 interaction between me and the patient took place in a quiet and calm environment. The area was open, with a tolerable temperature, no offensive lights, and sounds. The interaction lasted for 45 minutes. Overall, I feel the environment was supportive because we were able to interact freely with the patient without being interrupted.

Course Number and Name

Course: NURS 223L

INTERPERSONAL PROCESS ANALYSIS TEMPLATE

Revision Date: Month, Year (i.e. February, 2010) Page 1

Page 1 of 5

INTERPERSONAL PROCESS ANALYSIS

NAME: Andcherla Marcelin DATE: 09/08/2020

Student:

· Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.)

· Document at least 5 interactions

· Goal for each interaction (realistic and measurable)

Patient:

Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.)

Communication Techniques

· Identify communication technique used then define your communication techniques

· Was the communication therapeutic or non- therapeutic?

· Which defense and coping mechanisms did the patient use? Rationale is based on your patient.

Critique and Analysis

(effective or not effective? Could have said…) Document your thoughts and feelings during the interaction.

Was your goal met?

Goal: To Build rapport with the patient

Verbal: You look younger than your age

Nonverbal: Smiling and nodding when appropriate

Verbal: I utilized my youthful days to shape my future

Nonverbal: Smiling

Communication techniques: Open-ended question

Definition: The purpose is to encourage the patient to share their information, perceptions, and feelings

This exchange was effective because the patient was able to approach me and continue with the conversation

Goal met

Goal: Establish patient safety

Verbal: Why don’t you like to interact with other people in the facility?

Nonverbal: Eye contact

Verbal: My life is never the same again. My sister is the only piece of Joy I had, nobody can replace her.

Nonverbal: Avoiding eye contact

Communication techniques: Exploring

Definition: The purpose is to enable the nurse to examine important ideas or experiences

The exchange was effective because the patient shared her thoughts and I was able to establish her safety

Goal: To understand the patient's feelings about why he has stopped eating

Verbal: You have mentioned that you don’t like eating. Has anyone ever explained to you the risk of not taking enough food?

Nonverbal: Eye Contact

Verbal: Who should that be if not my younger sister? Nonverbal: The patient made eye contact throughout

Communication techniques: Active listening

Definition: The purpose is to grasp every bit the patient is talking about and encourage them to interact freely.

The interaction was effective because the patient opened up.

Goal met

Goal: Engage patient in conversation to elaborate on their feelings

Verbal: Do you feel better interacting with me?

Nonverbal: Eye Contact, Used no threatening voice

Verbal: Am not in the mood of interacting with people Nonverbal: Nods head and does not maintain eye contact

Communication techniques: Open-ended question

Definition: The purpose is to encourage the patient to share their information, perceptions, and feelings

The interaction was effective because the patient shared her feelings

Goal: To complete full thought before changing topics

Verbal: So would you be willing to share more about your mental health history?

Nonverbal: maintains eye contact

Verbal: To be honest, this is my first time to be here. I have no past history regarding mental health, am not even aware am unwell

Nonverbal: eye contact

Communication techniques: Silence

Definition: The purpose is to give both parties an opportunity to think and evaluate important things that have been discussed

Effective because the patient would always add something every time I asked this question.

Goal met

l 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?

Our conversation with N.J went on well and we had quite a good an interacting session. Although she was not talkative at the beginning, I was able to establish a good rapport with her where she gained trust in me and opened up. I used different types of techniques such as open-minded questions, exploring, silence, and observing to make our interaction more effective. The reason why I feel the interaction was successful is because I was able to gain patients' trust and we were able to engage with each other freely. During the interaction, I learned what communication skills I needed to work on and how to communicate effectively with different kind of people.

2. How did you personally feel about the interaction? What would you change if you had to redo the interaction?

I was feeling more confident to have an interaction with this patient since I had already conducted a similar task before. I was however a little nervous about conversing with this patient because she was just like my grandmother. To be honest, I feel the conversation we had we the patient was very productive and therapeutic, and I can’t really point out what I would do differently.