STUDENT: Karla Larin GROUP: CA15 INSTRUCTOR: Joyce Wise DATE: 7/27/13 PATIENT (Initials): AG SITUATION: Ms. A was standing in the roof patio during a “fresh air” break on a bench. When my clinical coach approached her asking if it was ok to sit and chat with her once the break was completed. She agreed to talk in her room as we sat on her bed. GOAL: To have Ms. A engage in a therapeutic relationship. I’m hoping to have open dialogue on her experiences on a lock down ward. SUMMARY: 1. Was the goal reached? Explain if the goal was met or not met and include rationale for your explanation. The goal was partially met. I had interacted with the patient briefly on a number of occasions in the dining room through small talk prior to our talk. The patient was more apprehensive to keep the conversation going and withdrew due to fatigue. 2. Which phases of a relationship were demonstrated? The orientation phase was completed. Ms. A abruptly ended the conversation during the working phase of therapeutic communication. The subject matter became very close and personal on subject matter to which she presented in the emergency unit. 3. Stressors: Ms. A seemed to be very guarded during the conversation when details of her marriage were discussed.
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STUDENT NURSE’S VERBATIM COMMUNICATION (AND NONVERBAL BEHAVIOR) CLIENT’S VERBATIM COMMUNICATION (AND NONVERBAL BEHAVIOR) STUDENT NURSE’S THOUGHTS AND FEELINGS ANALYSIS Might not be a good time to talk. I wonder if she remembers that we asked to sit and have a talk. She is really not interested in talking and I might not be able to complete the assignment. -I just spoke with my Doctor (Sitting on bed, legs crossed with hands on lap, not making eye contact) -Oh, um to talk about what? What questions do you have? (Sitting on bed, legs crossed with hands on lap, not making eye contact, glancing at a cartoon strip newspaper clipping )
-We we chat a little? (Standing at doorway, facing...