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Process recording

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Process recording
Nurs 302 (Lantz) Process Recording

Date: __4/2/14__________ Student Name: ____________________________
Client
(Verbal and Non-Verbal)

Pt. turns to me with no expression as I walk into her room.

Nursing Student
(Verbal and Non-Verbal)

“Hi, (patient name), I am just going to hang up some antibiotics for you, okay?”

Nursing Student
(Thoughts/ Feelings)

I was unsure at first how the patient would react to me because she had some erratic behavior in the past with the hospital staff and often did not comply in communicating with them.
Analysis
(What were you thinking)

Greeting: It is important to alert the patient when you are coming into their room, greet them, acknowledge them personally, and tell them what you are there for.

Turns to me, with wide eyes, and asks, “Am I going to die?”

I respond, “That is not a question that I can answer for you because I do not know.”

I was caught a little bit off-guard. It was quite early in the morning still and I had barely even been working with her so I was surprised when she asked me such a pointed question. You could tell she was worried about death.

I do not feel that this initial response was particularly therapeutic but at the very least I did not want to give false reassurance, which is something to avoid.

She said, “I have asked everyone and none of them say no!” She turns her head away from me at this point.

“Well, you are very sick but we are all working to help you here. Would you like to talk more about how you are feeling?” I turn towards her.

I tried to redirect the conversation to a more therapeutic course. You could tell that she was unhappy that no one was just saying “no” when she asked about death. I wanted to see if she would open up about her feelings a bit more.

General Lead: I was trying to encourage the patient to talk about her feelings and show interest in what

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