Client information/ presenting issue and any relevant information about setting and demographics

Process Recording

SummerLove Holcomb
Walden University
SOCW 6520
Instructor: Wanda Davidson
04/08/2021

Client information/ presenting issue and any relevant information about setting and demographics.

Agency: Sound Options
Client: Mrs. M (for confidentiality)
Date: 04/07/2021
Presenting issues and purpose of contact: This is the first meeting with Mrs. M we were contacted by the facility because Mrs. M’s health is declining, she has not let anyone in the duplex that she lives alone since before COVID. Maintenance had scheduled an appointment to enter the home to fix something. When they got there at first, she refused, and the maintenance crew said they barley recognized her. They convinced her they had to come in she finally agreed. The report was that the client has been hoarding and it is not safe, we have been asked to come and assess her and see if we can get her to go to the care facility long enough to get her back on her feet and so that they can fix all the issues with the home. If not, they will have to all involved will have to look at their contract and prove she is not capable of taking care of herself, her home or making her own decisions. Since the call to use she had an incident where she was stuck and could not get up. She did call for help agreed at the time yes, she needs help and needs to get her CHF under control but refused to leave. We have called and she has agreed to meet.

Dialogue

Identify skills , techniques and theories,

Analysis/assessment of dialogue

Personal reactions and self-reflection to the interaction

S) Hello Mrs. M. My name is SummerLove we talked on the phone a couple days ago. How are you feeling today?

Eye contact, probing open ended question, reaching for feelings and watching her body language

I am trying to get the conversation going and get some kind of rapport

I am trying to see where she is at today because report says if she doesn’t want to talk she will just stand there and scream

M) Yes I remember talking to you on the phone I remember thinking is that her real name. I am having a lot of emotions right now I don’t like people in my business or in my home and telling me what to do!

Skills I am using is active listening, paying attention to my own expressions and body language

Client is making sure I know she does not want to do this.

I am happy she is at least communicating with me now I just have to not upset her and keep her engaged

S) Yes that is truly my first name! I can understand that you are having a lot of feelings about people in your business and in your home and I like getting at least some option not being told what to do like I have no choices. Please talk to me about some of these feelings and what is bothering you specifically. Take all the time you need!

Eye contact, probing question, empathy, paraphrasing, exploration of feelings, normalizing

It is important here that the client sees that her feelings are normal and that I understand

I want to help her and make her feel comfortable enough to talk to me I do not want to rush her. However I do want her to know we will be discussing options for the issues.

M) Thank you, the people, here are trying to rush me so that makes me angry but mostly I am angry and scared about my situation. I am scared I will lose this home and have to stay in the nursing home.

Active listening,

We are starting to get her to open up more and take a look at what is really upsetting her

It is important for me to acknowledge these fears that are very normal, and this will open up the conversation more to talk about the health issues and the hoarding

S) Feeling angry and scared when you are in a situation like this is normal but ignoring the situation can be very unhealthy for you and I am sorry you feel rushed by the staff. Can you tell me what your understanding is of the situation with your health and home?

Eye contact, probing question, normalizing, sustaining, exploration of thought, sustaining

Getting deeper into the situation

I really need to see what her understanding is of the situation

M) Well at first I didn’t think my health was that bad I know my legs are swollen but I was still able to get around a couple days ago but then I had an episode were I couldn’t get up and had to call for help. Know I have had this before and was able to bounce back. Plus it is getting harder for me to keep up with the house cleaning.

Active listening

Open dialogue

I am glad we are on the main topic now and she is still open to talking I feel like addressing her health first is most important

S) So let’s start by having a care conference with the staff here, your doctor on teleconference you and me this Friday so that we can talk about options to help you get back on your feet. Once we hear what the options are you and I can talk about those options and which one you think is best and how we make it happen.

Encouraging problem solving, empowering, providing feedback, anticipatory planning,

Getting her to see this is serious and needs to be addressed

I am hoping by involving her in all the steps she will feel better about some of the things needed

M) That sounds more like I will be given the chance to voice what I need then just being told what they think I need more of a team this way. Thank you see you on Friday

I am glad we came to an agreement and she feels good about it and so do I

S) I am glad that we talked and we will figure this out together see you Friday

Student Self Assessment: I feel like this went very well there was no yelling from her and I made some progress but yes there is a lot more that needs to be done but I think that we have a good foundation of trust and understanding.

Plan for next Interview: Next interview is Friday and we are having a care conference then I will meet with her one on one to talk about some of the options and what the plan will be.