SOCW 6520 Assignment 1: Week 10 Blog

PROCESS RECORDING 3

SummerLove Holcomb
Walden University
SOCW 6520
Instructor: Wanda Davidson
04/27/2021

Process Recording 3

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

Agency: Sound Options
Client: Mrs. M
Date: 4/14/2021
Presenting issue and purpose of contact: this is a follow-up meeting after the intervention of Mrs. M has been started and is in continuation. People present are Dr. Z, Mrs. K, and me. This meeting aims to know how the client is taking to the admission and get any concerns she might raise regarding the admission into the facility. The meeting will also help the intervention team identify the areas of the client’s care that need improvement. The meeting is held at the facility, where the client is admitted, and the doctor is physically present to see the client’s progress concerning her physical health while Mrs. K is on teleconferencing.

Dialogue

Identify skills, techniques, and theories,

Analysis/assessment of dialogue

Personal reactions and self-reflection to the interaction

S) Hello, Mrs. M. I am glad that we are here again for this session. How are you feeling today?

Reaching for feelings and eye contact; I make eye contact as I ask the client about her health.

I am trying to create rapport with the client and understand her situation when asking the question.

I am starting a conversation and attracting the client’s attention who seems lost in thought and distraught.

M) Better, my leg is not as swollen as it was, and there is still some pain, although it is now bearable.

Active listening ( Rivier University, 2017); I listen attentively and keen on the body language of the client.

The client is explaining her situation, and she makes known that her pain is not completely gone.

I observe that the patient is pleased with her situation because she has started recovering.

S) I am happy to hear about your progress. Today with me is Dr. Z and Mrs. K (while pointing to the two).

Nonverbal communication; I smile and use pointing gestures.

I introduce the other members in the session to invite them into the conversation.

I hope that the session will be productive, given the client’s cheerful mood.

Z) Hello, Mrs. M; we talked last week over teleconference, and I am happy to be here today. I have been monitoring your physical health reports, and I must appreciate that you respond pretty well to treatment. I would wish to know if you have any concerns regarding the drugs or the therapy

Assertive communication; Z uses ‘I’ statements and uses meaningful eye contact ( Carer Gateway, n.d.).
Sustaining; Z engages the client to get more information regarding the session’s objectives.

Z is trying to give hope to the client regarding her progress and probing the client to gauge her feelings and reservations about the medical intervention.

I hope that the client will be open and address any concerns to modify her treatment to match her tastes and preferences.

M) The drugs make me feel very drowsy. Should they elicit such reactions?

Active listening

The client expresses that she is worried about the drugs administered to her.

I could observe that the client feels worried about the drugs

Z) Drowsiness is a normal occurrence with the use of the drugs, so it’s no cause for alarm. I apologize if nobody talked to you about the side effects they cause.

Normalizing; Z ensures that the client knows the drowsiness does not only happen to the client.

It is important to clarify the drug effects to make the client understand her situation.

I am optimistic that the client understands and will tolerate the situation until she can safely get off the drug therapy.

S) Reports show that more often, you seem lost in thoughts and distraught. Are there concerns that you need to be addressed about your admission and care?

Probing, I ask the client a general question about her admission.

It is essential to understand the client’s mental health and her concerns after the observations being noted in the report.

I hope that the client’s mental health is good and the situation is manageable without the need for more time in admission.

M) It’s only the physical therapy sessions that are very tiring. I get really exhausted, and I feel that they take too long.

Ventilation; the client shares her feelings, and from her face, she seems stressed.

The client is open and expresses her feelings about the physical therapy sessions.

The client seems displeased with the lengths of the therapy sessions

K) The therapy sessions are essential to ensure proper blood circulation to your legs and also to train and enable you to regain your mobility. But if you feel it is too tiresome, we can change to shorter sessions and increase the length of the sessions progressively as you get more used to it. Would that be appropriate for you?

Providing feedback; K responds to the client’s concerns honestly.

K emphasizes the importance of physical therapy to make the client understand. It is also vital to try to provide an alternative, and the therapist observes its effectiveness or searches for a better solution

K provides a practical solution for the client’s concern, and I hope that she will find it effective so that there will be no need for another intervention to enhance her mobility.

M) It sounds okay, and I don’t mind trying your method

Active listening

The client accepts to try the solution, but she doesn’t seem convinced about the suggestion yet.

I feel that the client is not very satisfied with the solution that has been proposed though she accepts it anyway. I hope that she will find the suggestion as a perfect solution.

S) I am appreciative that you are cooperating well. And from your progress report, if your condition improves consistently, you may be released earlier to continue with home recovery under care from our staff. Your home is also under the care of one of our staff nurses and should not worry you. I assure you that your concerns will be addressed, and you are free to raise more concerns you may wish to be addressed.

Giving hope, I assure the client of discharge if her conditions become better with consideration to her progress rate, which makes the assurance realistic.

I provide more information about how her concern about her house, raised in the previous session, has been addressed even though she does not ask about it.

I am glad that the session has addressed the meeting agenda and that the client is recovering at a fast rate.

Student Self-Assessment: I feel that we have made progress considering that the client responds well to the treatment and is cooperative. The meeting’s agenda to get the client’s concerns have also been achieved as she opens up and expresses them.

Plan for the next Interview: The next interview is scheduled for Monday to assess the client’s medical progress and mobility. Any concerns that might still be there can be expressed in the meeting for action.

References
Carer Gateway (n.d.). Module 2 – Effective communication techniques. https://media.healthdirect.org.au/publications/CarerGateway_Resource_02_Effective_communication_techniques_v03.pdf
Rivier University (2017). 17 Therapeutic Communication Techniques. https://www.rivier.edu/academics/blog-posts/17-therapeutic-communication-techniques/