Clinical IPR - Fall 2018 PDF

Preview

Summary

Clinical IPR - handwritten, Fall 2018...

Description

Integration of Mental Health Concepts with Medical Surgical Clients Brief Interpersonal Process Recording (IPR)

Student Goals For this interaction: Setting/Time:

Please complete the following form based on your interaction with your assigned patient. Andrew Uyeda (E/W) Addressing patient’s POC & general interests / schedule 11/10/18; 0730-1030; Orlando Health & Rehab

Nurse Communication (Verbal & Non Verbal)

1.

2.

Good morning, I’m Andrew, I’m a student nurse shadowing _____ today. How are you? (smiling & offering hand for a salutation) So how do you feel about your time & activities here? (smiling, inquisitive/genuine look)

3.

____ is a great CNA. What are some activities she helps you do? (pats ____ on the shoulder; gestures interest in the conversation)

4.

Do you have a lot of family that comes to visit you? (points to some of the personal décor on the pt’s wheelchair)

5.

When do you plan on seeing your grandkids next? (gives cheery & excited smile)

Client Communication (Verbal & Non Verbal)

(Pt smiles, shakes my hand, quiet and reserved) Good morning. (Pt fold hands together; sits quiety) It’s okay. Gives me something to do. (Pt perks up and smiles at both of us) I usually roll about, up and down the hallway in my wheelchair. (Pt smiles & holds trinket close) Yes! My grandkids visit me quite often! (Pt has a big, excited smile) They usually come visit me every Thursday!

Nurse’s Thoughts & Feelings Related to the Interaction

Were you using a therapeutic and if so, which one? They are listed below

If you had the chance to do it again, what would you have liked to ask

Pt seems to be shy and possibly has an introverted personality. Pt is quiet, possibly tired or complacent.

N/Y; If Yes- which one? Offered self to greet pt a good morning and offer a friendly hello/introduction. N/Y; If Yes- which one? I make observations as to the mood & feeling the pt is currently experiencing. N/Y; If Yes- which one? I encourage descriptions of the activities the pt usually performs.

Good morning sir! I’m Andrew and I’m here learning from ______ today. How are you? Do you like staying here? Are you long or short term?

N/Y; If Yes- which one? I reflect on pt’s personal effects & what seems to be of value to pt.

I see you have some cute trinkets with you! Are they gifts? They’re amazing!

N/Y; If Yes- which one? I help place events in sequence for pt inquiring about family visits.

I bet you’re excited to see them again! When are they dropping by again?

Pt engages more into the conversation & smiles.

Pt seems to love to talk about family. Personality now seems kind & genuine. Pt exhibits positive emotions when it comes to grandkids. Can’t wait to see them. Has/is cognizant of a schedule.

From what I’ve learned, ____ does a great job helping everyone out. What sort of activities do you usually do?

Silence; Accepting; Giving Recognition; Offering self; Broad opening; General lead; Placing events in sequence; Making observation; Encouraging descriptions; Encouraging comparison; Restating; Reflecting; Focusing; Exploring; Seeking clarification; Presenting Reality; Voicing Doubt; Verbalizing the implied; Formulating a Plan of action...