Process
Recording
Student Name:
Date & Location:
Client Diagnosis: Suicidal ideation, suicides attempts, Bipolar Disorder,
History RT Diagnosis; 9 suicide attempts, anhedonia, anergia, poor sleep, inability to function,
Onset, Duration & Prior hopelessness, helplessness, no violent toward others. Hx: HIV (+), COPD.
Treatment:
Nurse Communication Client Nurse’s Analysis of the (Effectiveness,
(Verbal & Non-Verbal) Communicatio Thoughts & Technique, Name & Rationale)
n (Verbal & Feelings Related
Non-Verbal) to the Interaction
1. Hello… Hello… I had the feeling that
(Write the communication
he wanted to talk techniques used by the nurse
(Establishing eye (Looking me with someone. here.)
contact while directly with a Analysis of the (Effectiveness,
Technique, Name & Rationale)
approaching in a facial expression
friendly manner) that denotes
interest.)
2. My name is Karen, I'm Yes, not problem I felt well when he
Nursing student at answered and
Emilio Aguinaldo (The client has a approved talking
College, flat emotional with me.
and I would like to talk with but accepting
you for a moment. Would expression in his
you like to speak with me? face. He is calm
and has a
(Leaning forward the soft speech)
patient, with open
posture)
3. Ok, thank you. My name is A.M.O Thinking about how
and your name is…? to start the
(He shows conversation and
(I took a sit next to him relax posture taking him straight
at his right side) and open to the point without
attitude, well- being too invasive.
groomed
appearance)
4. How are you today? I’m ok… Trying to initiate
(Leaning forward, the conversation.
making eye contact) (He seems not
very convinced
of that)
5. Would you like to tell me a The reason why Satisfied that he
little about yourself, what I'm here is understood my
1
brought you here? or what because… you question and he was
is happening to you if you know… I had willing to open
want to share it with me? several suicidal himself to the
attempts in my life, conversation.
(Using SOLER technique and last week I
of active listening) knew I was going
to try it again. I
wanted to kill
myself, but I
recognize the
symptoms and I
came here before I
actually did it.
I came voluntary
here.
6. Tell me little bit more… Yes, it is what I I wished not having to
You said you wanted to kill wanted to do. I feel ask that question, it is
really sad. I knew
yourself? really sad, is exactly what he was
something in my talking about, because
(Active listening) mind, is I was very closed to a
person in my life with
depression, the same problem.
something that I
cannot control or
get rid of it, and I
cannot handle it
anymore. I'm really
tired. It hurts my
mind, is pain, is an
uncontrollable pain
that I feel, and I
don't know why I
feel this way.
(His sadness and
powerless is
evident in his face)
7. How were you planning to Taking my bottle Trying to know more
kill yourself? of meds at one about the situation.
time.
(Active listening)
(The sadness
continues)
8. You say you tried it before In August, 2 I was feeling very sorry
to kill yourself? months ago. I for him. He had so
When was the previous time took 90 pills. much going on in his
that you had also tried it? It happens to life.
me because I
(Active listening) have Bipolar
Disorder. I'm also
HIV (+). I had
been suffering
from Bipolar since
2
1982 and I was
diagnosed with
HIV 8 years ago.
(Very cooperative
and providing
detailed
information about
himself)
9. I imagine how hard should Yes, it is, and I I’m feeling sad, and
be for you to have these cannot explain thinking how can I help
two diseases. myself why I have him to alleviate his
this depression pain. I believe it is too
(Active listening) and this pain. much suffering for an
I cannot tolerate individual having these
it any more. I two diseases.
live with my
partner and I
cannot talk with
him about this.
(Confused,
frustrated, sad)
10 Can you explain it little it He is very I’m realizing his
. bit more? supportive with support system is
What it’s the reason why me, and I don’t failing. Is hard to
you cannot speak with want to talk with understand the
him? (Active listening) him because I refusing of seeking
don’t want to hurt help in his close family
him. It is enough and keeping all to
with my pain. I himself.
don’t want to pass
him my problems.
(Confused and
depressed)
11 But what do you think he But the thing is. His depressive disease
. would prefer? Help you if What you makes him disoriented
you open to him, or see would do if you about the potential
you that you took your life. have to decide consequences of self-
(Active listening between hurt injury could produce to
techniques) yourself and hurt his significant others
the person you
love?
(Poor judgement)
12 It is a difficult answer but Yes, I know but is He is having poor
...Don’t you think that hurting something very judgment about the
yourself and taking your life, difficult to explain, significance of hurting
is a way of hurt him too? the pain inside my another person or
(Small frown) brain, the himself.
depression, the
3
loneliness has
such dimension
that is very difficult
to think clear.
(Frustrated, sad)
13 Do your partner has HIV Yes, he has. We Feeling sorry for both
too? (Non-judgmental both contracted it now.
expression) but we neverknew
how we got it.
(The depression
seems to
bebothering him
much more than
the HIV disease)
14 Are you taking medicines to Yes, I'm taking 22 I think 44 pills a day is
control the HIV and the pills twice a day. something that even
Bipolar Disorder? (Light But other problem myself I wouldn’t even
surprised expression after is that the pills are tolerate. Thinking
the client’s answer) good for certain about what are the
time and after a positives things in his
period they are not life and ways to help
effective anymore. him to find the support
he needs.
(Continues willing
to give information
about him)
15 I know. It happens because Yes, he does. I I believed he has
your body and metabolism would like also loneliness and I am
get use to them and the hereat the hospital maybe helping him in
meds turn not being as much let us talk in some way to escape
effective than they were groups, to have a from it.
before. It is something that way to share each
your doctor needs to other our
address periodically to problems. It is
ensure you get the best necessary to have
option available. (Trying to therapy groups,
be explicative) that can help for
our situation.
(Showing hopeful
interest on being
accomplished his
desire)
16 Have you ever participated Yes, I was member I realize that that the
in therapy groups in the past of a therapy group patient is willing to talk
and that has helped you with for many years, but and he trusts me.
your depression? (Active now here we need
listening) someone that
listen to us. It is
why we are here. If
nobody talks or
listen to us is the
4
same that being at
home.
(Increased interest
in talking about it)
17 I understand what you mean. Ok thanks. Trying to explain that
We do have meetings (Showing doubt of people in this hospital
groups here, and you will the possibility of is willing to help him
have the opportunity to talk being helped in the when he needs it. I
and express your feelings. hospital) believe that he really
But always remember you feels lonely and
have the right to call the desperate for
nurse anytime you need it communicating with
and ask help or something someone willing to
else you need. (Trying to be listen him.
explicative)
18 Do you believe that maybe I don’t know if it Thinking in orienting
participating in therapy would relieve the client to find a
groups can help you to deal 100% from my support system that
with your problems, as it was depression but it help him to resolve his
in the past? (Active listening) may help emotional problem
something.
(Slightly hopeful,
but not convinced)
19 Tell me what activities you No, I don’t work, I Thinking also that
normally do? Do you work? have disability. having a passive life
(Active listening) (Flat expression) style doesn’t help to
his disease.
20 I see... and the fact that you Well, life is very Trying to find more
don’t work, can that situation difficult today but reasons that may
also be contributing with that is not affecting influence in his
economic problems you may me so much with depression.
have? Since life is very my depression.
difficult today for everybody.
It is that situation also (Sadness and flat
affecting you in your expression)
depression? (Trying not
being too invasive)
21 And, what about doing Yes, it could help Feeling that he wanted
activities to help you distract for moments but to find help in a
yourself from your the depression therapeutic group as
depression? (Active always come back. he did in the past.
listening) (The sadness
expression
continues)
22 I believe that the fact that Yes, I know. I wanted to remark the
you recognized your suicidal positives aspects
thinking and decide to come (Hopeless) about himself, and his
to the hospital seeking help it accomplishments to
is a good point, and a increase his self-
positive alternative you esteem.
chose instead of harming
5
yourself. It is something that
you would have to
implement in the future if it
ever happens again.
(Showing a positive attitude)
23 You are doing a big progress Thank you for have I think that it is
in seeking help, and coming listened to me. necessary help him to
here voluntary to the (Grateful visualize the positive
hospital. I wish you a soon expression) I think side of his situation in
relief of your medical I have to take my order to give him some
problems, and the ability to medicines now... hope and
continue increasing strength (He sudden encouragement
in dealing with them. (Trying remembers
to give some hope) something...)
24 Thanks to you for share with I’m going to get my It was a good
me your concerns. (Smiling, medicines. conversation. I feel he
standing up) (Standing up) wanted to talk and it
may help him.
