Process Recording 3
Process Recording 3
                ASSIGNMENT
                         ON
                 PROCESS
                RECORDING
➢ According to Patient- Patient says “ merko koi pareshani nhi hai na he koi problem hai. Yeah
   log merko faltu ider le aye.. merko gussa aa rha hai yeah jab dekho mere he peche pade rhthe hai
   bina vajhe he. Yeah log mai pagal hu sabit krna chathe hai.meri chutti kaar dho ider se.”
➢ According to Informant- Patient’s father says “ phechle 6 mahinne se yeah bilkul sotha nhi
   hai aur sab pr bhout gussa krtha hai aur gali be detha hai. Appni safai ka dyan be nhi raktha , patha
   nhi kasi kasi ajjeb bathe kartha hai itna badi badi bathe krtha hai, but zada karch krne laga hai sath
   yeah hamesha ghumtha yeah thaltha he rhtha hai ek jaga arram se nhi beita hai. Yeah ghar k
   saman fenk detha hai boltha hai yeah gandi aur karab hai. Patha nhi kyun yeah hum logo pr bhout
   shak be krtha hai jase hum issko maar denge. Yeah hum logo se dur dur rhtha hai na he kisi ka
   suntha hai.. yeah humesha asa he sab krtha hai.. phechale 3-7 mahino se issme badlav dekh rha
   hai… issne beech mai dawayi lena chod detha hai jab issko lagtha hai ki yeah tik ho gaya aab issko
   isski zarurath nhi hai…jase he yeah dawayi roktha hai pir isski tabiyath karab hone lagthi hai aur
   hum ko isse barthi karvani padthi hai.
➢ HISTORY OF PRESENT ILLNESS:
  Mr. Manu, 38 years old Married male came with his father and wife through emergency bases and
  got admitted in RML hospital on 01/05/23 at 3:15 pm under section 89 involuntary admission.
  Onset of illness insidious, duration of illness is 15 years, course of illness episodic, intensity is
  increasing.
  Precipitating factor- Non-Compliance of medication and family history of psychiatric illness.
 Patient greeted the nurse, looks confident and relaxed. He maintained eye to eye contact with
 nurse, he become comfortable and clarify and explain his points in detail, also in between he told
 about his issues with family members. He also listens attentively when something was explained
 and also share his thoughts related to it. He is excited to tell things. The conversation ended well.
INTROSPECTION
 I was able to maintain rapport with the patient, understand and interpret the information that patient
 gave me during the interview. Gain confidence in conducting the interview. Identified the
 problems patient is facing. Communication skills get improved. Learned to use different
 therapeutic techniques with client.
 The techniques like greeting, questioning, seeking clarification, exploring, active listening, giving
 recognition, acknowledging feelings, voicing doubt, accepting, using broad openings and
 encouraging description, summarizing, are used with patient.
   INTERVIEW – II
   DATE                        : 05/06/2023
   TIME                        : 11 AM
   DURATION                    : 20 MIN
   TOPIC                       : SOCIALIZATION
   VENUE                       : Garden, Male Psychiatric Ward
   SPECIFIC OBJECTIVE : - To know about his problem.
                                - Client will verbalize his feelings.
                                - Client will socialize with other people.
PARTICIPANTS CONVERSATION                                               TECHNIQUE       INFERENCE
                                                                        USED
  Nurse:        Good morning! Manu ji..                                 Greeting        Responded well
  Patient:      Good morning.. Maam
  Nurse:        Kase ho aap?
  Patient:      Mai tho tik hu.
  Nurse:        Breakfast kiya appne?                                   Questioning     Patient looks
                                                                                        active.
  Patient:      Haa.. kiya..
  Nurse:        Kal rath ko neend ayi appko?                            Exploring
                                                                                        Patient giving
  Patient:      Nhi ayi.. merko takhan mesus he nhi hothi..
                                                                                        answers and
  Nurse:        Acha.. din mai sothe ho kya aap?                        Seeking         explaining
                                                                        clarification   himself.
  Patient:      Nhi..!
  Nurse:        Acha mene yeah dekha hai ki aapk kisi se bath
                nhi krthe ho humesha appne mai rhthe ho?                Using general   Patient is having
                                                                        leads           a poor personal
  Patient:      Haa.. merko na ase bath krna pasand nhi hai..                           hygiene.
  Nurse:        Acha ek bath bathao aapko logo se bath krna
                                                                        Voicing doubt
                pasand kyun nhi hai?
  Patient:      Mere bare bura bolthe hai mere ghar vale aur
                sab mil kr merko marna chathe hai.. yeah log
                merko marne k liye kuch be kr sakthe hai..
                                                                                        Patient
                merko bacha lo inn logo se.. merko ider nhi
                                                                                        expressing his
                rhna hai yeahi merko marne k liye ider laye
                                                                                        feelings.
                hai….
PARTICIPANTS                 CONVERSATION                          TECHNIQUE           INFERENCE
                                                                        USED
  Nurse:       Acha aap ko ider se kider jana hai ?               Questioning
  Patient:     Ghar.. jana hai!
  Nurse:       Acha.. ghar ja kr kya karoge?                                         Patient
                                                                                     maintained eye
  Patient:     Mai ghar ja kr mummy aur bacho se milunga..
                                                                                     to eye contact.
  Nurse:       Okay! Aap aapne dosto se bath krthe ho?            Active listening
  Patient:     Nhi.. phle krtha tha.. aab mera maan nhi hotha
               kisi se bath karne ka.
  Nurse:       Acha tho aap ghar pr be kisi se bath nhi krthe?    Seeking
                                                                                     Patient feels a bit
                                                                  clarification
  Patient:     Kartha hu mai bath appne ghr valo aur bacho                           irritated towards
                                                                                     family.
               se.. but utna jada be nhi krtha.. buss kaam ki
               bath krtha hu..!
  Nurse:       Asa koi be nhi hai jo appni bath ko suntha ho Exploring
               aur aapko unse bath krna acha lagtha ho?
                                                                                     Patient explains
  Patient:     Nhi asa koi be nhi hai sab mere kilaf kade hothe
                                                                                     his problem in
               hai tho merko kisi se bath karna pasand nhi hai.                      detail without
                                                                                     any hesitation.
               Jab aapko kisi ko appni feeling bathana ho tho
  Nurse:       koi asa kass hai jise aap vho share kar sakthe
                                                                  Using broad
               ho…??                                              opening
  Patient:     Meri bhai se mai bath krtha hu vho merko pir                          Patient
                                                                                     maintained eye
               be samj saktha hai… vho merko kuch nhi
                                                                                     to eye contact.
               boltha..!
  Nurse:       Abhi appk sath rhtha hai.. ?
  Patient:     Nhi vho baar rhtha hai..!
  Nurse:       Tik hai… but aapko na appki maan ki bath kisi Suggesting
                                                               collaboration
               na kisi ko bathani chahiye jo appki bath suntha
               ho aura ap jispe barosa krthe ho.. aapko koi be
               dekhath yeah pareshani ho tho aap merse be
               bath kr sakthe ho..!
                                                                                     Patient shows
  Patient:     Zarur sister ji.. aap tho merri sari bath sunthe                      willingness to
                                                                                     change
               ho..!
                                                                                     behaviour
PARTICIPANTS                  CONVERSATION                    TECHNIQUE             INFERENCE
                                                                   USED
  Nurse:       Appki bath koi na sunne tho appko kasa lagtha Questioning
               hai?
  Patient:     Mujhe na bhout gussa atha hai.. pir mai unse                       Patient looks sad.
               bath nhi krtha hu…!
  Nurse:       Acha chalo tik hai.. vase appko kya krna pasand Accepting
               hai?
  Patient:     Merko na paadna acha lagtha hai.. appko patha
               hai mere pass bhout sari degree hai aur mene na                    Patient looks
                                                                                  calm and feel
               bhout sare course be kiye hai.. merse kuch be
                                                                                  good while
               puch lo mai sab jantha hu.. mujhe koi nhi haara                    speaking.
               sakta..!
  Nurse:       Aapko koi adath hai jo aapko karna bhout Seeking
                                                        clarification             Patient explains
               pasand ho baar baar?
                                                                                  his problem.
  Patient:     Nhi.. abhi thon hi hai?
  Nurse:       Abhi nhi hai kya matlab? Phle tha aapko?
                                                         Placing the event
  Patient:     Hai, merko na phle baar baar hath done ka in sequence
               maan hotha tha.. merko lagtha tha ki mere hath
               gande hai,,!
  Nurse:       Tho aab appko asa lagtha hai?
                                                                 Exploring        Patient feels a bit
  Patient:     Kabhi kabhi.. mai jab dawayi kahana chod                           irritated with the
                                                                                  question.
               detha hu tab merko lagtha hai.
  Nurse:       Aap dawayi khana kyun chod dethe ho..?            Encouraging
                                                                 description
  Patient:     Merko lagtha hai mai teek ho gaya hu issliye
                                                                                  Patient looks a
               nhi letha..!                                                       bit
                                                                                  uncomfortable.
  Nurse:       Hum iss bare mai kal bath karenge.. aaj mera
                                                                 Formulating a
               janne ka time ho gaya..!                          plan of action
                                                                 and
  Patient:     Tik hai.. hum kal bath karenge!
                                                                 Summarizing      Patient waves
  Nurse:       Chalo kal milthe hai, bye, take care!                              bye.
  Patient:     Bye!
➢ SUMMARY
 SUMMARY OF INFERENCES
 Patient greeted the nurse, looks confident and relaxed. He maintained eye to eye contact with
 nurse, he become comfortable and clarify and explain his points in detail. He also listens attentively
 when something was explained but was also showing interest in expressing his feelings and for
 socializing with others.
INTROSPECTION
 I was able to maintain rapport with patient, understand and interpret the information that patient
 gave me during the interviews. Gain confidence in conducting interview. Learned to use different
 therapeutic techniques with client. The problem identified was negative family environment need
 more socialization. Improved my communication skills and to deal with the situations.
 The techniques like Greeting, giving broad openings, offering self, exploring, questioning,
 accepting, active listening, giving recognition, seeking clarification, encouraging description,
 placing the event in sequence, voicing doubt, formulating plan of action, summarizing is used with
 patient.
   INTERVIEW – III
   DATE                           : 06/06/2023
   TIME                           : 10:00 AM
   DURATION                       : 20 MIN
   TOPIC                          : DRUG COMPLIANCE
   VENUE                       : RML, Ward no:23, Male Ward
   SPECIFIC OBJECTIVE: - client will learn the importance of taking medication.
                              -     Able to understand the need of taking medicine.
 SUMMARY OF INFERENCES
 Patient greeted the nurse, looks confident and relaxed. He maintained eye to eye contact with
 nurse, he become comfortable and clarify and explain his points in detail. He also listens attentively
 when something was explained but was also showing interest in expressing his feelings and
 identified the effect of drug compliance.
 INTROSPECTION
 I was able to maintain rapport with patient, understand and interpret the information that patient
 gave me during the interviews. Gain confidence in conducting interview. Learned to use different
 therapeutic techniques with client. The problem identified was negative family environment need
 more socialization. Improved my communication skills and to deal with the situations.
 SUMMARY OF INFERENCES
 Patient greeted the nurse, looks confident and relaxed. He maintained eye to eye contact with
 nurse, he become comfortable and clarify and explain his points in detail. He also listens attentively
 when something was explained but was also showing interest in expressing his feelings and
 actively listen to the information and suggestions.
 INTROSPECTION
 I was able to maintain rapport with patient, understand and interpret the information that patient
 gave me during the interviews. Gain confidence in conducting interview. Learned to use different
 therapeutic techniques with client. The problem identified was negative family environment need
 more socialization. Improved my communication skills and to deal with the situations.
 SUMMARY OF INFERENCES
 Patient greeted the nurse, looks confident and relaxed. He maintained eye to eye contact with
 nurse, he become comfortable and clarify and explain his points in detail. He also listens attentively
 to nurse with full attention and interest, at last he is prepared for termination and gives his regards
 to the nurse.
 INTROSPECTION
 I was able to maintain rapport with patient, understand and interpret the information that patient
 gave me during the interviews. Gain confidence in conducting interview. Learned to use different
 therapeutic techniques with client. The problem identified was negative family environment need
 more socialization. Improved my communication skills and to deal with the situations. Able to
 terminate the therapeutic relations without any barrier.