vignette will simply be referred to as Steve. I commenced the interaction by introducing myself to the aforementioned client asking him how he would like to be addressed, maintaining appropriate eye contact throughout. We touched upon client confidentiality and discussed my role as his named nurse and how I would be his main point of contact whilst on the unit.
Once we had made our introductions I felt it necessary to build trust and rapport by engaging Steve in superficial conversation. I knew Steve was a keen skate boarder and, having some knowledge of this sport, was able to discuss this topic point with him in some detail. This proved very helpful with Steve appearing to relax immediately. I found that the conversation naturally lead on to more personal issues, enabling myself to establish Steve's current concerns. Steve stated that he was finding it very difficult to settle onto the unit as he was finding it very noisy, he then went on and discussed the he felt that he needed to move on and re - establish links with his family and young daughter. We explored the nature of the unit and that his fellow residents were in various stages of recovery and were themselves dealing with varying problems. Reassurance was given by discussing the ethos of the unit and how care was tailored to set around to the individual. I was able to ask Steve to give me a brief outline of events leading to his admission. Steve openly discussed that he had been admitted to hospital from prison after suffering psychotic episode whilst serving a sentence for numerous public order offences, outlining that the he felt thathis illness and offending behaviour were driven by addiction and subsequent use of illicit substances. He was able to explore how this chaotic lifestyle had driven his family away and had resulted in him having no access to his daughter.
Throughout this initial