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Process Recording

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Submitted By hdunn2014
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State College of Florida Process Recording: All Levels
Appearance/Setting: Patient’s room in hospital Professional Goal for Interaction: to identify patient’s goal and plans when discharged home this afternoon. Patient CommunicationVerbal/Behavioral “Sure, Come in and sit down.”“Well I am happy to go home, but also nervous because I am not sure I am well enough.”I was here before and was sent home and that is when I got the infection.” “Well I don’t know.” “my husband will be there, but I am unsure about my husband having to drive me to the hospital for antibiotics.”“My son, but he doesn’t live here. My neighbor was by to visit yesterday and she is always so helpful.”“I have. I would be completely bored in here otherwise. ““I never thought of that, but that is a great idea.”“That would be great.” ‘even better.”“Thank you so much.”“No, I think you gave me two good options and I will be fine either way. I just like to complain sometimes.” ( as she laughed)“You are welcome.” | Nurse CommunicationVerbal/Behavioral“Hi Mrs. W, I was wondering if you had time for a brief interview?”“Well, lets go and get started.” Can you tell me how you feel about going home today?”“uh huh, go on.”“So you are not sure you want to go home?”“I see you have lots of flowers here.” Do you have any other family here?”“Sounds like you have been staying busy in here.” Well considering your neighbor is such a good friend, maybe she could help drive you so it gives your husband a break?“Or, we may be able to get you a home health nurse to infuse your antibiotics at home.” ‘I will talk with the discharge coordinator and see what we can do.”“Are there any other concerns you have about going home?”“No problem.” Thank you for talking with me today.” | Nurse self-awarenessI wanted to get

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