Question

Create the conversation (should be at least 10-15 minutes.)with the patient for the process recroding. You must assume the role of the healthcare worker (role play)

Scenario I

Your patient, Mr. Brown, age 42, had a colonoscopy this morning. He was told by the physician that a suspicious 5cm mass as discovered in the sigmoid colon. He is awaiting final biopsy results. You enter the room on rounds before leaving for the day.

Student Nurse: "Hello Mr. Brown. How are you?"

Mr. Brown: "I was better until I received some really bad news today"

Complete the conversation and document on the process recording. Be sure to include nonverbal responses.

QUICK PROCESS RECORDING WORKSHEET

Presenting Problem____________________________________________Goals__________________________________________________

CONVERSATION	NON-VERBAL COMMUNICATION	HCW FEELINGS/THOUGHTS	ANALYSIS FOR EACH SET OF INTERACTIONS

SUMMARY & EVALUATION:

OVERALL ANALYSIS:

Answer 1

QUICK PROCESS RECORDING WORKSHEET

Presenting Problem_ Patient not sure about diagnosis / prognosis.

Goals_ Make sure patient has complete knowledge about all issues.

CONVERSATION	NON-VERBAL COMMUNICATION	HCW FEELINGS/THOUGHTS	ANALYSIS FOR EACH SET OF INTERACTIONS
In February, I changed professions. The off and on blood in stool issue surfaced once more, and I credited it to stretch (and once more, abnormality and likely hemorrhoid.) My dear, cherishing spouse encouraged me to get it looked at, yet I'm wary of specialists and the medicinal field all in all, having viewed my mother die in some horrible, nightmarish way, on account of them. It scared me forever, no doubt.	Look worried	nervousness is causing trouble	Patient needs more knowledge sharing and emotional support.
Anyway, fourteen days prior, stomach cramping began occurring alongside the blood in stool. In light of my side effects (esp. bring down left side agony), I figured it may something else and a week ago met with a gastroenterologist, who at the time said he didn't hope it was malignant tumor, however booked the colonoscopy today no doubt and completely observe what was happening.	Holding abdomen	nervousness is causing trouble	Patient needs people around him to keep from anxiety.
For a week, I was an anxious wreck. My better half continued instructing me to remain positive and that it was likely something minor.	Hand on head	nervousness is causing trouble	Patient needs to have some meditation that helps calming effect.
At the point when the physician came in post extension to converse with me, I had a 4 cm mass close to my rectal. I began crying, and he said not to stress yet, and that he had me booked to meet w/a colorectal specialist on the grounds that the mass should be expelled because of its size.	Tears rolling down cheeks	nervousness is causing trouble	Patient needs more knowledge sharing and emotional support.
My release printed material notices in a few spots '5 cm mass of harmful appearance' so obviously I'm going ballistic. My significant other and I have been having crying jags now and again throughout the day.	Tears rolling down cheeks	nervousness is causing trouble	Patient needs more knowledge sharing and emotional support.
I'm so frightened and discouraged at the present time. I need to have an uplifting viewpoint with the goal that this bugger doesn't become any bigger, however I'm SCARED. What's more, I need it out NOW. I have these terrible dreams of it getting to grapefruit-sized extents meanwhile. Likewise, I can't discover any data - would it be advisable for me to work out, similar to light strolling, or yoga? Will movement influence it to develop? Spread?	Holding hands	nervousness is causing trouble	Patient needs to have some meditation that helps calming effect.
I know I should quiet down until the point when the biopsy results are back (likely not until Monday, 9/14), but rather that is difficult to do. Likewise, I don't, DO NOT, need chemo. Medical procedure is a certain something, chemo is another. I would prefer not to go that course.	Looking the other way	nervousness is causing trouble	Patient needs to have some meditation that helps calming effect.