Question

Example of process recording interview in mental health patients.

Answer 1

Introduction: PROCESS RECORDING is an educational tool that access the communication skills of the students seeking certifications or degree in nursing , social work and similar courses.

Definition : process recording is a written account or verbatim recording of all that transpired, during and immediately following the nurse patient interaction.

sample :

Format for process recording

Name of patient : Mr. X

Place : Bangalore

Name of the hospital : St. Jhon Hospital

Date & time : 27/7/19, 2.00 pm

Objecrtives :

1^st : to establish rapport with the patient by introducing myself through history collection .

2^nd : to find out signs and symptoms of patient behaviour through question and answers

Verbal response		Non verbal response		Therapeutic communication technique	inference
Nurse	Patient	Nurse	Patient
Hello , Good morning	Hello , Morning	Looking at the patient with a smile	Looking down , turning the head to other side	Greeting	Client seems not interested in conversation
My name is Grecy , I m your primary nurse, can you tell me your name?	I am Reena Harpar	Lean forward , looking at the hand , making observation on name band	Looking at my face	Exploring	Client seems to have intact remote memory
Ok , thank you so much. ok can you tell me what is the time and date	I believe its may be 4 pm but about date i cant say	sitting strainght , listing carefully and assessing the facial expression	Looking at the open window, confused	Presenting reality	Client is disoriented about date and time
Actually its 2.15 pm, 27/7/19 . ok lets talk about your medicine. Can you tell me more about why you are not taking your medicine?	Because my husband has mixed poison in that so that I die.	Observing the patient	Patient started to become restless	probing	Clients seems to have delusion of persecution
Ok, Reena calm down , here you are safe.	Are you sure ?	Holding hands of the patient	Tightly holding the nurse’s hand	Reassuring	Patient got relaxed to some extent
Yes, So, I will conclude interview here today. You take rest now we will meet again tomorrow . do you want to tell anything else? Thanks once again. bye	Nope, thanks Grecy , bye	Got up from the chair and Wave goodbye	SMILING, waved back	Exploring	Patient looks relaxed and happy

Summary : I Ms. Grecy conducted the process recording with the patient named Mr. X as part of my duty. As the objectives were to built rapport and collect data about the signs and symptoms . during the procedure patient was cooparative . end of the session the patient found disoriented about date and time and having delusion of persecution.