Interpersonal Process Analysis Template

Course: NURS 223L INTERPERSONAL PROCESS ANALYSIS TEMPLATE Student: Date: 11/28/2020 Clinical Instructor: Professor Jennifer Smith Name (initials only): D.B. Unit: Unit 2 Current Legal Status (Vol., 5150, 5250, 30 day, T-Con, LPS-Conservatorship): Multiaxial Diagnostic System: Axis I (Clinical Disorder): Axis II (Personality Disorder / Mental Retardation): Axis III (General Medical Conditons): Axis IV (Psychosocial and Environmental Problems): Axis V (Global Assessment of Functioning Scale): 1. Description of the patient: Age? Sex? Ethnicity? Marital Status? What precipitated hospitalization? Number of days in the hospital? Mental Status, etc. D.B. is 47-year-old Caucasian male. As per the patent, he was never married and his mother in Colorado, and stays in the facility. He said he was admitted for 9 days already when we interview him. D.B. said that he was admitted because he was trying to kill himself by cutting his throat and his wrist. His mental status seems to be unstable as what we notce he is easy to snap and get mad and triggers him thinking to slit his throat in front of the lobby of the facility. 2. Description of environmental setting where interaction took place. Explain the reasons for a supportive or non-supportive environment. (e.g. noise, distractions, light, temperature, etc.) The first tme we met DB was in the morning where his VS are being taken due to his complains of chest pain. After that he was offered Motrin by the nurse which he refused. He then went out to smoke where we had conversaton. Our conversaton was very casual. He seems calm after the thought that he was having conversaton with other people (not a staff). He started telling a brief story about his situaton, that he is currently homeless and lives on the street. He has a mother in Colorado, and he was never married. Our first conversaton was very short, but he said he would see us again after lunch. The second meetng happened at 1230, where we met him by the entrance of the smoking pato. This tme he was so upset, that he mentoned that he met with his social worker, and he was very upset about their conversaton. There were about four patents waitng for the smoke break. DB was very anxious in the hallway and displayed distressed actons. DB spoke to us making it clear that he was upset at the staff. The other clients listening very clearly to our conversaton. The moment they allowed us outside the, environment was significantly supportve. It was warm outside, and we were able to talk to DB without causing a scene, and he even made jokes to one of our members. Page 1 of 4 INTERPERSONAL PROCESS ANALYSIS TEMPLATE INTERPERSONAL PROCESS ANALYSIS NAME: Page 2 of 4 DATE: 12/02/2020 INTERPERSONAL PROCESS ANALYSIS TEMPLATE Student: Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.) Document at least 5 interactions Goal for each interaction (realistic and measurable) Patient: Communication Techniques Critique and Analysis Verbal (quotes) and Identify communication technique (effective or not effective? Could Nonverbal Communication used then defne your communication have said…) Document your (behavior, tone of voice, eye techniques thoughts and feelings during the contact, mannerisms, etc.) Was the communication therapeutic or interaction. non- therapeutic? Was your goal met? Which defense and coping mechanisms didthe patient use? Rationale based on your patient. Verbal: “Oh, I had a heart Communicaton Technique: We used open- Effectve/Not Effectve: The Goal: Goal is to gain trust with the patent. approach was effectve because DB Verbal: “Is there anything bothering you that attack before, it's ok if they said ended questons on the patent. it's ok.” Therapeutc/Nontherapeutc: Therapeutc was able to open up his feelings and you are feeling anxious and having chest because it allowed the patent to talk about also frustratons. Nonverbal: Hands pain?” himself without restricton. Your thoughts and feelings during in his pocket, lots Nonverbal: Facing the patent, Defense/Coping mechanism: None the interacton: Although DB was of facial hands are not crossed, upset with the staff, we were able to expression, an maintaining eye contact. Goal: Goal is to obtain informaton as to Communicaton Technique: We used actve Effectve/Not Effectve: The Verbal: “It was either cut my why the patent admitted himself. listening to contnue asking questons approach was effectve because we wrist, or throat, or go to the without having him repeat himself. were able to obtain informaton Verbal: “Could you tell us why you were hospital… I decided to get Therapeutc/Nontherapeutc: Therapeutc regarding his admission. admitted?” help.” because it allowed the patent to talk about Your thoughts and feelings during Nonverbal: Facing the patent, Nonverbal: As he himself without feeling like he’s not being the interacton: Although DB’s scars was speaking, he hands are not crossed, heard. were real they were very superficial showed the maintaining eye contact, Defense/Coping mechanism: None and in awkward acton and scars showing concern. directons. We were unable to on wrist. further gather informaton to allow me to decide if he was genuine or not. Goal: Goal is to approach DB and obtain Verbal: "All the staff here are Communicaton Technique: We used actve Effectve/Not Effectve: The approach was effectve because DB’s informaton as to the reason he seems upset. mean and stupid. They don’t listening and restatng technique. We mood changed significantly during Verbal: "Hello (D.B.)!!!You seem upset.” care about you as long as they mainly restated to allow DB to contnue with more details than he stated the conversaton. Nonverbal: Maintain a distance, get their money". beforehand. Your thoughts and feelings during Nonverbal: DB eye contact, showing a Therapeutc/Nontherapeutc: Therapeutc the interacton: DB showed the most was pacing back concerned face, getting closer because it towards the end, his actons aggression towards the social and forth; tone of as he starts calming down. significantly changed. worker, the primary person giving voice would D f /C i h i Di l t hi H th i l Page 3 of 4 INTERPERSONAL PROCESS ANALYSIS TEMPLATE INTERPERSONAL PROCESS ANALYSIS SUMMARY 1. Evaluaton: After analyzing the interacton, provide a descripton on how the interacton progressed. Identfy the reasons for successful process or unsuccessful process. What did you learn from the interacton with your patent? From the first meetng up to the second meetng, it was a rollercoaster of moods. The first meet up was just getting to know each other, while the second conversaton, DB went from upset to laughing. At the tme he was upset, it seemed to us that we would have to come back another tme. However, we were able to talk to DB and gather informaton as to why he was upset. At the same tme, DB was able to let out some frustratons with talking about it. I believe that we were able to turn what seemed impossible into a successful interacton. We learned how to speak to a patent who is upset and how to approach them. 2. How did you personally feel about the interacton? What would you change if you had to redo the interacton? We feel that our meet up and interactons with DB was successful. We didn't think that we would have changed anything if we had to redo the interacton. However, we would have probably like to add more questons regarding his admission. We know what brought him to the hospital but we didn’t get to clarify what caused him to think of suicide. Page 4 of 4