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PROCESS

RECORDING
Date: 12th September 2021
Time: 11 am
I. Identification Data of Patient
Name: Mr. Arun Kumar
Age: 30 years
Sex: Male
Religion: Hindu
Marital Status: Unmarried
Educational Status: Btech
Occupation: Computer software engineer
Income Per Month: 40,000/ month
Languages Known: Hindi, English
Ward: OPD
Diagnosis: BPAD
Address: Chandigarh
Date of Admission: 12th September 2021
II. Brief summary of the Patient Problem:

Mr Arun Kumar came to psychiatric opd with chief complaints of anxiety and suicidal
ideation, nervousness and lack of social interaction.
III. Place of Interaction: Psychiatric OPD
IV. Description of the Environment: Environment is calm
V. Reason for Selecting the Patient: Patient has symptoms of depression and seems
nervous.

Nurse’s response Patient’s response Communication Inference


Techniques
Verbal Non verbal Verbal Non verbal
Good Smile Who are Looking Greeting The patient
morning Mr. you? nervous wanted to
Arun tell
something
I am Eye contact What are you Patient Introducing I feel a little
Niharika doing here? looks oneself conscious
Sondhi, anxious
student of
M.Sc.
Nursing 1st
year. I want
to spend
some time
with you
How are you Leaning Yeah, I am Smiling, 2 Broad opening Patient
today? forward okay. One minutes actually feels
and making more day in silence and anxious
eye contact this world looking
down
Would you Active My life is Silence and Broad opening Patient is
like to tell listening over and I nervousness ready to
me about had severe have
yourself? mood conversation
swings, I
want to kill
myself
You said you Active Yes, I feel Sad face Exploring Patient is sad
wanted to listening very sad, I and does not
kill yourself? don’t know feel like
what exactly living
it is
It’s all about Presenting I hope so Smiling Focusing It was a very
the mind that reality formal
forces you to conversation.
feel this The
way. Once problems of
you will stop the patient
overthinking have come in
, everything light
is going to
soothe down.
Thanks for Smiling Thanks. Closing of the interview It was a good
your time conversation.

Summary: process of using words, sounds, signs, or behaviors were used to express and
exchange information. The patient’s anxiety was reduced to some extent as he was not able to
express himself at first but afterwards, he became comfortable in talking.

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