Assignment: Implementation Strategies Assignment: Implementation Strat

Assignment: Implementation Strategies

Assignment: Implementation Strategies

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Running Head: Process Recording 1 Process Recording Psychiatric Nursing and Mental Health Nursing Care- NURS 386-001 April 10th 2018 Student: Liaison: Client’s first Name: A.N Date: April 21st, 2018 Agency: Spring Groove Hospital Center Running Head: Process Recording 2 Purpose of Interview: To establish a positive rapport with client upon introduction Content Nurse Client Hi, my name is I am a student nurse from Bowie State University. Was wandering if you might be willing to speak with me. Sure Nurse I will like to know what brought you to this place. Client I joined wrong group of friends in my neighborhood that introduced me to drugs at a young age. How old exactly where you when you began doing drugs? Nurse Client( Still maintaining eye contact) 12 years old. I had started with marijuana, and later to ecstasy at the age of 15.I got so addicted that my mind was messed up and then I saw myself here. I Skill Used Your gut Reaction Introduction: An Client was introduction refers relaxed to a beginning, act of introducing something. Your Analysis The approach was therapeutic because it was initiating a conversation He was open to conversation I became reassured Client’s response was encouraging. Broad Opening : This technique allows patient to set the tone of the conversation He felt free I used a broad opening so that he could feel in charge and set the tone I like the fact that he began from the on the onset It worked more than I anticipated. Clarification : An act of making a statement more clear Did not want to form opinions or guess when it all began. Clarification- to know exactly how young he started I felt it was parental neglect. He was not proud of his action Client could think back memory functioning. Running Head: Process Recording Nurse Client Nurse Client Nurse Client Nurse have been in and out of here. Listening I have been granted conditional release twice but somehow I still went back to drugs and they sent me back. Where your parents aware of what was going on with you when all this started? I Was leaving with my mother, who did not know by the time she found out it was too late. Then what effort did she make to help you? My mom tried, cried, and prayed because she is a good Christian How about school, did you go to school? 3 Active listening: An act of full concentration on what is being said I wandered how his parents let this happen Clarification- the action of making a statement or situation less confusing and more comprehensible. Being inquisitive Client had a about his supposedly good upbringing. upbringing but just could not put it together. Broad Opening: It allows the patient to set the direction of the conversation Probing: This is an act of getting him talk more Most times children from abusive home tend to wander off in life, could this be the reason? Seems client does not want apportion any blame on his parents Client maintained straight face no hideous expression May be I should not have not have asked this question hoping it will not block our conversation. He tried to defend his mother, I still feel that she did not play her part Making enquiry of his as He did not express sad countenance maybe the question was not bad at all. Client’s voice getting weaker, showing regret. Seems client has some form of education speaks Running Head: Process Recording 4 about his opinion and feelings Client ( looking down) Nurse Client Nurse I did but stopped after high school. Although I took my GED and passed very well but mind was messed up with ecstasy. How do you Reflecting – This feel about it? is the act of thinking deeply or carefully about something I feel horrible. I have made terrible choices in the past that I wish I never did. By now I am supposed to have finished school and probably working somewhere. Let’s take a Focusing- This is look at what a central point of you said earlier, attention Client What exactly? Nurse When you said Restating- saying in and out of something in a here do you new way. mean conditional release? Yes, but I have not been able to Client academic background I could feel his disappointment for making wrong choices and articulates. well Regrets is inevitable I asked him that question to know how he feels about everything. I sincerely felt empathic thinking of all the wasted years. Just to know if he has a sense of remorse at all. Curious to know what his experience at the supervisory home was like. Thinking he might not want to continue as his voice breaking down. Give the client the reassurance that I was paying attention Analyzing client’s strength and weaknesses. Guess this is how he sees it, Showing anger in his voice now Holding unto this feeling would help him to pull through and turn over a new leaf, for a fresh start. Assessing patient’s cognitive ability. Running Head: Process Recording Nurse Client Nurse Client Nurse Client 5 meet the requirement. Because the system is designed for you to fail Can you tell me Exploring – more about inquire into or that? discuss in detail The time I was out, government was giving me money every month but the supervisor takes most of it and give me just $60. “Hmm” I understand I make a lot of money selling drugs. That’s why am always tempted to fall back. So you were not only taking it but also selling drugs? That was the only way I could pay bills and support my girlfriend through school Accepting – believe or come to recognize an opinion as valid or correct. he feels deceived. My heart skipped a beat, that statement is too deep. Just thinking now how I will be able to tackle this point so that I don’t end up giving him wrong impression. The client seems to be giving up hope with this statement. The client feels he is been cheated as long as that continues he might not be able. I am a bit Client appealing confused it is to the nurse’s what it is conscience however I did not want to show the confusion on my face. Still maintaining eye contact I don’t think he seems very willing to give up drugs at this point. What should I do to make him more willing? He has a rational for his action Justifying his actions Running Head: Process Recording Nurse Client Nurse Client Nurse Client 6 Do you think Restating that was the only way you could have survived? Now you are here are those needs been met for your girlfriend? No, she is taking care of herself. She warned me to stop doing drugs though. Going back to Suggesting the conditional tentative. release requirements. What if it set up to test your patience, or ability to survive in the society? Maybe. I have not thought of it that way. What would you do if you walk through the door next time you are granted conditional release I have leant from my mistakes. I want to live a normal life, go back to school have my own Encouraging formulation of a plan of action Giving him options other than what he thinks and believe. Evaluation of purpose. Client might not have thought in this direction Seems very proud he can take care of someone. Societal pressure seems part of his problem I feel the system is set up for basis of training and correction and not to punish, that why I made the suggestion. Not so sure that’s the case though. Purpose here is to help him set a goal Memory is very much in tact can recall stuff easily Feel it would be better if it comes from him Shows client’s willingness and eagerness for a change. Was amazed by his response. Believe he is getting it together Running Head: Process Recording Nurse Client Nurse family not getting younger That is the best decision but you have to start practicing that from here keeping away from trouble to facilitate your release. I hope to succeed this time 7 At this point I feel the client is willing and ready to do all it takes to lead a better life. Client presents positive mental assessment, shows he is maintaining his drug regimen Positive mindset with positive behavior yields positive result Thank you very much for your time hope to see you when next I come around. During my therapeutic nurse-patient interaction, I realized that I need more patience than I think and still need to listen more. I learned that speaking therapeutically is much harder than just talking with patients. Contrary to what I thought, A.N was very co-operative which made me more comfortable talking. Talking to A.N has helped me demonstrate what I learned about therapeutic communication and nurse-patient relationship, because it is a base for providing behavioral change in mental health patients. To sum it all, I have learnt that my response as a nurse goes a long way to produce a therapeutic outcome thereby achieving optimal health. …
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Assignment: Implementation Strategies

Assignment: Implementation Strategies

Assignment: Implementation Strategies

Assignment: Implementation Strategies

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me:
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.