Process recording

psychiatric process recording

1. Process Recording Presented by: Rahul S ingh gusain M.SC (n) Ist year

2. Introduction Process recording are the written reports of verbal interactions with clients. They are verbatim (to the extent that is possible) accounts, written by the nurse or student as a tool for improving interpretation communication techniques.

3. Definition Process recording is a written account recording of all that transpired, during and immediately following the nurse patient interaction. It is recording of the conversation during the interaction or the interview between nurse and the patient in the psychiatric setup with the nurse inference.

4. Purpose To critically analyze communication and its effect on behavior of the individual. To gain the patients confidence and get this cooperation. To establish rapport with the patient.

5. Contd.. To study the patients psychological social and emotional behavior. It helps to increase the ability to identify problems and develop skills in solving them. It gives students an opportunity to gain the ease and function in written expression that are important for professional development.

6. Goals and objectives Establish a therapeutic nurse patient relationship. To give necessary health education to the patient. To obtain the identification data of the patient. To assess the insight of the patient.

7. Guidelines

8. General guidelines Process recording is one method by which we can record the content of an interview. Record the conversation verbal time Use a recording device and obtain patients permission for using it this will in reviewing the session if needed. Each process recording should be concluded with a summary.

9. Pre- requisite of process recording Getting consent of the patient for the possibility of cassette recording. Confidentiality should be maintain. Physical setting , calm and quite environment.

10. Steps of process recording Preparation Record nurse patient interaction . written process recording may begin with taken during the interview. Identification data Present Complaint

11. Outline for process recording S.NO NURSES RESPONSE PATIENT RESPONSE THERAPEUTIC TECHNIQUE INFERENCE VERBAL NON VERBAL VERBAL NON VERBAL

12. Contd.. Conclusion Summary List of reference Introspective observation Interview technique used. E valuation

13. RECAPITALIZATION

14. SUMMARY

15. Conclusion Conducting a process recording gives the opportunity to improve the communication skill, ,self awareness, assessments, learning to listen , observation and role playing. A process recording provides with an additional opportunity to practice nursing values and ethics .

16. Bibliography Mary. c. Townsend, psychiatric mental health nursing, jaypee publication page- 158-159. Neerja Ahuja , a short textbook of psychiatric Ist edition, jaypee brothers medical publishers R. Sreevani , A guide to mental health and psychiatric nursing 3 rd edition , J aypee brothers. Medical publishers Internet references Scribd.com>mobile.doc Powershow.com