Unformatted text preview: The Therapeutic Interview
h t t p :/ / vid e o.g oog le .c om / vid e op lay?d oc id =5 2 8 3 3 0 0 6 0 3 0 0 8 5 3 13 7 5 &q=nur s e s Veronica Garcia Walker MSN, RN, CNA, BC
Thanks to J. Carole Taxis, PhD, RNC, LPC and Stella Logan, RN, MSN, APRNBC for contributions to this presentation 1 Think of review items from last week. If you were the instructor, what would you give an exam question on? Think about the last 3 weeks, what would be fair exam questions? 2 Items to study: Holism Definition of a family Sympathetic/Parasympathetic Selfawareness/selfcare Communication model Physical zones/ professional boundaries Verbal communication techniques
3 Items to study: Principles of therapeutic communication Communication blocks Concept of presence This is not all inclusive but will get you started. I will also try to provide a fun review game for you next Wednesday to further prepare you for 2/13/08 Good Luck. Mrs. Walker
4 Assessment Deliberate and systematic collection of data Collection and interpretation of biopsychosocial spiritual information Types Comprehensive Screening Ongoing 5 When seeking the patient's perception of a situation: Do not lead the patient to information:
You may say: Tell me about...things you have noticed....to get patient appraisal. 6 Assessment Techniques Observation Patient and Family Interviews Physical and Mental Examinations 7 Interviews: Goal is always to collect information Are essential to the assessment phase of the nursing process May vary in scope or depth 8 Comprehensive Assessments use Comprehensive Interviews:
The comprehensive interview: Often part of the initial assessment Includes past and present data Biopsychosocial data are collected Generally includes mental status exam May be conducted by any professional member of the mental health team
9 10 Screening Assessment Presenting problem History Identify Pathology diagnosis, need for treatment mental status exam May be conducted by any professional member of the mental health team 11 Screening Assessment Presenting problem: Is it Bipolar, is it ADHD? What is it? Pathology--What's going on??? Diagnosis--How will we classify what is happening with the patient? Need for treatment--What are the patient's treatment needs? What do we need to do or help the patient do???? 12 Ongoing Assessment Continue to check progress Mental Status Examination What is the GAF at this time? 13 Ongoing Assessment How is the treatment working? Treatment teams bring this information to... meetings to discuss their individual findings. 14 Motivational Interview Specific form of interviewing designed to prepare people for and assist with behavior change technique class May be conducted by anyone trained in the We will go over this in more detail next lecture 15 What do you think the difference between: Therapy and Interviewing is? 16 Therapy or Therapeutic Interview? Goal is behavior change Technique uses therapeutic communication skills Openended questions predominate Therapy Therapeutic Interview Goal is data collection Technique uses therapeutic communication skills Open and closed ended questions are used 17 In Your Clinical Practice Interviews often characterize initial meetings Later conversations may focus more on therapeutic interactions geared to helping patients with behavior changes "Interviewing" will occur intermittently throughout the relationship 18 Role Reversal When is "turnabout" fair play? When the patient wants to interview you Personal questions Professional qualifications What would you do? 19 Gardner: Presence Helping relationship based on valid perception of patient's experience.
Patient's Experience What Ought To Be Physical and Psychological Presence
20 McAllister: Conversation Starters Initial contact: roles, rapport, and standards established. Power differentials
Importance of listening in interview Avoid building dependence Use appropriate levels of care to avoid building dependence. 21 ...
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- Spring '08