Question

In: Nursing

example of process recording in nurse patient communication

example of process recording in nurse patient communication

Solutions

Expert Solution

Process recording is the verbal communication or tthe written record of conversation  between the nurse and the client.

For example:

Patient name: Mr. wilson

Age: 48yrs

sex: male

adress: .....................

religion: ...........

education:.......

date of dmission:............

Date of discharge:............

occupation..........

diagnosis:..........

bed no: ...............

ward:.........

Nurse: mr. wilson. Good morning

wilson: Good morning

NURSE: I am XYZ BSC Nursing student.if you are comfortable, Iwant to talk with you for few minutes. may i proceed?

wilson: Yes please. no problem

NURSE : How are you? hope you are fine

wilson: Madam Iam good. Feeling much better.

NURSE: Good to here from you. Mr. wilson. Can you tell me where you are now?  who brought you here.and where are you now?

Wilson: yes Madam. I am in the hospital. and My wife is with me and she brought me here because i'm ill.

NURSE: Are you comfortable here?

Wilson : Yes Madam . i'm comfortable.

NURSE: How is the staff here.

Wilson: they all are good and caring.

NURSE: had your breakfast? had your dinner last night?

WILSON: yes i had my breakfast . i ate chappti and dhal last night. it was ok .

NURSE: Hope the staff are proving all the care and medications to you.

Wilson : yes. they are good and caring. No issues

NURSE: OK Wilson . THank you for your time.

Wilson : thank you.:

this contains the whole conversation that tookplace between the nurse and the client.in the psychiatric ward..


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