Question

Create the conversation (should be at least 10-15 minutes.)with the patient for the process recroding. You must assume the role of the healthcare worker (role play)

Scenario I

Your patient, Mr. Brown, age 42, had a colonoscopy this morning. He was told by the physician that a suspicious 5cm mass as discovered in the sigmoid colon. He is awaiting final biopsy results. You enter the room on rounds before leaving for the day.

Student Nurse: "Hello Mr. Brown. How are you?"

Mr. Brown: "I was better until I received some really bad news today"

Complete the conversation and document on the process recording. Be sure to include nonverbal responses.

QUICK PROCESS RECORDING WORKSHEET

Presenting Problem____________________________________________Goals__________________________________________________

CONVERSATION	NON-VERBAL COMMUNICATION	HCW FEELINGS/THOUGHTS	ANALYSIS FOR EACH SET OF INTERACTIONS

SUMMARY & EVALUATION:

OVERALL ANALYSIS:

Answer 1

Presenting problem- Ineffecting coping pattern related to the diagnosis of the disease.

Goal- Patient will accept the disease and cooperate with the further treatment process

Conversation	Non verbal communications	HCW FEELINGS/THOUGHTS	ANALYSIS FOR EACH SET OF INTERACTIONS
Nurse- what is that news which is making you feel low Mr Brown- my biopsy results states that the mass in my colon is cancerous.	Mr Brown- looks down with tears in eyes	Empathetic but controls emotions.	Collected the reason for depressed feeling in Mr brown
Nurse- don’t worry medical science has made a lot of advancement. Mr Brown- yes, but why me?	Nurse puts her hand on patients shoulder the assure and comfort him	Feels confident	Nurse tries to comfort The patient. Patient is in the bargaining phase
Nurse- you are lucky that early diagnosis was made, and cancers can be cured with early diagnosis	Mr brown shakes his head		Give patient assurance
Mr brown- Is there any chance that biopsy results giving wrong inference Nurse- instead of thinking at the diagnosis, now we should think about the treatment and get totally free from cancer, because there are negligible chances that the results will be false	Looks at nurse with some hope		Patient has the right to know the truth, even if it is difficult to accept
Mr Brown- how long will it take to cure the cancer Nurse- effectiveness of treatment differ from patient to patient. But earlier the diagnosis made earlier it will be cured.	Mr brown shaking his legs looks restless and curious		Explanation to reduce anxiety

summary evaluation- Mr brown was depressed as he has been diagnosed for cancer. he was unable to cope with the diagnosis, but after clearing his doubts and psychological support by nurse he has accepted the diagnosis and looking forward to the treatment options.

overall analysis- Mr brown was unable to cope with the diagnosis, but after his interaction with the nurse, he has accepted his diagnosis.