Setting the Environment for Interview
Write about the Interview with Old Patient for Health Sciences.
Clinical reasoning cycle is an effective framework by which healthcare professionals can collect information about the patient, process the information, link the data collected with the symptoms, identify the care priorities and thereby establish successful action plans (LaBionbo et al., 2017). In this assignment, certain steps of the clinical reasoning cycle will be utilised for taking proper interviews with an old patient on his concept of healthy living and thereby recognise if he is vulnerable to any potential or acute problems.
Mrs. Brown who is aged 68 years old was my interviewee. I had to go to her home since she had lost her mobility. I had to ensure that the environment where she would be giving me the interview is selected by her so that she feels comfortable and does not feel stressed. After I had entered in her house, I saw she lives in a two bedroom flat with her son. Her son, James was out on an office trip and was not present. I saw that there was lot of clutters on the road and she was at a high risk of falling. She decided that her garden would be the best spot as it is not only quiet but also helps her to relax under the open sky. I fixed up two chairs round the centre table that was already present in the garden. I had taken a voice recorder machine so that I could record her speech. I placed it on the table. I had also taken both the forms of RLT Appendix 3as well as Appendix 4 Sample Questions so that even if I get disrupted I can take help from the printouts. I compassionately introduced myself and discussed the topic on which I was about to interview her. While interviewing her, I noted down the information in pen and paper also besides recoding it on the tape recorder. After the interview was over, I opened up the RLT Appendix 3 and quickly noted down the actual and potential barriers immediately. Therefore, I collected data properly. Moreover, I also noted down the environmental settings in her house so that I can also gain ideas about her conditions of living.
While taking interviews, I tried to maintain a body language that is confident so that the woman can trust me and does not feel demotivated. Before starting the interview, I engaged in an informal conversation where I revealed my background, my position in the healthcare centres, my hobbies and many others. Researchers are of the opinion when interviewers disclose information about themselves, it helps the interviewees to feel comfortable and know whom they are talking (Robert et al., 2014). If they develop the idea that they are talking to strangers, they fail to disclose different information about themselves, as they feel anxious about the privacy of the information. I ensured that the interview information would be kept confidential. Through effective communication and rapport building, I saw that she had started trusting me and was comfortable in my presence. Following that, I asked her questions and was very attentive. As she was quite old, she was talking very softly and slowly and it was becoming difficult for me to understand. However, I could not ask her to repeat, as it would affect her dignity and autonomy (Dicenso et al., 2014). Therefore, I was very attentive to her speech. My attentive nature impressed her and she was very pleased with the way I conducted the interview. I did not allow myself to become impatient during the conversation due to her talking slowly. Rather, I helped her to complete her sentences and respected her capability to speak.
Effective Communication and Building Rapport
After analysing the information about her ideas on healthy aging, I realised that she had moderate amount of knowledge about healthy aging. When I asked her several questions like is whether she feels herself at safe from any infections regarding her knowledge about her idea about the maintenance of a safe environment in her living rooms, she stated that she has good idea about it. She told me that she tries to keep her windows open on sunny days so that her house does not remain damp. She knows that she can maintain healthy life if she is able to reside in hygienic homes. However, when i asked her question like whether she fails herself safe from accidents she was confused. One thing that I noticed is that she has clutters on the pathway of walking. Therefore, the potential problem is that she may be subjected to fall that may affect her mobility (Morton et al., 2017). Secondly, in assessing her communication skill that whether she could communicate effectively and whether her speech was clear or hard to understand, it was noticed that she was very hard to hear and talks very slowly. She said that there is no one to talk to in her house. With such continuance of days, she might lose her zeal to speak or may also lose her voice (Anderson et al., 2015). Therefore, she might be referred to communicate activity centres or to speech therapists so that she can maintain her communication effectively. The third field is eating and drinking where I wanted to know what she knows about diet. She said that she has her lunch by delivery from nearby restaurants and in the night, her son cooks for her but she did not knew the side effects of this. Since she is having outside calorific food, she may develop obesity that is potential problem. She is a bit overweight now and therefore she is at high risk (Sorensen & Brahe, 2014). In the fourth domain, I asked her whether she can conduct ADLS properly , it is seen that she is not always able to take her bath properly on certain days when she does not feel like. She says it becomes very difficult for her to undertake ADLS properly due to her restricted mobility. Therefore, she may develop infections if she does not take bath properly. Therefore, social care workers should be fixed for her (Lim et al., 2016). In the fifth part that is mobility, she is also seen to be have restricted mobility and therefore she may lose the capability to maintain her independence nature. Therefore, a physiotherapist should be allocated for her (Karavasiladau et al., 2014).
The clinical reasoning cycle, the RLT Appendix 3 as well as Appendix 4 Sample Questions had hugely supported me in creating a framework for effective interviewing and collecting cues. These steps helped me to understand the exact ways by which I would ask the patient questions that would help me in getting the answers that I wanted. Moreover, I observed that with the application of proper nursing principles, ethics and values that had helped to get engage with effective communication with that of the patients. I was able to develop therapeutic relationship with the patient and hence I became successful in taking proper interview with the patient.
Conclusion:
This essay gave me a scope to take interviews of old people where I get to know their knowledge about healthy living. The clinical reasoning cycle had helped me to develop ideas about how to collect information and hence try their best to develop ideas about the potential and actual barriers that would take.
References:
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