Tuesday, April 16, 2024

INTERVIEWING THE PSYCHIATRIC PATIENT ON ADMISSION

Table of Contents

REQUIREMENTS #

  1. Table
  2. Two chairs
  3. Pen and note pad
  4. Recorder
  5. Patient’s folder (Electronic/Manual)
  6. Serene environment

STEPS #

  1. Advance Preparation
    1. Formulate goals for the interview
    2. Determine issues to focus on during the interview
    3. Decide on the type to use (structured, semi-structured or unstructured)
    4. Prepare patient and physical environment
  2. Establish rapport (refer procedure)
  3. Explain procedure and reassure patient
  4. Prepare the interview setting and arrange the chairs as appropriate
  5. Sit patient comfortably facing the interviewer in a serene environment
  6. Seek patient’s consent to record the interview in any form and assure him/her of confidentiality
  7. Sit down avoiding crossing of arms and legs
  8. Initiate the dialogue in a simple language the patient can understand
  9. Speak to patient in calm, clear and relaxed tone
  10. Employ the use of verbal, nonverbal and therapeutic communication techniques (e.g. maintain eye contact, appropriate use of body language, feedback, use of silence, restating, etc.)
  11. Find patient’s area of motivation and nurture them to gain his/her co-operation
  12. Focus on specifics (i.e. condition, medication, chief compliant etc.)
  13. Give broad opening or ask opened ended questions
  14. Listen and observe for patient’s nonverbal cues (e.g. facial expression, posture, gestures, etc.)
  15. Give patient enough time to express him/herself
  16. Avoid interrupting patient when he/she is speaking (active listening)
  17. Restate patient’s statement by rephrasing or paraphrasing
  18. Use appropriate questioning techniques
  19. Ask patient to clarify statements
  20. Use silence to listen to patient
  21. Summarize with patient what has been discussed during the interview
  22. Record salient point and close the session
  23. Express appreciation to patient and inform him/her on what to do next
  24. Document findings in the nurses’ note/patient’s folder
  25. Report the outcome from the interview to the Charge Nurse