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| Using terapeutic communication |
Nurse : Good morning. I’m a
nurse in this hospital. My name is Hudari. Could you tell me your name please ?
Patient : Good morning
nurse. Yes, My name is Kevin Lucas.
Nurse : Oh, by the
way. What is your nickname?
Patient : you can call
me Lucas
Nurse : O.K. Mr. Lucas, I’m
here now to be interviewing you for about 30 minutes to learn what kinds of
problems you are having and how they have affected you. Will this be O.K. with
you?
Patient : Of course
nurse.
Nurse : Do you feel
well enough to talk now?
Patient : Yes, that’s
O.K.
Nurse : How old are
you Mr. Lucas?
Patient : I’m 43 years
old.
Nurse : You seem reluctant to
talk with me about your problems. I wonder if you may be uncertain about
whether or not you can trust me. For me to be able to help you I need to know
as much as possible about your problems. What kind of problems would you like
to share with me ?
Patient : I suffered a
Diabetic Mellitus and look at my foot. It’s so awful and full of pus
Nurse : how do you
feel now?
Patient : I often feel my foot so
painful. Sometimes my eyes can’t see clearly, and also I feel tired, thirsty, and
urinate. Moreover, my foot still awful. (silent for a moment)
Nurse : You stopped talking a
few moments ago after telling me about your problems. Can you tell me what you
are thinking about?
Patient : I really really scared
if my foot will be amputated, I don’t want it. I don’t want to be defect.
Nurse : I’m sorry to hear that.
But, now relax your mind for a few moment Mr. Lucas. By the way when did this
problem start?
Patient : I think this
problem came for one week ago. When I was tread nails.
Nurse : Did this
problem start slowly or did it come on quite suddenly?
Patient : This problem start
slowly after 2 days ago. This wound not be coming through and more bulged. I
feel painful in my right foot.
Nurse : Can you describe the
pain for me?
Patient : It felt like someone
was stabbing me with a knife on my foot.
Nurse : oh yeah.. but, is it
sharp or dull?
Patient : It’s so sharp for me.
Nurse : On a scale of one to
ten, how would you rank the pain?
Patient : maybe more than 8..
Nurse : Where were you when you
first felt ill? What were you doing? Who was with you?
Patient : When I walked in the
morning one week ago, I walked in the way without sandals. So, I was tread a
nails and then my right foot is bloody. I think is not problem, so I don’t care
about that. A few days without proper treatment, and then this wound bulged. I’m
so alone when it’s happen, my wife work in Malaysia.
Nurse : Oh, I’m so sorry I hear
that.. I know your feeling but now I would like to ask you some questions about
your past health. Do you have any current health problems, things such as high
blood pressure, cancer, or asthma ?
Patient : yes I have, before I
suffered Diabetes Mellitus, I was indicated by doctor that I have hypertension.
Nurse : How long have you had
this condition?
Patient : Since one year ago.
Nurse : Are you seeing a doctor
for this condition?
Patient : Yes. But rarely I check
up about my health to a doctor about hypertension.
Nurse : Are you taking any
medications for this condition?
Patient : No, my doctor just
advised me that I shouldn’t be consume with high natrium such as dryed fish,
soft drinks and junk food.
Nurse : I appreciated it. When
did you last see a doctor for this condition?
Patient : since 3 months ago.
Nurse : Do your parents have
any health problems like you ? How old are they?
Patient : Yes, My father like me.
He was indicated Hypertension but my
father was died.
Nurse : I'm sorry to hear that,
what was the cause of your father's death? How old was he when he died?
Patient : He was died cause heart attack. At the moment, he is 69
years old.
Nurse : Now, I want to know
about your daily activity before you've this problems. Are you smoker?
Patient : Yes, I smoker.
Nurse : How much do you smoke
in one day?
Patient : Maybe one pack per day.
Nurse : How old were you when
you started smoking?
Patient : ohh, I smoked since I studied
in university. Maybe when my age 20 years ago.
Nurse : Are you having any
other problems that we haven’t discussed?
Patient : I think it’s my
problem. I wanna be health quickly nurse, please help me.
Nurse : Okey, I will care you
Mr. Lucas with all of my skills. This is a real problem for us because it
doesn’t give us a chance to discuss these problems fully. but, I would like you
to decide what problems you would like me to hear about before coming to your
next visit. Given the length of your appointments we’ll have to decide which
problems we can cover and which will have to wait until later.
Patient : okey nurse,
thank for this days.
Patient : you’re
welcome..
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