Documente Academic
Documente Profesional
Documente Cultură
DATE: 2016
Client Dx: Alcohol Use Disorder, Dementia
Dialogue
Nonverbal
Technique
Communication
1 SN: Hello, my SN: Smiling as I
Introductory
name is Tim. I am a approach and take statement.
Kapiolani
a seat across from
Community College client at a table.
student nurse. I will
be working with you
until noon today.
Student
Feelings
Interested.
Analysis
(4) Client was seated quietly at
the table which made him easy to
approach and helped me to
engage him in conversation.
(5) I could have used a
therapeutic opener such as, How
are you feeling today? to get the
conversation started.
Client: Hi.
Client: Already
seated quietly at
table.
Technique:
Open.
Feeling:
Surprised.
Thoughts:
He is still
working?
What? He has
Client: Maintained
eye contact, serious
expression.
dementia and is 82
years old!
Technique:
Reflection of
feelings.
Feeling:
Thoughts:
T
Concerned. He is in denial. He
is blaming others
for his behavior.
Technique:
Open,
focused.
Feeling:
Curious.
Thoughts:
T
He sees the
problem as caused
by his wife.
Technique:
Open,
clarifying.
Feeling:
Interested.
Thoughts:
He seems
aggravated by his
wife's behavior.
Feeling:
Uncertain.
Thoughts:
It does not seem
like he
comprehends his
wife's fears.
Technique:
Feeling:
Open, focused Confused.
Client: I dont
Client: Crosses arms
understand it. Ive hit leans back in chair.
her in the past, but
never enough to hurt
her.
Feeling:
Curious.
Thoughts: This
T
comment points to
the root of the
problem. Does he
really see some of
the hitting as
acceptable?
Thoughts:
T
He is using alcohol
as means of
coping.
Feeling:
Interest.
Thoughts:
He will not solve
this issue until he
accepts that his
drinking is a
problem.
Feeling:
Relaxed.
Thoughts: That is T
a lot of alcohol to
consume on a daily
basis.
SN: Looking
intently at client.
Technique:
Open,
focused.
Feeling:
Interested.
Thoughts: He is
blaming his wife
for his drinking,
but his drinking
contributes to the
problem.
Feeling:
Confident.
Thoughts:
T
This may be a way
for him to avoid
drinking when he
is stressed.
Client: Usually if
Client: Evasive eye
Im dealing with a lot contact, gestures with
of stress or if she is hand.
complaining a lot.
Client: I do enjoy
Client: Seeming to
13 SN: I hear
youre saying you
feel that exercise
helps you manage
your stress.
SN: Shifted
forward, leaning
toward patient.
Technique:
Feeling:
Paraphrasing. Upbeat.
Thoughts: He
T
certainly needs
more than just
going to the gym,
but it could
become a coping
mechanism if he
utilizes it that way.
Technique:
Open.
Thoughts:
T
He really does
seem to be affected
by missing work.
Feeling:
Curious.
SN: Looking at
client, making eye
contact.
Technique:
Open.
Feeling:
Unsure.
Thoughts: Wasn't T
the answer I had
hoped for, but he at
least seems to want
to drink less and
fight less with his
wife.
Feeling:
Pleased.
Thoughts:
N
I hope I can
remember
everything. Will
take notes as soon
as possible.
(Doctor walks up to
table and asks to
speak with client.)