1.

IDENTIFICATION DATA
Name : Dayanidhi naik.
S/O : Dhabaleswar naik.
AT/PO : niali
PS : niali
DIST : Cuttack
Age : 30 years.
Sex : Male
Language : Odia.
Informant : Mother
2. PERSONAL HISTORY
Birth : He was born at home by NVD.
Mile stone : late achieved
Scholastic Performance : Average
Peer group interaction : Satisfactory
Employment : Unemployment.
Marital History : Unmarried
3. FAMILY HISTORY
Type of Family : Nuclear
No of family members : 5
Socio economic status : Low
Health status of family members : Good
Any illness : grand farher was suffering from mental disorder
in the family.

4. PAST AND PRESENT COMPLAIN:-

According to patient:-
He said that he is having some physical illness, family members have brought him
here and he wants to go home.
According to informant:-
According to his mother, he was suffering from this illness from 8 months back and
was admitted in Mental Health institute, S.C.B.M.C.H, Cuttack. He took medications
and was discharged from hospital after getting well. He discontinued medication and
the illness aroused again. There was decreased sleep, laughing without reason. He was
always in an aggressive mood, beating and biting other individuals.
5. PROVISIONAL DIAGNOSIS:- Schizophrenia
6. AIMS AND OBJECTIVES:-
Patient’s point of view:-
• To help the patient to develop insight.
• To help the patient to came out of his problem.
• To help the patient to communicate.
• To help the patient to change his attitude towards other individuals.
Student’s point of view:-

✓ To establish good rapport with the patient.

✓ To gain the patient’s confidence and get his co-operation.
✓ To know response status of the patient.
✓ To identify patient’s problem.
✓ To gain skill in taking interview.

VERBATIM-1
Place : Psychiatric I.P.D male ward.
Date : 06/08/2018
Time : 10.30A.M
Duration : 30 Mins
Day of admission : 3rd Day
Day of interview : 1

Specific Objectives:-

➢ To gain confidence to the patient.

➢ To assess the condition of the patient.

Sl.No Nurse & Verbalism Non-verbalism Inference

patient
1 Nurse Hello, Daya, “Good morning”. Patient
Patient “Namaskar Didi” Communicates
2 Nurse How are you? I want to talk Patient Looks at Patient co-
with you. me and sat on operated me.
Patient “Mote bhala laguchi” bed.
3 Nurse Did you have your breakfast? Patient answer Immediate
Patient “Han” with a smile memory is
intact.
4 Nurse What have you taken in your He looked at me Recent memory
Patient breakfast? while talking is intact
“ Mu sakalu bara khaichi”
5 Nurse How many brothers and sisters His remote
Patient you have? memory is
“Mora dui bhauni achhanti” intact.
6 Nurse Who is with you? He stood up He is oriented
Patient “mo maa” with excitement. to person.
7 Nurse Which place is this? He is oriented
Patient “Eita hospital” to place.
8 Nurse What is the day? He is oriented
Patient “Aaji soma bara” to day.
9 Nurse Ok, thank you for cooperate He smiled
Patient with me.
“Namaskar Didi”
SUMMARY:-

✓ Patient was co-operative.

✓ His memory is intact
✓ He is oriented to time, place and person.

CONCLUSION:-

Today at 10.30 A.M, I conducted the process recording and I was satisfied with the
client’s behaviour as he co-operated me. I shall again interview the patient in same time on
next day.

TECHNIQUE USED:-

I first developed good interaction and rapport with the client and his family members by
conversation method.

DAY OF INTERVIEW – 2

Date : 03/08/2018
Time : 10.30 AM
Duration : 30 min

Specific Objective :
To help the patient to communicate.
To help the patient to gain confidence and develop rapport.

Sl.No Nurse & Verbalism Non-verbalism Inference

patient
1 Nurse - Hello, Dhoba. He stood up and Gait is normal
Patient - “Didi Namaskar” folded his hands to
wish
2 Nurse - Today you are looking fresh He smiled and sat
Patient - “Han didi mote bhala down on the bed
laguchi. Mu gharaku jibi.
3 Nurse - Are you taking your He looked at me and He responds to his
medicine regularly answered treatment
Patient - “Ha did ikhauchi”
4 Nurse - Can you tell me the months Attention is intact
in a year
Patient - “Jan, Feb, March, April,
May, June, July, Aug, Sept,
Oct, Nov, Dec”
5 Nurse - You are biting others, Do He realized his
you think it is right mistakes.
Patient - “No”
 6 Nurse - You are standing on the road Judgement is
and two children are impaired.
quarrelling. What should
you do?
Patient - “Kichhi Kahibini”
7 Nurse - Ok, thank you for being with
me.
Patient - “Namaskar didi”

SUMMARY:-
Patient is co-operative.
Attention is normal.
His general information and judgement is impaired.

CONCLUSION:-
Today I conducted the process recording at 10.30A.M. I am satisfied with the patient as he
co-operated me. I will again interview my client tomorrow in the same time.

DAY OF INTERVIEW – 3

Date : 04/08/2018
Time : 10.30 AM
Duration : 30 min

Specific Objective
To help the patient to develop insight.
To help the patient to communicate.
To help the patient to come out of his problem.

Sl.No Nurse & Verbalism Non-verbalism Inference

patient
1 Nurse - Hello, Dhoba He stood up and Eye-to-eye contact
Patient - cdMr.niranjan folded his hands to is maintained
routMr.niranjan wish
routMr.niranjan
routMr.niranjan
routMr.niranjan
routayanihi nath
“Didi Namaskar”
2 Nurse - How are you feeling today? He answered with
Patient - “Bhala Achhi” smiled.
 3 Nurse - Do you feel you are ill He raised his eyes Insight is
Patient - “Na, Jama nuhai” with anxiety look. impaired.
4 Nurse – Can you count back from 10 He looked down. Lack of
to 1? concentration.
Patient - “10, 9, 7, 4, 5…….”
5 Nurse - Can you say me the meaning He answered with Lack of
of slow and steady wins the nodding his head abstraction
race?
Patient - “Na. Na....”
6 Nurse - Do you know when India He looked down. Lack of general
got its Independence? information
Patient - “aseni”
7 Nurse - Ok, thank you for being with He smiled.
me.
Patient - “Namaskar didi”

CONCLUSION:-
Today at 10.30 A.M, I concluded the process recording. I am satisfied with my client’s
behaviour as he is co-operated.

SUMMARY:-
Patient is co-operative.
Gait and affect is normal.
Insight, attention abstraction
He has lack of general information.

TECHNIQUE USED:-
I made a good rapport with the patient and maintained interpersonal relationship
with his family members throughout interview.