How to Conduct a 15 Minute or less Family Interview

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How to Conduct a 15 Minute (or less) Family
Interview
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Constraining Beliefs

• Not enough time
• May open can or worms
• Not nurses job
• Cant help in such a short time
• Lack of confidence in ability to deal with
  family's emotions
• May not know the answer to their questions

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Facilitating Beliefs

• Illness is a family affair
• Illness affects all family members
• All family members influence the illness

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Key Ingredients

• Manners
• Genogram
• Therapeutic Conversations
• Key Questions
• Commendation

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Manners

• Introductions to patient family members
• Good manners has effect of instilling trust
• Always call patient by name
• Tell patient your name
• Explain your role for that shift
• Explain a procedure before bringing equipment
  into the room
• Keep promises
• Be honest with patient

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Therapeutic Conversation

• Differ from social conversations
• Purposeful time-limited
• Listening

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Genogram Ecomap

• Brief (1-2 minutes)
• Essential data e.g. ages, occupations, current
  health status of each individual

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Key Therapeutic Questions

• Who of your family or friends may we share
  information with? or
• Is there anyone in your family who you do not
  wish us to share information with?
• Expectations of hospitalization, clinic or
  homecare visit
• Challenges, suffering or most pressing concerns

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The One Question Question

• Identifies the most pressing issue or concern
• What is the one question you would most like to
  have answered today?

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Commendations

• Powerful therapeutic intervention
• Commend family and individual on one or two
  strengths, resources or competencies
• Differ from compliments
• Commendations refer to patterns of behavior over
  time, not one-time events
• Instills hope in their ability to deal with a
  problem
• Renews optimism coping