Purpose and Techniques of History Taking in Rehabilitation Counseling free essay sample

A presentation Topic Submitted to Mrs. Bolu Steeve Of Counselor Education Department In the Faculty of Education in the University of Ilorin By Sanda Idowu Lawal 10/250d086 REHABILITATION COUNSELING Rehabilitation counseling can be defined as a process where the counselor works collaboratively with the client to understand existing problem, barriers and potentials in order to facilitate the client’s effective use of personal and environmental resources for career, personal, social and community adjustment following disability. In carrying out this multifaceted process; counselor must work towards assisting the individual to adapt to the society, ensuring the society acceptance of the individual’s participation in societal development with focus on client’s independent living and work. Rehabilitating a disable person is a task that is procedural. Among the necessary steps to be taken in helping such clients is taking history of the whole circumstances that surround the individual’s ability. HISTORY TAKING:- History taking is a structured assessment conducted to generate a comprehensive picture of disable client’s problem with the aim to find out the course, prospect and possible solution to disability. We will write a custom essay sample on Purpose and Techniques of History Taking in Rehabilitation Counseling or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The focus in history taking should be on the following. i. The client’s previous and current health problem (disability) ii. The previous and current treatment and medication iii. Factors affecting the client’s living conditions iv. The responses to preventions and treatment of disability i. e. life style issue, risk factors etc v. Contributions of the family member and the background study of the family in connection with the client’s disability. Even information should be recorded in document that will be used in diagnosing the possible solution to client’s problem. The content should includes; THE CONTENT i. The location of the disability and type ii. Its level of disturbance and severity iii. The onset mode, duration and possible relief iv. Its effect and normal activity v. Other factors that could be contribution to the rise and fall of the disability vi. Family history and contributions to the client’s situation. Before facing the client for conversations, the setting up of the place must be organized in a pattern that encourages the client’s comfort and confidentiality. SETTINGS i. Find chairs that are moderate for both of you. Do not sit anywhere. ii. Make a coverage to avoid distraction iii. Maintaining a normal space for facial contact iv. Timing the session is also a point to notice Having established the venue of the interview where the history is to be taken; the counselor must maintain some professional attitude to enhance better understanding by the client. . Developing report i. e. i. Accepting the patient view non-judgmentally ii. Use empathy iii. Be supportive iv. Deal sensitively with disturbing topics and pain 2. Involving the client by; i. Share your thought with the client ii. Explain the rational for your question iii. During physical examinations, explain the process and ask for permission 3. Respond to client’s needs i. e. i. If the client is discomfort or tir ed or in pain; acknowledge this and respond appropriately; do not simply continue 4. Use appropriate non verbal beheviour; i. Eye contact, facial expression, posture, position and movement ii. Vocal; use e. g. rate, volume tone THE PROCESS 1. Greet the patient in the best way they like and apply title where applicable 2. Introduce yourself 3. Explain the reason for the interaction 4. Seek their consent and if they decline, leave them 5. Listen attentively to opening and every responses that follow your question 6. Write down problems as mentioned and not as you feel it should be 7. Query whether there is any other problem that could be complicating to the targeted issue 8. Summarise their responses back to the client GATHERING INFOS 1. Explore the patients’ problem i. Encourage the patient to tell the story from when it first started ii. Use open ended question at start e. g. when did this problem started, have you had any recent health problem, can you show me where it hurts, and clarifying later with close ended questions like, does it here, did you have this pain yesterday and have you got any flu in the past iii. Show that you are listening to encourage more information from the client iv. Pick up the non-verbal clue to indicating that there is something else the patient want to say v. Clarify statement and any jargon used by patients 2. Understanding the patient perspectives i. The patients’ ideas and perspectives ii. The patients’ expectations iii. How each problem affects the patients’ life 3. Ending the consultation:- this is important for 2 reasons; i. You need to check that the information you have is completed and accurate ii. The patient needs to know what will happen as every consultation suppose to reach a definite conclusion. By following these five point success will be achieved. a. When you are satisfied that you have completed the history-taking. Tell the patient that you have covered everything that you need to b. Check that the patient has nothing more to add c. Summarise the information and check that is complete and accurate d. Explain what will happen next (e. g. you will pass the information on to the doctor, whether they are going to be seen by the doctor etc ) e. Thank the patient and leave immediately after concluding the interview