Hey, Mr.Khan I think it would be best if we went back inside.
I am observing that Mr. Khan is in distress. He has heard an overhead airplane which caused him to have flashbacks of the war.
I will be caring for Mr.Khan, who is suffering from PTSD. His symptoms include: Anxiety, Flash backs, outbursts of anger, and nightmares.
I don't want to go back to that place!
Hey Mr.Khan, I think it is time for bed as it is quite late.
For patients dealing with PTSD, it is best not to say "it will be okay" because it bestows wishful thinking. Instead, the nurse will redirect the the client away from the situation that caused the reaction.
Mr. Khan it's Julie, may I come in and assist you?
Please, please, please don't let us crash!
In this scenario, I have given Mr.Khan some pencil crayons so he may express his feelings towards the airplane. He is unable to verbally express his feelings which caused more anxiety. In addition, through this means, he is able to communicate to the nurse what he needs to help him feel more comfortable.
PTSD is not to be dealt with in silence. This type of disorder may be developed from a wide range of traumatic events.
Mr.Khan tends to exhibit aggressive behaviours at night, due to the fact that his trauma occurred during the night hours.
Mr.Khan pushes lamp over.
Mr.Khan is having a nightmare about his traumatic event. Julie is there to reassure Mr.Khan that he is safe and in no harms way. Because of the language barrier, by using non-verbal communication such as good eye contact and expressive facial reactions, the nurse is displaying active listening.
Julie has displayed empathy by caring for Mr.Khan and identifying his needs. She has the ability to understand what she can and cannot say and or do as a caregiver. She also understands at times it is difficult for him to communicate and she is able to stimulate his creative abilities to cope with his stress. Lastly, Julie is there to assist when he is having nightmares.