essed his concern about the loneliness he felt at home with nobody to care for him, and how he would be unable to take the medicine in case he dosed off. I promised to visit him at home and call him on phone to remind him of his medication at the precise moments he was supposed to take them. As he had a normal pulse and blood pressure, I applied an ice pack on his forehead to relieve him of the headache, to which he responded positively and confirmed that the headache was gone. I promised to get him examined by the concerned physician before he is allowed to go back to his home, so that he gets reassured psychologically and is not overwhelmed by the task. I watched his expression throughout the procedure and noted the relaxation he felt after being examined and talked to in a friendly manner.
Hidden Messages/Themes: The relaxation revealed by his countenance due to the approach adopted was a cue to the inference that his condition was related more to anxiety rather than actual pathology. His positive reaction to examination on the couch revealed that he sought attention from somebody to sympathize with his condition. On being promised a consultation with the physician, he felt more relieved than before. In my opinion the patient just needed a psychological boost to cheer him up as he was confronted with the prospect of being alone at his home again.
Reflection: In my opinion, at the very outset it was evident that the patient was feeling apprehensive on being discharged from the hospital. Faced with the daunting task of looking after himself at home, his anxiety manifested in his claim that he had a headache and felt numbness in legs. At this critical juncture, he needed a skilful handling by first agreeing to find a medical cause for his complaint, and then providing him with a cure for his symptoms, which he expected of me as a nurse. The therapeutic communication used in this interaction are, the immediate solution offered to him by examining him on the spot,