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What You Saw

One observation per sheet. Enough detail that the team understands what happened, without a diagnosis. For sudden changes or distress, call the team first and write later.

Module 3

Example: Completed Example: What You Saw

Fictional example. Mara, 65, visits her friend Asha, 70, who is dying. Asha wants help with a treatment question, then quiet company.

Date, approximate time, and who observed this
November 8, about 2:15 p.m. Mara observed this.
What was happening just beforehand? Who was present?
Asha's brother had finished discussing an appointment. He and Mara were visiting. Asha had the appointment letter beside her.
Your person's words; mark paraphrases as paraphrases
Asha said, 'I want another doctor to explain the options.' She then said, 'Please stop talking about it today.'
Actions you saw, including sequence or duration if known
Asha agreed to Mara writing one question. After Mara wrote it, Asha asked to stop discussing the appointment, picked up the letter, handed it to Mara, and turned toward the window. She accepted Mara's offer of quiet company with a nod. Mara stayed for ten minutes without discussing treatment again.
Concrete difference from an earlier observation, or not known
At yesterday's visit, Asha asked Mara to read the letter aloud. Today she asked to end the discussion. Mara cannot say why her preference changed.
What your person requested, accepted, or declined
Asha wanted help asking about another opinion. She declined more discussion that afternoon and accepted quiet company.
What you offered or did, and their response
Mara asked if Asha wanted help writing the question. Asha said yes. Mara wrote one question, put the paper beside the letter, and stopped asking about treatment.
Team contact: whom, when, facts shared, and question or outstanding reply
With Asha's agreement, Mara left a message for the palliative team at 2:40 p.m. She relayed Asha's request and asked whom Asha could speak with about clarification and another opinion. Awaiting a reply.
What you did not witness or cannot confirm
Mara did not attend the appointment and does not know what the doctor said. She cannot infer Asha's feelings from her turning toward the window.
© 2026 Linda A. Curran, BCPC, LPC, CAADC, CCDPD | Aware and Present