PLT COLLEGE, INC.

School of Health Sciences College of Nursing

Bayombong, Nueva Vizcaya

Nurse-Patient Interaction Form

I. Introduction

II. Objectives

III. Setting

IV. Nurse Patient Interaction

(Sample) Nurse & Patient References (Patients home has limited space with beer bottles scattered on the floor. He avoids eye contact, always looking at the floor, double checks the camera to ensure that his face is not shown) Interpretation Analysis

(Unconfirmed Alcoholic)

Patient uses alcohol frequently, without even bothering to hide it.

(Carl Rogers Humanistic Psychology)

Posited that the origin of problems for many people is that display themselves to be not valuable and unworthy of being loved

N: Good morning po, ako po si Karen Analyn Pait, isa po akong student nars. Nandito po ako para kumustahin ang sitwasyon niyo. Huwag po kayong mag-alala, anumang pag-uusapan natin ay confidential at hindi malalaman ng iba.(Maintaining eye Contact)

Establishing Rapport Active Listening Maintaining Eye Contact Conveying Interest and Concern

Therapeutic use of self, it includes use of therapeutic communication techniques

(Explain the implications of the 4th stage according to KublerRoss)

Kubler-Ross Model Stage 4-Depression

V. Learning Insights

VI. Documentation

PLT COLLEGE, INC.

School of Health Sciences College of Nursing
Bayombong, Nueva Vizcaya

Psychiatric and Mental Health Nursing Counselling Portfolio Format

1. 2. 3. 4.

Title Page Acknowledgement Table of Contents Introduction A. Brief Introduction of the Mental Disorder/s (Etiology, Sx/s, DSM IV classification, Medical & Nursing Management, Demographical Data, Reason for choosing the case) B. Groups Goal and Objectives

5. Chapter 1 (Patients Profile) A. B. C. Biographical Data History (Attach the Psychiatric Report Evaluation Tool) Psychodevelopmental History According to: Sigmund Freud Erik Erikson Jean Piaget Lawrence Kohlberg

6. Chapter 2 (Assessment) Mental Status Examination (Attach the Psychiatric Report Evaluation Tool) Assessment for Special Children (Patients below 18 years old) Gordons Functional Health Pattern of Assessment Attach also other tools for evaluation

7. Chapter 3 (Psychopathophysiology)

Narrative & Schematic

8. Chapter 4 (Nursing Care Plan) 1 Actual, 1 Potential Assessment Explanation of the Problem Elaboration of your Nsg. Diagnosis Objectives Nursing Action Rationale

Subj. Cues Obj. Cues Nsg. Dx.

STO: Within a day LTO: Beyond 1 day

Diagnostics Therapeutics - Independent - Dependent - Collaborative Educative

9. Chapter 5 (Drug Study)- Actual/Potential Meds Drug Generic Name Brand Name Classification Dosage Frequency Availability Route 10. Week 1 Week 2-3 Week 4-5 Week 6 Week 7-8 Week 9 Week 10 Week 11 Week 12 11. Mechanism of Action Responsibilities Side Effects Adverse Effects Indications Contraindications Nursing Considerations

Chapter 6 (Activities)include also your documentation 1st Week of December 1st and 2nd Week of January rd 3 and 4th Week of January st 1 Week of February 2nd and 3rd Week of February th 4 Week of February 1st Week of March 2nd Week of March 3rd Week of March Self Awareness Activity History Taking with NPI Form Assessment with NPI Form Continuation of NPI Form Intervention Phase Termination Phase Group Evaluation Completion of Output Submission (Monday

Chapter 7 (Summary and Recommendations)

A. Summary of Findings B. Recommendation (To the Client, Family, Institutions/People Concerned) 12. Bibliography

A. Books B. Newspapers/Journals/ Magazines

C. Unpublished Sources D. Electronic Sources 13. Appendices

A. Communication Letter B. Ecomap C. Other Photo Documentations D. Budget (Week 1-12) E. Attendance Sheet from Week 1-12 F. Individual Learning Feedback Diary G. Others (Health Teaching Plan, Original Copy of Forms, etc)

Portfolio Specifications: Font: Calibri Font Sizes: Headings/ Title 14/16, others 12 Coupon Bond Size: Long Spacing: 1.5 Margins: 1 Bottom, 1 top, 1 Right, 1 Left Orientation: Portrait