NURSES

PATIENT

THERAPEUTIC COMMUNICATION Giving recognition: the purpose of the nurse in greeting the client by its name gives a sense of recognition the nurse tries to test the recent memory of a client by recalling the nurses name My client is oriented in time the nurse is asking the client about the recent activities he had The nurse orient the client abouth the activities they had for therapy today.

Maayong buntag sir john. Ako diay c juan sir.

Maayong buntag juan

Kinsa gani ko sir?

Oo,ikaw c juan

Kabalo ka unsay oras karon sir? Naligo na ba ka karong adlawa sir? Sir, naa diay tai activities karon, naa tai dulax2, exercise og kantax2. Pag participate baya sir ha

Oo, karon kai 7:30 sa buntag Oo, ganina 6:00 sa buntag Okay maam.

During activities in the therapy area Sir, mutapad lang kog lingkod nimo ha, ok ra sir? Naa kai gusto e sulti sa ako sir? Ok raman Offering oneself: making oneself available to the client by staying beside him Giving broad openings: allowing the client to take the lead in interactions, choosing its own topic to be shared on Offering general leads: Encouraging the client to continue sharing his thought Silence: allows the client to take control of the discussion what he desires. Also, showing the client that the nurse assigned to him is interested in their conversation. The nurse ask the client a question, showing to the client that he is interested in their conversation Giving reassurance: the patient assumed that the family of the client will visit him one day, and thus making the client stop the conversation of the topic.( nontherapeutic communication)

naa

Unsa man imo gusto e sulti sir?

Kinsa kaha mukuha sa ako dire pagmakagawas nako Wala naman gud gaduaw sa ako dire, mga 3yrs na ang nilabay pagka hospital nako dire

(Silence)

Aha diay imo pamilya karon sir?

Naa sila sa cotabato. Taga cotabato man gud me

Na busy ra tale sila sir, anhian raka nila if dili na sila busy

Hinaot unta, kai gimingaw nako saila (patient smiling)

Non therapeutic conversation Maayong buntag higalang john Maayongbuntag sad (smiling) Recognition: the nurse recognizes the presence of the client Silence: allowing the client to share his thought and let him feel that you are interested in your conversation Presenting reality: the nurse tries to present the reality to the client that no one is sitting beside him and telling him to kill himself Agreeing or disapproving: The nurse is challenging the client to let him hear what the patient is hearing. So that the nurse can pass judgment to the clients action by agreeing or not to agree. Rejecting: the nurse is rejecting the clients idea about killing himself

silence

Sir, gaingnan ko niya na magpakamatay daw ko

Aha ana?wala man koi gakakita lain kun dli ikaw ra. Kita raman duha diri sir, wala may lain diri kun dili kita ra Kung naa siya be,ipastorya daw sa akoa.

Naa sir oi, gaingnon ko niya na wala daw koi pulos, magpakamatay nalang daw ko Sige sir ako siya epastorya sa imo

Wala man kai mapakita sa ako sir na tinuod na. Dili lage na tinuod

(Silence)

Name of Therapist: juan dela Cruz Client: John Agcito Age: 19 years old Educational background: Computer Science Student

Time: 7:00 am Date: February 15, 2013 Religion: Roman Catholic Sex: Male

I.

Pre- orientation phase I arrived in the hospital exactly 7am; my patient was inside the ward, neat and clean and is sitting on the corner. He is willing to participate in our activity. He already finished taking a bath. We gave him perfume and let him brush his teeth alone. The patient seemed restless and anxious, bizarre behaviour noted Background of information: John is 19years old. He started at a local University six months ago to do a course on Computer Science, but failed to attend lectures after the first few weeks. He began to suffer from periods where he would not get up in the morning, and didn't seem to care whether he went to University or not, and was unable to concentrate on any of his work. He became more and more withdrawn, and stopped going out with his friends. He neglected his personal hygiene, which was unusual for him as he had previously been careful about his appearance. He described strangers following him in the street and, one day after shouting that there were people installing hidden cameras in his bedroom to spy on him, he stormed out of the house. When he did not return that night, his mother and father went out to search for him and found him wandering the streets. With much persuasion they managed to get him to return home and next morning they contacted their doctor.

II.

III.

Setting of interaction: Under the shades of mango tree Description of patient during interaction: Appearance: neat and clean. With normal posture. Firm Behaviour: client is calm Affect: appropriate Pattern of communication: Spontaneous speech

IV.

V.

A. Nurse objective to the Client At the end of 4hrs, I will be able to: 1. Establish good rapport to my client 2. Use therapeutic communication effectively\ 3. Identify my own thoughts, feelings and behaviour

4. Able to explore clients feelings 5. Learn the cause of the illness of the client and what triggers it 6. The client trust the nurse for the 2weeks of therapy

B. Objectives of the nurse for the client 1. 2. 3. 4. Establish a good working relationship with the nurse Express himself freely and comfortably Describe manifestations of anxiety and anger Share his thoughts and feelings to the nurse