PROCESS RECORDING Description of client: A 65 year old female client.

Sometimes the client expressed suppression during interaction that limits the main points of discussion. Description of environment: well- ventilated environment and well organized during the discussion and activities. Setting: Pavilion 8 Objectives: After the orientation phase, the client will:  Be able to establish rapport and trust with the student nurse,  be able to get the patient’s initial data, profile and background,  be able to establish the plan of activities and the contract to the patient. ORIENTATION PHASE Therapeutic Technique

Nurse-Patient Interaction Nurse: Magandang araw po Nanay Patient: Magandang Araw din Nurse: Ako po pala si Dennis, mula po ako sa University of Makati, ako ang iyong magiging nurse simula po ngayon hanggang sa biyernes andito po kami mula alas dos ng hapon hanggang alas diyes ng gabi. Patient: ako si Devina Deogracia, 58 taong gulang, nakatira sa Tarlac Nurse: May asawa pa po kayo? Patient: wala na po. Nurse: ibig nyo po bang sabihin ay patay na sya? Patient: opo patay na daw sya, Nurse: Ilan naman po ang mga anak nyo? Patient: 2 po Nurse: eh, gaano na po kayo

Inference or Analysis

 Giving Information  Offering self

 Establishes rapport with the client  Assures the client that you are their ready to listen

 Restating

 Stating back the patient’s statement in order not to give false hopes

. 7 years na. nung March 5 Nurse: dinadalaw naman po kayo ng mga kapamilya mo? Patient: oo. ung pinsan ko lang. feelings and behaviors of the patient  encourages the patient to elaborate or give some ideas or feelings that will  Reflecting  Helps her identify her own feelings  Voicing doubt  helps the client to arrange her thoughts  Helps the patient to recognize reality  Placing the event in time or sequence . Nurse: Alam nyo po ba kung nasaan kayo ngayon? Patient: ako ay nasa pavilion 8. Naaalala ko palagi ang mga anak ko lalo na pag may mga student nurse dito ( sob) Nurse: ano po ang ginagawa nyo pag nalulungkot kayo? Patient: nagdadasal po. Nurse: kumusta ka naman dito nay? Patient: malungkot. Nurse: may gusto po ba kayong pag-usapan nating dalawa?  Giving broad openings  Identifying themes  identifies the thoughts. National Center for Mental Health Nurse: ang galing naman nay.katagal dito nanay? Patient: matagal na. Patient: oo magaling na ako. Kelan ba ako makakauwi? Nurse: kelan ka kaya makakauwi? Patient: ewan ko. Nurse: talaga ho? Patient: oo. dinalaw nya ako kaso matagal na iyon.

Patient: wala na. . ako po’y nagpapasalamat sa inyong oras at sa inyong partisipasyon. help her express her feelings. Nurse: oh sige nay. Patient: salamat din anak.

Paggising ko nagligpit ako ng gamit. Nurse: (silence and maintaining eye to eye  Placing the event or sequence  Helps the client to be attached to reality  Exploring  So that she can use her knowledge to recall what she has done for the whole day .  be able to express her own insights regarding her mental condition. masaya. araw. Description of environment: well ventilated and well organized during the interaction Setting: Pavilion 8 Objectives: After the working phase. the client will:  be able to participate with the different activities. buwan at taon ngayon? Patient: opo.Description of client: A 65 year old female client.  be able to summarized the learning behavior she has learned Nurse-Patient Interaction Nurse: Nanay Devina magandang hapon po. Patient: magandang hapon din WORKING PHASE Therapeutic Technique  Giving Recognition Inference or Analysis  To gain the patient’s trust during the NPI. Nurse: tama po. 08 po March 2011. kumusta naman ang araw mo nay? Patient: ok naman. paano po kayo napunta dito sa NCMH? Patient: hindi ko nga alam eh. Sometimes. May nagdala sakin dito. Eh nasaan po kayo ngayon nay? Patient: sa pavilion 8. national center for mental health Nurse: Eh. Ngayon ay araw ng miyerkules. Nurse: nay. tapos naligo na ako at kumain. client expresses suppression but she can answer the following questions that she recalled. She can look directly. Nurse:alam nyo po ba kung anong petsa. She has dry skin with few lesions on her hands and feet.

contact) Patient: may sira kasi ang aking utak Nurse: ano pa po? Patient: matagal na ako dito dinala ako dito nung march 5. Kasi gusto ko na makasama ang mga anak ko. Nurse. hope and love  Silence  Gives client the time to organize thought ang go on  Interpreting Patient: malungkot. Nurse: Ano po ang pinakamasayang araw nyo na kasama sila? Ikwento nyo nga po. eh. nag socialization pala kami kanina. masaya po ba kayo sa activity natin nung nakaraang araw? Patient: opo.  Helps the client to express and interpret her own emotions.  Giving Broad Openings  Encourages the client to share what she feels and what she wants to talk about  Makes her realized the value of life. hope and love  Encouraging evaluation . 7years na ko dito Nurse: ano po ang nararamdaman nyo ngayon at andito kayo sa NCMH?  General Leads  Helps the client to talk more that can help her express her feelings and emotions. Kasi dapat paaralin  Reflecting ko yung bunso kong anak. Nurse: Masaya ba kayo pag naaalala nyo ang inyong mga anak? Patient: nalulungkot kasi namimiss ko na sila.  Encouraging evaluation  Summarizing  Recalling her happiest moments with her children will help in her learnings. Nurse: ano po ang gusto nyong pag-usapan natin nay? Gusto nyo po tungkol sa asawa nyo? Patient: wag na yun.  Helps us to identify the patient’s feelings about certain things.  Makes her realized the value of life. Patient: masaya kapag nag pipicnic kami dati at kumpleto pero wala yung asawa ko kasi hiwalay kami nun.

Nurse: tama nay. hanggang dito na muna po tayo ah. . Patient: oo. Nagsaya naman po ba kayo? ano po ang gagawin nyo para sumaya din kayo sa socialization naming bukas? Patient: sasali ako sa mga laro at fashion show. Maraming salamat nay Devina. salamat din  Formulating a plan of action  Making plans increases the likelihood that the client will cope more effectively in a similar situation.Nurse: oh. kakain din ako ng masarap na pagkain.  Giving Recognition  Appreciation is the best thing that can help the client to have a presence of recognition and will increase her self-esteem. Patient: sige Dennis. Kaya po sa biyernes ay magpaganda kayo at socialization na natin. sige Nurse: oh nay.

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