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VISION A premier university in historic Cavite recognized for excellence in the development of morally upright and globally competitive

individuals.

Republic of the Philippines CAVITE STATE UNIVERSITY Don Severino Delas Alas Campus Indang, Cavite

MISSION Cavite State University shall provide excellent, equitable and relevant educational opportunities in the arts, science and technology through quality instruction and relevant research and development activities. It shall produce professional, skilled and morally upright individuals for global competitiveness.

INTERPERSONAL PROCESS RECORDING


Submitted by: Batiancila, Floriza D. III-BSN-2/ group 3

Submitted to: Ms. Ederlyn Papa Clinical Instructor DAY 1 / April 16, 2013

Introduction Today, our group was assigned in venue committee. The general objective of the class was to maintain the interpersonal therapeutic relationship, to promote client independence and well being, and to enhance the quality of life through meaningful and purposeful activities. An occupational and art therapy was planned and our aim is to promote client independence and well being and enhance the quality of life through meaningful and purposeful activities. Patients Name: R.D Sex: MALE The patient assigned to me is from Rehab male ward. He doesnt exhibit bad odor. A silent one. Description of Setting The patient was fetched at the Rehab male Ward which appeared clean. Then after, the resident was brought at the Bayanihan Hall where the interaction and execution of the planned activities for the day took place. The place is surrounded by trees, has good ventilation, and is therefore conducive for the therapies and interaction. Chairs were provided for the patient to have a comfortable stay. The environment during the nurse-client interaction was made therapeutic by sitting across the client and assuming an L position. General Objective The student nurse aims to maintain the rapport with the client and continue to use therapeutic communication skills to be able the client to verbalize her feelings.

Specific Objectives The specific objectives of the student nurse are the following: To be maintain trust rapport with the resident To further improve therapeutic communication skills and practice active listening more effectively To assist in performing the activities of daily living while promoting independence of the client To be able to explore what the client feels or thinks To maintain patients safety and be free from harm at all times The specific objectives for the client are as follows: To be able to perform ADLs with assistance To participate in the planned activities for the day To be able to express her thoughts and feelings throughout the interaction and during the implementation of therapy.

Interpersonal Communication Process Recording Patients initial: R.D Students name: Floriza D. Batiancila
INTERVIEWER TECHNIQUE USED (T) therapeutic, (NT) non-therapeutic, (AR) Alternative response PATIENT VERBALIZATION (V) verbal; (NV) non-verbal

Date: April 16, 2013 (DAY 1)

ANALYSIS

Goodmorning po ! ako Giving recognition po si Flor ang inyong Giving information student nurse, ako po Offering self ang magaalaga sa inyo ngayon. Makakasama nyo po ako mula ngayong araw hanggang sa susunod na linggo po. Simula po alas 7 ng umaga hanngang alas 9. Ano nga po ang pangalan mo? Sir Ronaldo ano pong gusto mong unang gawin? Magtoothbrush o maghilamos? Sir Ronaldo, ano pong gusto mong itawag ko sayo? Sir po ba o kuya Asking and encouraging plan of actions.

Ah ikaw si flor.. Ronaldo Ronaldo del rosario NV: looks at me then smiles and walked with me in the washing area.

The client came near me when she saw me waiting from the outside and called her name. Videbeck (2004), greeting the client by name shows that the nurse recognizes the client as a person, as an individual.

Maghilamos.. N.V: waiting for me to give him the soap. Kuya nalang NV: smiles then put his

The patient knows how to exhibit self care as what he had done during the morning care.

hand on his chin

Kua Ronaldo tara pila po tayo, pupunta po tayo sa Bayanihan Hall ngayon. Magkakaroon po ng activity para sa inyo, gusto nyo po ba yun? Ano nga po ulit ang name ko? Kuya ronaldo, kamusta ka po ngayon?

Informing

NV: The patient nodded his head.

Giving information to the client orients her on what she will do and expect. It also build trust with the client. (Videbeck, 2004).

Si tita flor! NV: smiles then look at the other people. The paient says nothing. And put his hand on his chin. 24

The client remembered me and my name. The patients smile shows her means of being recognized. The technique was used to be able to know the patients feelings of the nurse. The nurse uses direct questions during therapeutic communication. (Johnson, 1986)

Questioning (T)

Ilan taon kna po kuya ronaldo? Maari ko po bang malaman kung gaano na po kayo katagal dito sa CCMH?

Questioning.

Placing the event in time or in sequence

N. V: The patient didnt respond. Continue walking.

Asking questions about his hospitalization can lead to knowing the reason of being there.

Giving broad openings.

Wala pa akong asawa.

Kuya ronaldo maari nyo po ba akong kwentuhan tungkol sa iyong pamilya? May aswa ka na po ba? Taga saan po kayo Asking direct question. kuya? Nasan po mga magulang Asking direct questions. niyo? Nasa dasma din po ba? Ahh. Ano pong ginagawa Exploring. ng mama nyo po sa abroad? Saan pong bansa? Sinasabe nyo po na 31 po kayong magkakaptid?tama po ba? Eh nsaan po sila nakatira? While walking, his slipper brokes. Napigtas po ang tsinelas niyo. Mamaya po papalitan po natin yang Seeking clarifications.

Diyan sa Dasmarinas cavite.Sa noveleta. Oo sa noveleta sa dasma. Andun si mama ko sa abroad. 31 kami magkakapatid eh. Pang 31 ako Dun sya nakatira. Dun sa Canada

oo. bunso nga ako e pang-31

Asking question.

Sa dasma alambre lang to. Aayusin ko ng alambre NV; handling the slipper and trying to look for alambre.

tsinelas nyo po para po makalakad kayo ng maayos. Wala po kasing alambre ditto eh. Kuya, andito na po tayo sa Bayanihan Hall. Dito po tayo mauupo. Bp ko lang po kayo ha. Okay lang po ba?

Looks at me then sit down. Giving his arms towards me.

The MC said their name in the crowd. hello po ako nga po pala si jona.. Opo. Sya po si Jona, classmate kop o siya. Tara po kuya, mananalangin lang po muna tayo tapos po mageexercise po tayo. Ano po bang relihiyon mo?

Informing.

ahh sya pala si Jona.Teacher ba sya?

Giving directions

born again.. Iglesia ni Cristo dun sa Jehova.. Oo sumasamba nga ako lage dun eh NV: The patient silently come with me and cooperate in praying. He first signed a cross then prays silently. He also commanded the excercises steps.

Ayan. Ang galling naman Giving recognition. po ni kuya. Sige lang po sundan lang po natin yung steps ha. Okay lang po ba na wala po yung isang paris ng tsinelas nyo? Asking questions.

NV: The patient continue to exercise and remove one one pair of his slippers. eh hindi ako makagalaw eh! NV: it seems that the patient begin to be irritated. The patient still looks at his slipper.

Acknowledging is giving recognition in a nonjudgemental way in a change in behavior (Kozier, 2002). This approach can give continuity of care.

Ayan , tapos na po ang exercise. Tara nap o bumalik sa upuan po natin. Ang sarap pong magexercise noh. Nagenjoy po ba kayo? Kuya, kamusta po pakiramdam niyo ngayon?

Encouraging evaluation

Asking direct questions.

natanong mo na yan kanina eh! Maam oh paulit ulit parang sirang plaka natanong na nga niya birthday ko kanina, iunlit pa. Teacher ka ba?!

NV: The patient looks irriated. Ahm. Kuya may gusto po ba kayong ikwento? May gusto po ba kayong pagusapan po natin? Kuya. Mahirap lang po ako. Kaya po ako may relo kasi kelangan po naming to ditto sa duty para po malaman po yung oras. Sige tara po smahan kop o kayo papuntang C.R Ihhh ! ( scratched his head and seems to be more irrirated. oo mayaman ka! mahirap ! eh bakit may relo ka!? Maam oh !

Offering self

Hay nako naiihi ako! NV: the patient go to the CR with me on the outside for couple of minutes.

Nakaihi po ba kayo ng maayos kuya?

evaluating

Ay nako ! may sakit nga ako sa utak ! hindi ka makakatulong ! The patient wisphering something that only him could hear. Encouraging verbalizations of feelings is one of a therapeutic tasks. ( SHives, 7th edition.) This helps the nurse to understand why the patient is exhibiting that kind of behavior. But in this case, the therapeutic communication was

Kuya, mukha po atang naiirita kayo, pwede naman po natin pagusapan yan. Maari nyo pong sabhin sa akin ang nararamdaman nyo. Ano po bang gusto

Making observations

niyong gawin para po maging okay po ang pakiramdam mo?andito po ako para making sa inyo.

unsuccessful.

Ayan po. Mamaya po may gagawin po tayong activity. MAgdodrawing po tayo tapos Gagawa po tayo ng pamaypay . Ready ka naba?

Giving information. orienting

The patient turned to side. And make face with his hands on his chin.

Informing the client decreases her anxiety and lets her know what to expect (Videbeck). The client was asked to tell about how is she. Offering self makes ones self available to the client. Broad openings make explicit that the client has lead in the interaction and take initiative to talk.

Wow. Ang ganda naman ng drawing mo kuya ronaldo. Maari ko bang malamn kung ano yang dinrowing mo? Ahh kaninong bahay yan? Anong kulay yung ginamit mo?

Giving recognition. Asking open ended questions.

Bahay ayun yung bintana ilaw puno gusto ko kasi makapagpatuloy sa pagaaral. 17 grade ko yan. Green kasi maganda

As soon as the crayons and bondpapers were given to him, he get the color green crayon then started to write his name and the number 17th on

Oh. Ayan po mamaya ipapakita po natin sa lahat yang ginawa mo ha. Tapos ipapaliwnag mo po kung ano yung dinrowing nyo ha. Ngayon gagawa naman tayo ng pamaypay. Napakainit kasi ng panahon ngayon no kuya renaldo. Lagyan nyo po ng design ha? Para maganda yung magagwa mong pamaypay. Tapos para magamit mo din Favorite nyo po ang green?

informing

top of the bondpaper and with a house and tree on the side and sea with boats and fish below. The patient badly looks at me then look back to his drawings.

Informing Asking direct question

Hindi.. yellow The patient started to do his own fan. He puts paste first on the plate slowly in circle manner then he put the green colored paper and then he started to put the number signs in a circle manner. He started from number 1. And when he notice that there is no number 1 left he said wala ng number 1 Not looking at me continues to design his fan.

opo wla na nga pong number 1 kung gusto nyo po ung susunod na number na lang po. Pili po kayo ng anung number po gusto nyo.

Suggesting alternative

Kuya ronaldo, ano nga po ito? (pointing to numbers. 1, 2, 3, 4, 5, 6, 7, 8, 9 Oh ayan tapos ka na! pwede mo na syang gamitin pangpaypay kuya ronaldo. Talaga po kuya ronaldo akin nalang po ito? Salamat po ! Ayaw nyo po ng pamaypay? Ayan ang galling galling ni sir ronaldo natapos nya agad yung pamayapay. NAgyon po ay kakain na po. Nakakagutom po sir no.

asking direct questions.

1..23..45..6..7..8..9.. NV: The patient recognized the correct numbers. sayo nalang yan..itago mo

Acknowledging

The patient remain sitted.

Giving ecognition

The patient gets 3 breads. And independently get another juice.

MAsarap po ba ang pagkain kuya ronaldo? Nabusog po ba kayo?

evaluating

The patient knodded.

May masakit po ba sa inyo?

Sking direct question

The patient bow his head on the table. masakit ulo ko! May cancer nga ako sa utak!

The nurse recheck the vital signs. Opo sir mamaya po ibabalik napo naming kayo sa ward. Matatapos napo tayo. Ayan bale sir, ibabalik napo naming kayo sa ward. Para po makapagpahinga nap o kayo. Bukas po ulit ha? 7 to 9 am din po. Ingat po kayo. Thank you po !

Giving information

Gusto ko ng umuwi. (still irritated)

Giving information. acknowledging

The patient walks with me silently with hand on the chin.

Summary