NURSE PATIENT INTERACTION Patient: Ancheta, Cecille

By: Tupac, Rushnol Jade P.

Age: 37 years old

Interaction Me: Anu naman yung work mo? Cecille: Nagwork ako bilang encoder nung 21 yrs old ako sa may Roxas ng 3 months lang tapos nagwork na ako sa abroad. (Maintains moderate eye contact , Good and open posture and In face to face position to the nurse.) Me: Ah nagabroad po pala kayo Anu nangyari nung nagabroad ka? Cecille: Sa Taiwan ako pumunta kaso 2 months lang ako dun may naririnig kasi ako na mga boses tapos sinabi ko sa boss ko. Sinamahan nya ako sa isang psychiatrist pagkatapos nun umuwi ako dito sa Pilipinas . (holding the hand of the nurse and maintains eye contact and a smile on her face) Me: Anu naman nangyari pagkatapos nun? Cecille: Ayun sabi nila mama na depress daw ako at nahome sick ako kaya nagpacheck-up kami sa

Analysis of Nurse Verbalize Analysis of Patients Verbalize Modification  Exploring- This means  According to the theory delving further into a of Maslow on his subject or an idea. This hierarchy of need, also explores the patient people think consciously to help them examine the and rationally, to control issue more fully, not only their biological urges, and superficially. to achieve their full potential. And for Cecille case it’s through working  Restating- This means that self-esteem can be repeating the main idea achieved. In a stage of expressed by the client. young adulthood This lets the client know according to Erikson's that he communicated the Psychosocial Stages idea effectively. This also theory, Young adults encourages the client to need to form intimate, continue. In addition, if loving relationships with the client has been other people. Success misunderstood, he can leads to strong clarify his thoughts. relationships, while failure results in loneliness and isolation.  Exploring- This means  According Kaplan and delving further into a Saddock(1972) Mental subject or an idea. This disorder like also explores the patient schizophrenia is a clinical to help them examine the syndrome of variable and issue more fully, not only there is no laboratory test superficially. for the disorder. There are many types of schizophrenia but with  General leads-This gives the case of Cecille one of the patient an her verbalizations is that encouragement to

PGH . Kaso nagaway kami ni ate kaya ayun nagoverdose ako ng ng Clozapine. In face to face position to the client. Nodding and Increased tone of voice) Me: Anu naman nangyari dun sa mga boses na naririnig mo dun? Cecille: Pagkatapos dun sa PGH .(Moderate eye contact.  she is experiencing auditory hallucinations which is characterized to be paranoid schizophrenia. It also indicates that the nurse is listening and following what the patient is talking about without taking away the initiative for the interaction. ( continue on what he is saying. People with schizophrenia become very sensitive to stress and change. Patient with paranoid schizophrenia show less regression of their mental faculties and emotional responses. Psychological stress alone can be enough to trigger an . when psychosis is present. either in the context of post-traumatic stress disorder or depression. however. nawala yung mga boses kaso pagnastress ako bumabalik sila. this occurs into the late 20’s and 30’s. Chronic stress may lead to psychotic symptoms (hallucinations. Good and open posture. In these conditions. Sinabi nila ate na wag na daw ako magwork para di ako mastress at bibigyan nila ako ng allowance. naadmit ako dun ng mahigit isang buwan . Their intelligence in areas are not invaded by their psychosis and tend to remain intact According to Columbia Psychiatry. Stress does play a significant role in the control of the illness. delusions). They have usually a established social life that help them through their illness.

are not immediately self-evident. recent loss. (2005) also observed a . According to a An earlier systematic review (Hawton et al. 2005) of risk factors for suicide in schizophrenia identified 29 high-quality datacontaining studies which were analysed for individual risk factors. some other factors they identified as associated with high suicide risk in schizophrenia. However.. Hawton et al. Developing and maintaining a routine is one of the most important aspects of avoiding relapse. that many of the important risk factors for suicide in schizophrenia were similar to those in the general population. Interestingly. previous suicide attempts. agitation or restlessness. such as fear of mental disintegration. (2005) found. perhaps unsurprisingly. and drug misuse. and poor adherence with treatment. episode. Hawton et al. including mood disorder.

Tiihonen et al. (2006) have confirmed.reduced risk of suicide associated with the presence of hallucinations. that not taking any regular antipsychotic medication was associated with a 12-fold increase in the relative risk of all-cause death and a worrying 37-fold increase in death by suicide. Since that time. in a nationwide follow-up of individuals discharged from hospital after a first episode of schizophrenia. .

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