Republic of the Philippines CAVITE STATE UNIVERSITY (CvSU) Don Severino de las Alas Campus Indang, Cavite, Philippines

COLLEGE OF NURSING

INTERPERSONAL COMMUNICATION PROCESS RECORDING
Submitted by: ARCILLA, Rheinadith B. Submitted to: MR. ROLANDO P. ANTONIO August 2010

OBJECTIVES: This Interpersonal Communication Process Recording aims to establish proper therapeutic communication in the patient, specifically:
y y y y y y y

To know the patients data To appropriately introduce to the patient To assist patient in doing his daily routine To orient the patient on what is the purpose of our activity To accurately establish nurse-patient interaction To maintain eye to eye contact when interacting to the patient To be able to participate in the activities and therapies that will be implemented

DATA/DESCRIPTION: Name: Mr. N.C. Age: 56 years old Address: Naic, Cavite Civil Status: Single Gender: Male

Mr. N.C. 56 years old , male, lived in Naic, Cavite and is single were brought to Cavite Center for Mental Health eight years ago by his siblings . Presently he is still in CCMH and was placed in Rehabilitation Ward. The patient was dressed in their respected uniform and appears tired and dreadful. He has a wound in his left foot. He cannot walk as lively as the other patient. He is usually scratching and appears restless and anxious.

INTERVIEWER
(What the student nurse said)

TECHNIQUE USED
(T) Therapeutic (NT) Non-therapeutic

PATIENT¶S RESPONSE (Verbal and Non-verbal response of the patient) ³ Oo. Mabuti naman´ NV: Client looking at different directions.

PATIENT ANALYSIS (Patient non-verbal, response congruency of patient¶s action) The patient response is related to the question but he lacked eye to eye contact possibly because he lacks self esteem.

³Magandang umaga po. Kayo Giving recognition (T) po ba si Tatay Nestor? Kumusta po kayo?´

³Ako po pala ang magiging Giving information (T) student nurse niyo. Ako po si Rhein sa Cavite State University po ako nagaaral. Nandito po ako para matulongan kayo´ ³Sige po Tay Nestor mag Suggesting collaboration (T) sipilyo napo kayo, para po maging maaliwalas ang inyong pakiramdam´

³Ahh.´ NV: Looks at my name tag and nods.

The patient nods but doesn¶t have any facial expression, this shows blunted affect. Blunted affect is the one that shows little or slow-to-respond facial expressions. The patient is following the task given. This indicates that the patient knows and aware of his daily routine, therefore the patient was able to perform self-care. Dorothea Orem¶s self-care theory states that selfcare is where an individual performs independently throughout life to promote and maintain personal well-being.

³Oo. Sige mag-tototh brush na ako´ NV: Walk through the faucet and started to brush his teeth without assistant.

³Tapos napo ba kayo Tay? Making observation (T) Napapnsin ko po kasi medyo matagal po kayong mag hugas ng kamay at magmumog´

NV: Continuously washing his hand with some forceful strokes and gargles after washing his hands and seem compulsive´

The patient manifested a compulsive behavior as evidenced by an over washing his hands. Also seemed agitated when reminded him to finish the washing.

³Ayan po Tay, mas maaliwalas Giving recognition (T) po ang pakiramdam diba? Giving information (T) Punta napo tayo doon sa Bayanihan Hall, magkakroon po tayo ng mga activity at inaasahan po namin ang inyong kooperasyon sa loob lamang poh ng dalawang oras.´

³Ah. Oo. Oo.´ NV: Hand me his toothbrush and walk on his way to the said Hall.

The patient seems cooperative and understands direction this was manifested by his movements when he lead the way to the hall.

³Dito po tayo umupo Tay Offering self (T) Nestor. Kilala niyo napo ako diba? Ako po yung student nurse niyo nandito po ako para sa inyo, pwede niyo po akong mapagsabihan ng inyong mga problema´

³ Oo. Sige. Gusto ko dito para mgkaharap tayo´ NV: Transfer the chair to face me and makes an eye contact.

The patient want to maintain an eye to eye contact and showing interest when he move his chair to face the student nurse.

³Taga saan po ba kayo Tay Questioning (T) Nestor?´

³Naic. Doon ako nakatira´ NV: Scratching his feet.

The patient seems restless even though he is willing to cooperate in the interaction. This was evidenced by always scratching his feet.

³Ano po ba ang gusto niyong Broad openings (T) pag-usapan? Napapnsin ko po Making observations (T) Tay Nestor na nangangati kayo at hindi mpakali.´

³Wala naman´ NV: Scratching his feet, arms and some parts of his body.

The patient shows that he is suffering from akathisia. Akathisia is an intense need to move about. The patient appears restless and spontaneous gestures. This feeling of internal restless and the inability to sit still or rest often a side effect of the antipsychotic medication.

³Pag may gusto po kayong pag- Offering self (T) usapan nandito po ako para makinig sa inyo´

³Wala naman.´ NV: Makes an eye contact.

The patient is possibly does not want to express about what he is thinking due to social withdrawal or isolation.

³ Baka po may mga bagay o Broad openings (T) karanasan kayo noon na gusto po ninyong pagusapan natin?

³Dati naliligo ako sa dagat´

The patient is congruent in his verbalization that ³Dati naliligo ako sa dagat´, that

accompanied by maintaining an eye contact to the student nurse. The patient is in his level where he is gaining selfesteem. The patient can still remember his past hobbies, this was manifested by his verbalization of time, which is ³noon´.

³Ahh. Lagi po kayong naliligo Restating (T) sa dagat? Sino po ang kasama Seeking information (T) niyo pag naliligo kayo noon?´

³Hindi naman. Mga barkada ko lang noon na nasa Naic.´

³Ano nmn po ang Questioning (T) nraramdaman niyo ngayon? Nagugutom napo ba kayo?´

³Oo. Nagugutom na ko, gusto ko na kumain.´ NV: Maintains an eye to eye contact.

The patient verbalizes the need for food. This indicates that the patient is concerned about his physiologic needs as an individual. Abraham Maslow¶s hierarchy of needs in which he used a pyramid to arrange and illustrate the basic drives or needs that motivate people. The most basic need is the physiologic needs that include food and water.

EVALUATION: On the first day of handling Mr. N.C. There¶s a lot of uncontrollable behaviour that was observe. First, as I was giving information to him the patient just nod but doesn¶t have any facial expression, this shows blunted affect. When he was ask to brush his teeth he over washed his hands and he gargles many times, it appears that the patient manifested a compulsive behaviour he also seemed agitated when reminded him to finish the washing. At first interaction with Mr. N.C. he seemed he has low self-esteem but when the nurse-patient interaction lasts he can now established an eye to eye contact. In the flow of our interaction, Mr. N.C. was always scratching and appears to have akathisia. Though he has manifested these behaviours he is still aware of his own basic needs and his ADL. To wrap it up, the objectives were meet, the patients data was gathered, Mr. N.C. Does remember his student nurse and was being assisted when doing his morning care and he was also oriented on the activities that was done. Mr. N.C. has also maintained an eye to eye contact within the conversation. He was been participating in the activities and therapies that was done, but not actively as the other patients.

Republic of the Philippines CAVITE STATE UNIVERSITY (CvSU) Don Severino de las Alas Campus Indang, Cavite, Philippines

COLLEGE OF NURSING

INTERPERSONAL COMMUNICATION PROCESS RECORDING
Submitted by: SANTAMARIA, Charlotte Jennifer O. Submitted to: MR. ROLANDO P. ANTONIO

August 2010

Republic of the Philippines CAVITE STATE UNIVERSITY (CvSU) Don Severino de las Alas Campus Indang, Cavite, Philippines

COLLEGE OF NURSING

INTERPERSONAL COMMUNICATION PROCESS RECORDING
Submitted by: MORALDE, Andrea Nikki B. Submitted to: MR. ROLANDO P. ANTONIO

August 2010

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