Professional Documents
Culture Documents
Patient is wearing clean NCMH uniform, looks clean in appearance and manifests no
physical symptoms. Patient stands straight; has normal gait. Facial expression is appropriate,
maintains eye contact but sometimes look elsewhere. Patient looks healthy.
Patient is very cooperative during the interview. She responds when asked. She seems a little
awkward during the initial interaction but is responsive when being asked
Short-term: At the end of the 30-minute interaction, patient should be able to:
• Be oriented on the interactions about to take place during the period of stay at NCMH.
• Manifest progress with self and have improved relationship with other people.
Time: 7:00AM-11:00AM/12:00 nn
SN: “alam nyo po ba kung anong petsa, araw, opo. Ngayon ay araw Helps the client to be attached
buwan at taon ngayon? ng martes, 24 po
to reality
April 2018.
SN: “kumusta naman ang araw mo nay?” “ayos naman” So that she can use her
knowledge to recall what
she has done for the whole
day
SN: “nay, paano po kayo napunta dito sa “hindi ko nga alam The nurse asked the patient on
NCMH?” eh. May nagdala
how she came to the
sakin dito. Mga
pulis, dinampot ako” institution.
SN: “Gaano na po kayo katagal ditto?” “Mga 10 years na”
SN: “Dinampot po?” “dinampot ako ng mga The student nurse clarifies the
pulis” patient statement.
SN: “ah dinampot po kayo ng mga pulis. Saan “sa Valenzuela” The patient only answers only
po?” when she is being asked and only
SN: “ngayon po, kamusta naman po kayo dito sa “ayos naman” answers 1-2 words.
ncmh?”
SN: “ma’am napansin ko po medyo matamlay po “wala naman ganon
kayo kanina sa exercise, may sakit po ba lang talaga ako
kayo” sumayaw” The nurse asked the patient if
SN: “ah Ma’am mamaya po may dalawa tayong “ah sige” she is sick.
activity po ngayon. Ang gagawin natin ay
Dance therapy and Remotivational therapy.
Alam niyo po ba kung anong gagawin sa dance
and remotivational therapy po?”
MAY 7, 2018
SN: “alam nyo po ba kung anong opo. Ngayon ay araw ng Helps the client to be attached to
petsa, araw, buwan at taon ngayon? lunes. May 7”
reality and see if the client is
“2018”
oriented.
SN: “tama po. Eh nasaan po kayo “sa mental”
ngayon nay?”
SN: “kumusta naman ang araw mo “ayos naman” So that she can use her
nay?” knowledge to recall what she
has done for the whole day
SN: “ah mamaya po mag the-therapy “ah ganon ba, sige. The nurse briefs the client about
po ako kasama ko po si deus. Sana Goodluck ah!”
the activities of the day.
po mag enjoy kayo”
SN: “kumusta naman ang araw mo “ayos naman” So that she can use her knowledge
nay?” to recall what she has done for
the whole day
SN: “nag-enjoy po ba kayo sa mga “oo” The nurse asked the patient about
therapy natin kahapon?”
the activity therapies they did
before to measure if the patient
SN: “saang part po kayo natuwa or “sa paggawa ng halo-halo” is able to recall things and if the
mas nag-enjoy?” patient was conscious.
SN: “ano-ano po yung mga natutunan “natuto ako sa pano pag-
nyo kahapon?” alaga ng katawan. Kung ano
mga dapat kainin,
kailangan malinis tsaka
kung pano gumawa ng halo-
halo”
SN: “ngayon po kamusta naman kayo?” “maayos naman” The nurse asked and clarify the
SN: “tanong ko lang po ulit, ilang “6 na taon na” hallucinations that the patient
taon na po kayo dito sa ncmh? experiences. Helps the client to
SN: “tanong ko lang po paano po kayo “naglayas ako samin” talk more that can help her express
napunta ulit dito?” her feelings and emotions
SN: “maari ko po bang malaman ano po “may bumubulong sakin”
dahilan kung bakit po kayo naglayas”
SN: “alam nyo po ba kung anong opo. Ngayon ay araw ng Helps the client to be attached to
petsa, araw, buwan at taon ngayon? martes, May 15, 2018”
reality
SN: “kumusta po kayo ma’am, “oo” *smiles* So that she can use her knowledge
nagenjoy po ba kayo sa to recall what she has done for
socialization natin?” the whole day
SN: “kanina po Nakita ko kayo ang *laughs* The nurse asked the patient about
galling nyo po sa mga games ah”
her experience with the
socialization. The patient seem to
SN: “masaya po ba kayo ngayon” “oo sobra” have enjoyed the socialization.
SN: “Marami po ba kayo nakain “oo”
kanina?” The student nurse thanked the
patient for the whole experience
SN: “masarap po ba ang spaghetti? At “oo”
and hoped that the patient learned
ang melon juice?” from you and from the experience
with the group. Appreciation is
SN: “Ma’am, eto po yung regalo “okay lang. Salamat,
the best thing that can help the
naming sa inyo. Hindi ko po nabili nica!” client to have a presence of
recognition and will increase her
yung fudge bar at energen pero eto
self-esteem.
pong regalo naming makakatulong poi
to sa inyo lalo na po sa personal
hygiene nyo”
SN: “Salamat din po ma’am, sa mga “nica, Salamat. Pagdadasal
binahagi nyo po sakin. Kahit sandal ko n asana makapasa kayo
lang po tayo nagkasama. Sana po sa board exam nyo”
marami kayong natutunan ako din
naman po marami po akong natutunan”
SN: “nako ma’am maraming Salamat “oo. salamat”
po!! Kayo din po ipagdadasal ko na
tuluyan na po kayong gumaling at
makalabas. Basta wag nyo po
kalimutan magdasal at alagaan nyo po
Prepared by: Nica Sharmaine C. Salazar, UST-SN
3NUR-8
ang sarili nyo dito at ipagpatuloy
nyo lang po ang pag-inom ng gamot.”
SN: “sige po ma’am, mauna na po kami. “sige. Ba-bye”
Salamat po!”
SN: “ba-bye po” *smiles* *waves hand*
SUMMARY OF INTERACTION:
The interaction with client L.V was indeed meaningful and full of knowledge.
Both the patient and the nurse gained knowledge throughout the interaction. I learned
that therapeutic communication is genuinely helpful to the patient, but that it is
difficult to practice. Paying attention to someone’s non-verbal cues helps you to
read between the lines and understand what is really being said. Also using open
ended questions/statements and silence can really help with having a productive
conversation instead of yes and no repetition. I do feel that using silence might be
a little awkward and is something I will have to get used to, but I do see the
benefits of this technique. I’ve also realized the importance of using the
communication technique of offering of self. If you don’t offer something in return
the patient won’t connect with you and won’t trust you. If your patient doesn’t trust
you, you have no relationship to build on. I was much more aware of myself and how
I am speaking during this conversation. It seemed awkward to keep direct eye contact
continually and to make sure I had a smile on my face. I feel that I had a decent
conversation and that it was helpful to LV, but I do realize that there are areas in
which I can improve to make my verbal and nonverbal communication more congruent and
consistent.