PROCESS RECORDING: NURSE-PATIENT INTERACTION

ORIENTATION PHASE (May 10,2021)

Nurse PATIENT Therapeutic

Communication Rationale
Verbal Non - Verbal Verbal Non - Verbal Technique
“Hello po! Good - Waves hand “Hello! Good Morning - Waves hand  Giving recognition It shows that the nurse
morning ma’am Y.” - Smiles din.” - Smiles recognizes the client as a
- Maintains moderate eye - Maintains moderate eye person, an individual that gives
contact contact the client fulfillment of his
- Good and open posture - Good and open posture worthiness. In addition, it does
not imply and hold the notion
- In face to face position - In face to face position
of value that is of being “good
to the client. to the nurse.
or bad”.
- Moderate eye contact - Maintains moderate eye
“Ako po si Karl, 3rd “Ako naman si Y.  Giving information Informing the client of the
year nursing student po - In face to face position Nagagalak kitang
contact
facts increases his knowledge
ng Baguio Central to the client makilala” - Good and open posture about the topic and what to
University . Ako po ang - Good and open posture - In face to face position expect on the interaction. It
magiging student nurse - Leans forward to the nurse. also builds trust with the client.
niyo simula po ngayon - Smiles
araw hanggang Mayo - Movement of hands
12 2021.” - Shake hands

“Tuwing Monday to - Moderate eye contact - Maintains moderate eye Setting up the lucid boundaries
Wednesday nyo po - No response contact  Establishing specifics of relationship time, date,
In face to face position
kami makakasama to the client - Good and open posture of the relationship place and duration of meetings
simula ng 7 AM - Good and open posture - In face to face position time, date, place and clearly orients the patient
hanggang 3 PM” to the nurse. duration of meetings when, where, and how will
- Smiles
begin, go on and finally end.

- Moderate eye contact

- Maintains moderate eye To set up a means of
“Maam Y gusto ko pong contact respecting the patient’s right to
malaman niyo na yung - In face to face position No response - Good and open posture  Establishing keep private any information
mga information pong to the client confidentiality about his mental and physical
makukuha ko galing sa - Good and open posture - In face to face position health and related care. This
inyo ay wala na po - Smiles to the nurse. also means allowing only those
akong ibang dealing with patient’s care to
pagsasabihan hangga’t have access to the information
wala pong permiso that the patient divulges.
niyo.”
Building a trusting relationship
with the patient facilitates a
“Makikinig po ako sa - Moderate eye contact - Maintains moderate eye more reliable data collection
mga sasabihin ninyo - In face to face position contact because of the easier
tsaka magbibigay din po to the client “Ok yun. Para naman - Good and open posture  Establishing trust disclosure of information by
kame ng mga activities maaliw kami.” - In face to face position the patient.
- Good and open posture
na makakatulong sa to the nurse.
inyo at makakapagbigay
- Smiles
din ng kasiyahan”
- Maintains moderate eye It allows the patient to take the
“Kamusta naman po initiative to introduce the topic.
- Moderate eye contact contact
kayo dito?
- In face to face position - Good and open posture It also simplifies that the
to the client “Ayos lang naman - In face to face position  Broad openings patient has the lead in the
- Good and open posture ako.” to the nurse. interaction and to think of an
- Nodding interesting topic for them.
- Increased tone of voice
WORKING PHASE (May 11,2021)

Nurse PATIENT Therapeutic Communication

Rationale
Verbal Non - Verbal Verbal Non - Verbal Technique

“Magandang araw Maam - Moderate eye contact Magandang umaga din.” - Moderate eye contact  Giving recognition It shows that the nurse
Y - Good and open - Good and open recognizes the client as a
posture posture person, an individual that
- In face to face position - In face to face position gives the client
to the client. to the nurse. fulfillment of her
- Smiles - Smiles worthiness. In addition, it
does not imply and hold
- Waves - Nods
the notion of value that is
of being “good or bad”.

It allows the patient to

- Moderate eye contact - Moderate eye contact take the initiative to
“Kamusta po ang tulog “Ok lang naman.”  Broad openings introduce the topic. It
nyo kagabi ?” - Good and open - Good and open
posture posture also simplifies that the
- In face to face position - In face to face position patient has the lead in the
to the client. to the nurse. interaction and to think of
- Slightly leaning - Smiles an interesting topic for
forward them.

Informing the client of

- Moderate eye contact - Moderate eye contact the facts increases her
“Tulad po ng sinabi ko - Good and open “Oo” - Good and open  Giving information knowledge about the
sainyo na andito po kami posture posture topic and what to expect
hanggang May 12 para - In face to face position - In face to face position on the interaction. It also
kayo po ay tulungan at to the client. to the nurse. builds trust with the
gabayan sa pagpapagaling - Decreased tone of client.
sa inyong kalagayan voice
”

- Moderate eye contact - Maintains moderate This gives the patient an

“Maari mo po bang - In face to face position eye contact encouragement to
itanong kung ano po ba to the client Actually nandito lang ako - Good and open  General leads continue on what he is
ang dahilan ng - Good and open for safe keeping at posture saying. It also indicates
pamamalagi nyo dito?” posture kailangan ko ng tulong - that the nurse is listening
In face to face position
para sa aking mental and following what the
- Slightly leaning to the nurse.
health dahil nahihirapan patient is talking about
forward
na ako. Ang case ko kasi without taking away the
major depression tapos initiative for the
tuwing nadedepressed ako interaction.
nahihirapan akong
makahinga, bumibilis ang
tibok ng aking puso,
tumataas din ang presyon
ng dugo ko at pakiramdam
ko nalalapit na sa tadhana
at tumatagal ito ng
hanggang tatlong oras at
minsan tatlong araw
akong nagkakaganito
kaya nagvoluntary ako
pumunta dito..”

- Moderate eye contact

“Itong kondisyon ko ay
“Ano pong dahilan ng - In face to face position nagsimula noong ako ay
- Maintains moderate This means delving
to the client eye contact further into a subject or
major depression nyo?” nagdadalaga. Naglaslas  Exploring
an idea. This also
- Good and open ako ng kamay ko noong - Good and open
posture posture explores the patient to
 nasa relasyon ako ng - In face to face position help them examine the
aking boyfirend at alam to the nurse. issue more fully, not only
kong hindi tama ang aking superficially.
ginawa. Minsan nagiging
magalitin at iyakin
ako.Madalas may
problema ako sa
pagganyak. madali akong
Nagkakaproblema sa pag-
alala ng simpleng mga
bagay- bagay. Nawalan
din ako ng gana sa.
Nahihirapan din akong
makatulog dahil sa aking
kondisyon. Hanggang sa
lumalana ang aking
kalagayan.

- Moderate eye contact At mula noon naging

- In face to face position ganito na ako kaya - Maintains moderate
to the client minabuti ko na pumunta eye contact Provides limit to put
No response - Good and open dito sa hospital - Good and open clients actions, thoughts
posture posture  Silence or feeling into words and
- Nods - In face to face position shows place of
to the nurse. interaction gives time to
develop inside.
- Moderate eye contact
“Ako ay nakadama ng
- In face to face position
pagkalumbay,
to the client - Maintains moderate Helps the client appraise
pagkabalisa, at nasa ilalim
eye contact
“Ano na po ang - Good and open ng stress” his own rather than
posture - Good and open accept the opinion of
nararamdaman nyo  Encouraging
posture
ngayon?” expression others.
- In face to face position
 to the nurse.

- Moderate eye contact

- In face to face position
to the client “Nasa bahay lang .”
- Good and open - Maintains moderate
posture eye contact
“Nasaan po ba kayo - - Good and open This means delving
Slightly leaning
noong mga panahon na posture  Exploring further into a subject or
forward
lumalala ang inyong - In face to face position an idea. This also
kondisyon?” to the nurse. explores the patient to
- Moderate eye contact help them examine the
- In face to face position issue more fully, not only
to the client superficially.
- Good and open “yung asawa ko at mga
posture - Maintains moderate
anak ko.” eye contact
“Pwede ko po bang - Movement of hands
- Good and open
malaman kung sino-sino
posture
ang kasama nyo sa bahay  Focusing
- In face to face position This means concentrates
nung araw na yun?”
- Moderate eye contact to the nurse. on a single point.
- In face to face position
to the client
- Good and open
posture “Oo. Kasama namin yung
“Ah so ung asawa mo at - Movement of hands tatlo naming anak.”
mga anak mo kasama mo - Maintains moderate
sa bahay nyo?” eye contact
- Good and open This means repeating the
 Restating
posture idea expressed by the
- In face to face position client. This lets the client
to the nurse. know that he
communicated the idea
- Moderate eye contact effectively. This also
- In face to face position encourages the client to
 to the client continue. In addition, if
- Good and open the client has been
posture “Hinahayaan ko na lang - Maintains moderate misunderstood, he can
minsan at.umininom din eye contact clarify his thoughts.
“Ano po yung ginagawa ako ng gamot na. - Good and open
niyong paraan para Wellbutrin up to 200 mg posture
maibsan ang inyong dalwang beses sa isang - In face to face position This means planning in
kondisyon?” araw. Naninigarilyo nalng to the nurse. advance what he might
- ako ng kalahating kahon  Formulating a plan of do in certain situations.
sa isang araw action Making definite plans
increases the likelihood
that the client will cope
more effectively in a
similar situation.
TERMINATION PHASE (May 12,2020)
Nurse
Verbal Non - Verbal
“Good Morning Maam Y - Moderate eye contact
- Good and open posture
- In face to face position
to the client.
- Smiles
- Waves
- Moderate eye contact
“Kamusta po kayo?” - Good and open posture “Ok lang naman.”
- In face to face position
to the client.
- Slightly leaning
forward
- Moderate eye contact
- Good and open posture
- In face to face position
“Tulad po nang aming to the client.
binanggit nung unang
PATIENT
Verbal Non - Verbal
“Good Morning din.” - Moderate eye contact
- Good and open posture
- In face to face position
to the nurse.
- Smiles
- Nods
- Moderate eye contact
- Good and open posture
- In face to face position
to the nurse.
- Smiles
- Moderate eye contact
- Good and open posture
- In face to face position
“Ah oo nga pala.” to the nurse.
- Decreased tone of
Therapeutic Communication
Rationale
Technique
 Giving recognition It shows that the nurse
recognizes the client as a
person, an individual that
gives the client
fulfillment of her
worthiness. In addition, it
does not imply and hold
the notion of value that is
of being “good or bad”.
It allows the patient to
 Broad openings take the initiative to
introduce the topic. It also
simplifies that the patient
has the lead in the
interaction and to think of
an interesting topic for
them.
Informing the client of
 Giving information the facts increases her
knowledge about the
topic and what to expect
araw ng nakasalamuha voice on the interaction. It also
namin kayo, ang ating builds trust with the
huling araw ay May 12 client.
which is today.” - Moderate eye contact - Moderate eye contact
- Good and open posture - Good and open posture
- In face to face position - In face to face position This is organizing and
to the client. to the nurse. summing up which has
- Nods gone before and seeks to
“Sa nakalipas na dalawang No response  Summarizing bring out the important
araw napag usapan natin
kung paano naagsimula points of discussion and
itong karamdaman niyo at to increase awareness and
kung paano niyo ito understanding of both
naiibasan . participants. It omits
irrelevant and organizes
the pertinent aspects of
interaction. It allows both
patient and the nurse to
depart with the same
ideas and provide a sense
of closure at the
completion of each
discussion. This is more
effective with movements
of hands, moderate eye
contact and good and
open posture.

- Moderate eye contact - Moderate eye contact This is organizing and

- Good and open posture
- In face to face position
to the client
- Good and open posture summing up which has
- In face to face position
gone before and seeks to
to the nurse.
bring out the important
- Nods
 points of discussion and
“At sa mga nakaraan po to increase awareness and
nating pag-uusap, No response  Summarizing understanding of both
napag-usapan po natin participants. It omits
ang ilang mga bagay irrelevant and organizes
tungkol sa inyong the pertinent aspects of
nakaraan.” interaction. It allows both
patient and the nurse to
depart with the same
ideas and provide a sense
of closure at the
completion of each
discussion. This is more
effective with movements
of hands, moderate eye
contact and good and
open posture.

This is organizing and

summing up which has
- Moderate eye contact - Moderate eye contact gone before and seeks to
- Good and open posture - Good and open bring out the important
- In face to face position posture points of discussion and
to the client - In face to face to increase awareness and
- Movement of the position to the nurse understanding of both
hands - Nods participants. It omits
irrelevant and organizes
the pertinent aspects of
“Nasabi po ninyo sa interaction. It allows both
“Oo. Iyon nga ang mga  Summarizing patient and the nurse to
mga pag-uusap natin na napag-usapan natin.” depart with the same
talagang nahihirapan na ideas and provide a sense
kayo sa inyong of closure at the
kondisyon. Naikwento completion of each
niyo rin po sa akin discussion. This is more
paano niyo po effective with movements
maiiwasan ang of hands, moderate eye
paglaganap ng inyong contact and good and
open posture.
karamdaman. Nai-share
niyo din po sa akin yung Asking for patient to
mga plano niyong gawin
describe feelings,
sa oras na makalabas po - Moderate eye contact perceptions, and views of
kayo.” - Moderate eye contact - Good and open their situations. To
- Good and open posture posture understand the client, the
- In face to face position - In face to face nurse must see things
to the client position to the nurse from her perspective.
- Smiles

- Moderate eye contact It shows that the nurse

- Good and open posture recognizes the client as a
- Moderate eye - In face to face position person, an individual that
“May iba pa po ba “Wala na .”
contact to the nurse. gives the client
kayong gustonng  Encouraging
- Good and open - Smiles fulfillment of her
sabihin?” description of
posture - Waves worthiness.
- In face to face perception
position to the client
- Smiles
- Waves

“Kung ganun po, “Magandang hapon din.

maraming salamat po Salamat sayo Karl at sa  Giving recognition
Maam Y. sa tiwala pong mga kaklase mo. Mag
ibinigay ninyo sa amin, sa ingat rin kayo. Bye.”
cooperation at sa maganda
po ninyong
pagtanggap.Magandang
hapon. Good bye po. Ingat
po kayo parati.”