PROCESS RECORDING: NURSE-PATIENT INTERACTION
ORIENTATION PHASE (November 24, 2010; 6:00 PM)
Nurse
Verbal Non - Verbal
“Hello! Good Afternoon - Waves hand
po Sir R.C.” - Smiles
- Maintains moderate eye
contact
- Good and open posture
- In face to face position
to the client.
“Ako po si Marianne, - Moderate eye contact
3rd year nursing student - In face to face position
po ng Manila Doctors to the client
College. Ako po ang - Good and open posture
magiging student nurse - Leans forward
niyo simula po ngayon - Smiles
hanggang December - Movement of hands
14.” - Shake hands
“Tuwing Monday to - Moderate eye contact
Wednesday nyo po kami - In face to face position
makakasama simula ng to the client
12 PM hanggang 8 PM” - Good and open posture
- Smiles
“Sir R.C. gusto ko pong - Moderate eye contact
malaman niyo na yung - In face to face position
mga information pong to the client
makukuha ko galing sa - Good and open posture
inyo ay wala na po - Smiles
PATIENT Therapeutic
Communication Rationale
Verbal Non - Verbal Technique
“Hello! Good - Waves hand  Giving recognition It shows that the nurse
Afternoon din.” - Smiles recognizes the client as a
- Maintains moderate eye person, an individual that gives
contact the client fulfillment of his
- Good and open posture worthiness. In addition, it does
- In face to face position to not imply and hold the notion
the nurse. of value that is of being “good
or bad”.
“Ako naman si R.C. - Maintains moderate eye  Giving information Informing the client of the facts
Nagagalak kitang contact increases his knowledge about
makilala” - Good and open posture the topic and what to expect on
- In face to face position to the interaction. It also builds
the nurse. trust with the client.
No response - Maintains moderate eye  Establishing specifics Setting up the lucid boundaries
contact of the relationship time, of relationship time, date, place
- Good and open posture date, place and duration and duration of meetings
- In face to face position to of meetings clearly orients the patient
the nurse. when, where, and how will
begin, go on and finally end.
No response - Maintains moderate eye  Establishing To set up a means of respecting
contact confidentiality the patient’s right to keep
- Good and open posture private any information about
- In face to face position to his mental and physical health
the nurse. and related care. This also
akong ibang means allowing only those
pagsasabihan hangga’t dealing with patient’s care to
wala pong permiso have access to the information
niyo.” that the patient divulges.

“Makikinig po ako sa - Moderate eye contact “Ok yun. Para naman - Maintains moderate eye  Establishing trust Building a trusting relationship
mga sasabihin ninyo - In face to face position maaliw kami.” contact with the patient facilitates a
tsaka magbibigay din po to the client - Good and open posture more reliable data collection
kame ng mga activities - Good and open posture - In face to face position to because of the easier disclosure
na makakatulong sa inyo - Smiles the nurse. of information by the patient.
at makakapagbigay din
ng kasiyahan”

“Kamusta naman po - Moderate eye contact “Ayos lang naman - Maintains moderate eye  Broad openings It allows the patient to take the
kayo dito? - In face to face position ako.” contact initiative to introduce the topic.
to the client - Good and open posture It also simplifies that the
- Good and open posture - In face to face position to
patient has the lead in the
- Nodding the nurse.
- Increased tone of voice interaction and to think of an
interesting topic for them.

“Maari mo po bang - Moderate eye contact
itanong kung ano po ba - In face to face position
ang dahilan ng to the client
pamamalagi nyo dito?” - Good and open posture
- Slightly leaning forward
“Actually nandito lang - Maintains moderate eye  General leads This gives the patient an
ako for safe keeping. contact encouragement to continue on
Ang case ko kasi love - Good and open posture what he is saying. It also
depression tapos - In face to face position to indicates that the nurse is
gumamit din ako ng the nurse. listening and following what
drugs e gusto ko agad the patient is talking about
maagapan kaya without taking away the
voluntary ako pumunta initiative for the interaction.
dito. Akala nga nila
yung kapatid kong
special yung papasok
dito kasi nakaporma pa
ako nun.”
“Ano pong dahilan ng - Moderate eye contact
love depression nyo?” - In face to face position
to the client
- Good and open posture
No response - Moderate eye contact
- In face to face position
to the client
- Good and open posture
- Nods
“Ano na po ang - Moderate eye contact
nararamdaman nyo kay -
In face to face position
R ngayon?” to the client
- Good and open posture
“Nagkaroon kasi kami - Maintains moderate eye  Exploring
ng problema ng contact
girlfriend ko. Ang - Good and open posture This means delving further into
daming lies. Una, sabi - In face to face position to a subject or an idea. This also
nya single siya e the nurse. explores the patient to help
hanggang sa naging them examine the issue more
close kami sinabi rin fully, not only superficially.
nya na may asawa siya
for 2 years pero
hiwalay na sila tapos
may anak. E umuwi
yung asawa galing
Taiwan.”
“Nakakatawa pa nga e. - Maintains moderate eye  Silence Provides limit to put clients
Kasi bumili ako sa contact actions, thoughts or feeling into
tindahan tapos ako pa - Good and open posture words and shows place of
yung pinagtanungan - In face to face position to interaction gives time to
nung lalaki kung saan the nurse.
develop inside.
nakatira si R. Tapos
tinuro ko pa tapos yun
pala yung asawa.”
Helps the client appraise his
“Galit pero hindi ko - Maintains moderate eye  Encouraging
contact own rather than accept the
yun masabi sa harap expression
niya.” - Good and open posture opinion of others.
- In face to face position to
the nurse.
“Nasaan po ba siya?” - Moderate eye contact
- In face to face position
to the client
- Good and open posture
- Slightly leaning forward
“Pwede ko po bang - Moderate eye contact
malaman sino po yung - In face to face position
sila na tinutukoy nyo?” to the client
- Good and open posture
- Movement of hands
“Ah may anak po pala - Moderate eye contact
kayo?” - In face to face position
to the client
- Good and open posture
- Movement of hands
“Ano po yung ginagawa - Moderate eye contact
niyong paraan para - In face to face position
mawala yung galit niyo to the client
kay R?” - Good and open posture
“Nasa Bulacan na sila.” - Maintains moderate eye
contact
- Good and open posture
- In face to face position to
the nurse.
“Si R at ang anak - Maintains moderate eye
namin.” contact
- Good and open posture
- In face to face position to
the nurse.
“Oo. Mag 1 year old na - Maintains moderate eye
nga siya e. Baby girl.” contact
- Good and open posture
- In face to face position to
the nurse.
“Hinahayaan ko na - Maintains moderate eye
lang. Lilipas din naman contact
kasi yun. Ginagawa ko - Good and open posture
na lang ito para sa anak - In face to face position to
namin.” the nurse.
 Exploring This means delving further into
a subject or an idea. This also
explores the patient to help
them examine the issue more
fully, not only superficially.
This means concentrates on a
 Focusing
single important point.
 Restating This means repeating the main
idea expressed by the client.
This lets the client know that he
communicated the idea
effectively. This also
encourages the client to
continue. In addition, if the
client has been misunderstood,
he can clarify his thoughts.
 Formulating a plan This means planning in
of action advance what he might do in
certain situations. Making
definite plans increases the
likelihood that the client will
cope more effectively in a
similar situation.
WORKING PHASE ( November 30, 2010; 6:00 PM)

Nurse PATIENT Therapeutic Communication

Rationale
Verbal Non - Verbal Verbal Non - Verbal Technique

“Hello po Sir R.C. - Waves hand “Okay lang ako.” - Waves hand  Giving recognition It shows that the nurse
Kamusta naman po - Smiles - Smiles recognizes the client as a
kayo?” - Maintains moderate - Maintains moderate person, an individual that
eye contact eye contact gives the client
- Good and open posture - Good and open posture fulfillment of her
- In face to face position - In face to face position worthiness. In addition, it
to the client. to the nurse. does not imply and hold
the notion of value that is
of being “good or bad”.

“Napansin ko pong medyo - Moderate eye contact “Medyo depressed kasi - Maintains moderate  Making observations This is verbalizing what
matamlay po kayo - Good and open posture dinalaw ako ni R kasama eye contact the nurse perceives that
ngayon.” - In face to face position yung anak naming pati - Good and open posture sometimes patient cannot
to the client. parents ko. Hindi naging - In face to face position verbalize or make
- Slightly leaning maganda yung usapan to the nurse. themselves understood or
forward namin” the patient may not be
ready to talk.

“Paano niyo po nasabi na - Moderate eye contact
hindi naging maganda - Good and open posture
yung usapan niyo?” - In face to face position
to the client.
“Masyado pong mabilis - Maintains moderate  General leads This gives the patient an
yung pagbisita nila kaya eye contact encouragement to
uminit yung ulo ko. Tapos - Good and open posture continue on what he is
hindi pa kami - In face to face position saying. It also indicates
makapagusap ng maayos to the nurse. that the nurse is listening
kasi nandyan parents ko.” and following what the
patient is talking about
without taking away the
initiative for the
interaction.
“Kumpara niyo po sa - Moderate eye contact
nakaraang dalaw nila sa - Good and open posture
inyo, gaano po katagal - In face to face position
yung pinakamatagal to the client.
nilang dalaw?”
“Ano pong dahilan at - Moderate eye contact
saglit lang sila bumisita sa - Good and open posture
inyo?” - In face to face position
to the client.
“Ah ganun po ba?” - Moderate eye contact
- Good and open posture
- In face to face position
to the client.
“Ano po yung - Moderate eye contact
naramdaman niyo nung - Good and open posture
umiyak yung anak niyo?” - In face to face position
to the client.
“Actually first dalaw nga - Maintains moderate
nila yun e. 15 minutes nga eye contact
lang sila.” - Good and open posture
- In face to face position
to the nurse.
“May aasikasikasuhin pa - Maintains moderate
daw kasi si R. Ewan ko ba eye contact
kung ano yun. Sa liga - Good and open posture
daw! Ang babaw noh? - In face to face position
Halatang may kasalanan.” to the nurse.
“Oo. Tapos yung baby ko - Maintains moderate
pa parang nagkatinginan eye contact
pa kami tapos binuhat ko - Good and open posture
maya maya umiyak.” - In face to face position
to the nurse.
“Medyo kinabahan kasi - Maintains moderate
first time kong nabuhat eye contact
yung bata pero masarap - Good and open posture
yung feeling.” - In face to face position
to the nurse.
 Encouraging Looking at similarities
comparison and differences.
 Exploring It explores the patient to
help them examine the
issue more fully, not only
superficially.
This is expressing
 Voicing doubt
uncertainty about the
reality of the patient’s
perceptions which permits
the patient to become
aware that others do not
necessarily perceive
events in the same way
like others or draw the
same conclusion. The
nurse will encourage the
patient to re-evaluate
what has happened.
 Encouraging evaluation Helps the client appraise
his own rather than accept
the opinion of others.
“Natatandaan niyo po ba - Moderate eye contact “Nung Sunday. November - Maintains moderate  Placing time or event in Assessing time frame and
kailan nyo po binuhat - Good and open posture 28.” eye contact sequence sequence of an event
yung anak niyo?” - In face to face position - Good and open posture overtime.
to the client. - In face to face position
to the nurse.

“Sa tingin niyo po ano po - Moderate eye contact “Paglabas ko dito aayusin - Maintains moderate  Formulating a plan of This means planning in
yung pwede niyong - Good and open posture ko buhay ko para sa baby eye contact action advance what he might do
magawa pag labas niyo - In face to face position ko. Mag-tatayo ako ng - Good and open posture in certain situations.
dito para mapalapit yung to the client. business tska aayusin ko - In face to face position Making definite plans
loob ng anak niyo sa yung relationship namin ni to the nurse. increases the likelihood
inyo?” R in a casual way.” that the client will cope
more effectively in a
similar situation.
WORKING PHASE (December 1, 2010; 6:00 PM)

Nurse PATIENT Therapeutic Communication

Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal

“Good afternoon po Sir - Moderate eye contact “Good Morning din.” - Maintains moderate  Giving recognition It shows that the nurse
R.C.” - Good and open eye contact recognizes the client as a
posture - Good and open person, an individual that
- In face to face posture gives the client fulfillment
position to the client. - In face to face position of his worthiness. In
- Smiles to the nurse. addition, it does not imply
- Waves - Smiles and hold the notion of
- Nods value that is of being
“good or bad”.

“Kamusta na po kayo?” - Moderate eye contact “Medyo okay na ako. - Maintains moderate  Broad openings It allows the patient to take
- Good and open Kelangan ko na mag eye contact the initiative to introduce
posture move on basta para sa - Good and open the topic. It also simplifies
- In face to face baby ko ito.” posture
that the patient has the
position to the client. - In face to face position
- Slightly leaning to the nurse. lead in the interaction and
forward to think of an interesting
topic.

“Ah ganun po ba?” - Moderate eye contact “Oo. Mas okay na siguro - Maintains moderate  Accepting This gives the patient an
- Good and open ng ganun.” eye contact encouragement to
posture - Good and open continue on what he is
- In face to face posture saying. It also indicates
position to the client. - In face to face position that the nurse is listening
to the nurse. and following what the
patient is talking about
without taking away the
initiative for the
interaction.
“Maiba naman po tayo. - Moderate eye contact “Dala ng curiosity nung - Maintains moderate  General leads This gives the patient an
Nasabi nyo po nung 1st - Good and open kabataan at impluwensya eye contact encouragement to
day natin na drug user po posture nang mga kabarkada.” - Good and open continue on what he is
kayo. Sa papanong paraan - In face to face posture saying. It also indicates
niyo po natutunan mag position to the client. - In face to face position that the nurse is listening
drugs?” to the nurse. and following what the
patient is talking about
without taking away the
initiative for the
interaction.

“Kailan niyo po ba unang - Moderate eye contact “15 yrs old pa lang ako - Maintains moderate  Placing event in time It helps both the nurse and
natikman yung drugs?” - Good and open nun. Hindi ko na eye contact and sequence the client to see
posture natatandaan yung exact - Good and open relationship of events in
- In face to face date.” posture
perspective.
position to the client. - In face to face position
to the nurse. It explores the patient to
help them examine the
“Saan niyo po ba unang - Moderate eye contact “Sa tito ko nakuha. Akala - Maintains moderate  Exploring
nakuha iyon?” - Good and open ko lang pagkain yun ng eye contact issue more fully, not only
posture butete tapos bigla akong - Good and open superficially.
- In face to face nilapitan ng barkada ko. posture
position to the client. Tinikman niya at sinabi - In face to face position
niya na shabu nga daw to the nurse.
yun. Tinikman ko din at
dun na nagsimula.”

“Tapos po?” - Moderate eye contact “Ilang buwan lang, pina - Maintains moderate  General leads This gives the patient an
- Good and open rehab na ako ng parents eye contact encouragement to
posture ko. Pag labas ko, - Good and open continue on what he is
- In face to face nagshabu pa din ako. Pero posture saying. It also indicates
position to the client. on and off naman.” - In face to face position that the nurse is listening
to the nurse. and following what the
patient is talking about
without taking away the
initiative for the
interaction.
“Bukod po sa shabu, ano - Moderate eye contact “Nagtry din ako ng - Maintains moderate  Exploring It explores the patient to
pa po yung ibang drugs na - Good and open marijuana pero alternate eye contact help them examine the
ginamit nyo?” posture sila ng shabu.” - Good and open issue more fully, not only
- In face to face posture
superficially.
position to the client - In face to face position
to the nurse.
This directs the patient’s
“Ano pong pakiramdam - Moderate eye contact “Paiba iba e. Madalas - Maintains moderate  Reflecting actions, thoughts and
pag gumagamit ng - Good and open masaya na walang eye contact feelings back to the patient
drugs?” posture dahilan. Feeling ko nga - Good and open and encourage patient to
- In face to face para akong si James Bond posture recognize and accept his
position to the client laging tumitingin sa - In face to face position own feelings.
salamin. Minsan din to the nurse.
malungkot.”
This means planning in
“Ano pong balak niyong - Moderate eye contact “Gusto kong magaral - Maintains moderate  Formulating a plan of advance what he might do
pagka abalahan kapag - Good and open kahit vocational lang kasi eye contact action in certain situations.
kayo po ay pinagbigyan posture ayoko na maging - Good and open Making definite plans
na makabalik sa inyo?” - In face to face dependent sa parents ko at posture increases the likelihood
position to the client maranasan ulit yung mga - In face to face position that the client will cope
nangyari sa buhay ko. to the nurse. more effectively in a
Gagawa din ako ng similar situation.
business at aayusin ko
ang pamilya ko.”
TERMINATION PHASE (December 13-14, 2010; 6 PM)

Nurse PATIENT Therapeutic Communication

Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal

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

“Kamusta po kayo?” - Moderate eye contact
- Good and open posture
- In face to face position
to the client.
- Slightly leaning
forward
“Ok lang naman.” - Moderate eye contact
- Good and open posture
- In face to face position
to the nurse.
- Smiles
 Broad openings It allows the patient to
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.

“Tulad po nang aming -
binanggit nung unang -
araw ng nakasalamuha -
namin kayo, ang ating
huling araw ay December
14 which is today.”
Moderate eye contact “Ah oo nga pala.” - Moderate eye contact
Good and open posture - Good and open posture
In face to face position - In face to face position
to the client. to the nurse.
- Decreased tone of
voice
 Giving information Informing the client of the
facts increases her
knowledge about the topic
and what to expect on the
interaction. It also builds
trust with the client.
“Sa nakalipas na apat na
linggo heto na po yung - Good and open posture
nagawa natin: naglaro, - In face to face position
nagexercise,
nagkakwentuhan,
nagdrawing, nagtahi ng
wallet, gumawa ng picture
frame, kumain, at iba pa.”
“At sa mga nakaraan po -
nating pag-uusap, -
napag-usapan po natin -
ang ilang mga bagay
tungkol sa inyong
nakaraan.”
- Moderate eye contact No response - Moderate eye contact
- Good and open posture
- In face to face position
to the client. to the nurse.
- Nods
Moderate eye contact No response - Moderate eye contact
Good and open posture - Good and open posture
In face to face position - In face to face position
to the client to the nurse.
- Nods
 Summarizing This is organizing and
summing up which has
gone before and seeks to
bring out the important
points of discussion and to
increase awareness and
understanding of both
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.
 Summarizing This is organizing and
summing up which has
gone before and seeks to
bring out the important
points of discussion and to
increase awareness and
understanding of both
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.

This is organizing and

“Nasabi po ninyo sa - Moderate eye contact “Oo. Iyon nga ang mga - Moderate eye contact  Summarizing summing up which has
mga pag-uusap natin na - Good and open posture napag-usapan natin.” - Good and open gone before and seeks to
talagang nalulungkot - In face to face position posture bring out the important
kayo at naguguluhan to the client - In face to face points of discussion and to
kayo sa sitwasyon niyo - Movement of the hands position to the nurse increase awareness and
ni R. Nabanggit niyo rin - Nods understanding of both
participants. It omits
na nabitin kayo sa bisita
irrelevant and organizes
nila dito nung nakaraang the pertinent aspects of
linggo. Nasabi niyo rin interaction. It allows both
po na namimis niyo na patient and the nurse to
po ang anak niyo kaya depart with the same ideas
gusto niyo na and provide a sense of
makalabas. Naikwento closure at the completion
niyo rin po sa akin of each discussion. This is
paano niyo po nakuha more effective with
yung drugs. Nai-share movements of hands,
niyo din po sa akin yung moderate eye contact and
good and open posture.
mga plano niyong gawin
sa oras na makalabas po
kayo.”
“May iba pa po ba - Moderate eye contact “Wala na Marianne.” - Moderate eye contact  Encouraging Asking for patient to
kayong gusting - Good and open posture - Good and open description of describe feelings,
sabihin?” - In face to face position posture perception perceptions, and views of
to the client - In face to face their situations. To
position to the nurse understand the client, the
- Smiles nurse must see things
from her perspective.
- Moderate eye contact It shows that the nurse
“Kung ganun po, - Moderate eye contact “Merry Christmas din.  Giving recognition
- Good and open posture recognizes the client as a
maraming salamat po Sir - Good and open Salamat sayo Marianne at
- In face to face position person, an individual that
R.C. sa tiwala pong posture sa mga kaklase mo. Mag
to the nurse. gives the client fulfillment
ibinigay ninyo sa amin, sa ingat rin kayo. Bye.”
- In face to face - Smiles of her worthiness.
cooperation at sa maganda position to the client - Waves
po ninyong pagtanggap. - Smiles
Merry Christmas. Good - Waves
bye po. Ingat po kayo
parati.”