A CHILD WHO CAN HARDLY BE CONVINCED TO TAKE HER MEDICINE

M: Hello, I am _____, I will be your nurse for today. 

P: hello
M: do you have any idea what we are going to do?
P: I don’t have
M: before that, may I know how are you feeling now?
P: I am not feeling well. I feel weak and sick. I already want to play with my toys.
M: do you want to be strong? Do you want to be strong na ulit so you can play all day like what
you were used to?
P: how?
M: I will give you your medicine so you will feel better
P: but, I don’t like to take medicine
M: don’t worry, it tastes good. It feels like you are taking some candies.
P: medicines taste bitter I don’t like them
M: some meds taste bitter, but trust me, after a few seconds after you drink water
P: no, I won’t take them
M: okay, what do you want to be when you grow up?
P: I want to be a ____
M: how can you be an ___ if you’re not taking your medicine. How can you pursue your dreams
if you are sick like that? You need to be healthy; you need to have your energy back so you can
be whatever you want. Do you want to take your meds na? I’ll give you a reward after that
P: really?
M: yes, of course
Gives medicine
M: how does it taste?
P: it tastes sweet I want more
M: Okay, you’ll have it later after you take your lunch, okay? You can have this until you feel
better.

A PATIENT WHO DOES NOT TAKE HIS MEDS AND JUST KEEP THEM UNDER HIS/HER PILLOW
m; good morning ma'am, how are you feeling today?
P; I feel good naman po
M; did you take the medicines that I gave you earlier?
P; hmm yes, I did
M; okay, so now we will change your clothes okay?
P; okay
Tapos Nakita ko sa ilalim ng unan yung gamot
M; maam, excuse me, but what are these? 
P; (di nasagot)
M; since when are you not taking your medicine?
P; since the first time you gave me my meds
M; how can you get back to your normal state of health if you are not taking these?
P; I don’t like their taste, I feel like I puke every time when I am taking them
M; why aren’t you telling me? I can give you other medicine if you can’t take this or I can find a
way for you so you can take this
P; I'm sorry, I just don’t like them
M; okay, next time I will not leave your room unless you already take your medicines okay?
P; okay, I'm sorry about that
M; you don’t need to be sorry, I’ll check if I can find other meds, but if not I will give you this
okay?
P; okay, thank you

A PATIENT WHO CAN'T EASILY UNDERSTAND INFORMATION

M; hello ma'am, good morning
P; hello
M; so we had a laboratory test last time right, the urinalysis
P; yes
M; so based on the result maam, we found out that you have a urinary tract infection or what
we call UTI
P; so what does it mean
M; UTIs occur when the urinary tract becomes infected, usually by bacteria. In most cases,
bacteria from the gut enter the urinary tract through the urethra. Bacteria are the most
common cause of UTIs, although fungi rarely can also infect the urinary tract. E. coli bacteria,
which live in the bowel, cause most UTIs.
P; what? I cannot understand you. Can you explain it further or simpler maybe?
M; okay maam, so based on the result of your urinalysis you had a UTI. Most UTIs can be cured.
Bladder infection symptoms most often go away within 24 to 48 hours after treatment begins.
If you have a kidney infection, it may take 1 week or longer for symptoms to go away. During
the infection — and after — make sure to drink a lot of water, at least 12 8-ounce cups per day.
This will flush out your system and help prevent future infections. Do you want to elaborate
more?
P; no, thank you, I understand it already. So I need to drink plenty of water?
M; yes, you may also drink cranberry juice. Keep in mind that cranberries won’t cure an
infection. They can help your body flush bacteria out. But, you’d have to ingest a strong
concentration to eradicate them all.
P; okay, thank you for the information. Where can I contact in case that I forgot some
information?
M; here. Just let us know if feel something unnecessary.
P; okay thank you 

A PATIENT WHO STARTS TO LOSE HOPE.

M; good morning ma'am
P; good morning
M; how are you feeling today?
P; I don’t know, I feel like I can no longer live 
M; why did you say that?
P; because that’s what I feel right now
M; when I checked your medical record, I can say that you are getting better now
P; I’m starting to lose hope
M; don’t be like that, is there something that is bothering you? You can tell me if you want
P; nothing, I just feel like I’m useless because I am ill. I can’t do things like I used to do before. I
feel like I'm just wasting money here for my medication,
M; I feel bad about that, but don’t lose hope, everything happens for a reason, I hope you know
that. Just always have faith, because it allows you to cope. Just have patience, and everything
will be fine.
P; thank you for that
M; my pleasure, just tell me if you need something okay? If you need someone to talk to, just
tell me okay?
P; okay, thank you
M; never lose hope, because tomorrow could be the day you’ve been waiting for, no one knows
what tomorrow may bring. Just keep on fighting.
P; thank you, nurse
M; as always

A PATIENT WHO SEEMS TO BE VERY UNFRIENDLY AND DOES NOT WANT TO TALK TO YOU IN
TIME OF INFORMATION GATHERING PROCEDURE.
M; good day ma'am, I am ___, I will be your nurse for today
P; good morning
M; so what brings you here
P; I’m having a frequent headache these past few days and I am having a knee pain
M; how long does it last?
P; I think for an hour
M; what did you do when you’re having pain
P; nothing, I just take a rest until the pain is gone
M; may I know what is your age
P; __
M; how about your activities on daily living maam? Like what are you doing often every day?
things that you have always done on a daily basis.
P; just house chores
M; do you have heavy chores at home?
P; hmm, none
M; is there anyone in your family who has arthritis?
P; I don’t think so, why are you asking me those questions
M; so I would know maam if there is a history of arthritis in your family. Because there's some
evidence that rheumatoid arthritis can run in families, although the risk of inheriting it is
thought to be low as genes are only thought to play a small role in the condition. I just need you
to be cooperative maam so we can have accurate information for you to receive the right
assessment. Is that okay?
P: okay 
Tuloy tuloy lang ang interview
M: thank you maam, I hope I gave you sort of information about what you are feeling right
now. If there’s something that you feel is unnecessary, just send me a message or you can
contact our clinic so we would know, okay?
P; okay thank you

AN OLD MAN WHO REFUSES TO GET INJECTED.

m; hello, good morning
p; good morning
m; so you are now scheduled for laboratory test. May I have the request?
P;
M; okay, so I need to inject this syringe because I’ll be needing blood for the test.
P; is there any other way para magawa natin yung test?
M; there’s no other way maam. This will be quick. I promise.
P; I am afraid to be injected.                   
M; but we need to do this as per the request of your physician
P; no, I will not do that
M; I’ll make it quick, I promise. It’s just a bit of an ant. 
P; inject the patient
P; how does it feel?

A PATIENT WHO LIKES TO SHARE HIS PERSONAL EXPERIENCES WITH YOU.

M; hello, how are you feeling today
P; I feel better now than yesterday
M; I'm glad to hear that. Did you take your medicines?
P; yes I did
M; that’s nice
P; did you know, before, I can’t take this type of medicines. The tablet ones, because I'm having
a hard time swallowing them
M; really? There are a type of people that can’t take that kind of medicine that’s why they
crushed it and then put it in water or their food for them to make it easy to take the meds
P; I also did that before
M; it’s nice to know. Do you need anything right now?
P; hmm, none so far
M; okay, just let me know if you need anything okay. I just checked you if you take your
medicine because it is important to take them on time.
P; okay, I will
M; just call at the station if you need something okay, just let me know

A HYSTERICAL MOTHER/FATHER/RELATIVE OF YOUR PATIENT.

P; maam, what happened?
M; my daughter
P: maam, she will be fine, don't worry
M; I can’t take it, I can’t see my daughter in that situation
P; but maam this is for her, to make her situation better
M; how long will it take
P; for a few hours maam, and then after she needs to take a rest then she will gain her energy
like before
M; why did it happen to us?!
P; no one knows maam, but everything happens for a reason. Just be calm and let’s just wait for
the operation to end. She wouldn’t be happy if she saw it like that. 
M; I hope that the operation will be successful
P; of course maam, it will

AN OLD PATIENT WHO HAS A HEARING DISABILITY.

M; good morning maam
P; good morning
M; how are you feeling today?
P; I'm sorry, I can't hear you clearly
M; oh okay, how are you?

A VERY HOSTILE PATIENT.

M; good morning ma'am, I am___ your assigned nurse for today
P; okay, what do you need?
M; I received an order from your physician that you need to have this laboratory test
P; what if I don’t                                                           
M; but this is an order from the doctor, the blood test result is important so we will know what
type of care you need
P; I said I will not do the blood test
M; you have the right to refuse maam, If I can't convince you, I will just let your physician know
you refuse the blood test, I will just document the refusal according to the hospital’s policy.
One last thing, can you give me a reason why did you refuse the test?
P; I don’t want to take the test because I know it to myself that I am fine
M; okay, ill let your physician know about this. Just let me know if you want something okay?
Thank you.