PROCESS RECORDING #1

(Orientation Phase)
Name of Student Nurse: Joanne M. Perez and Maria Victoria Valencia

Name of Client: Kenneth A. Tayona Age: 34 years old

Address:

Date of Birthday: Date of Admission:

April 26, 2022

Diagnosis: Major Depressive Disorder

Setting: Zoom Meeting

Date/Time of Interaction: May 4, 2022

DESCRIPTION OF THE PATIENT:

Mr. Kenneth has a major depressive disorder. He is 34 years old and not married. His background
as it follows as stated by Mr. Kenneth, he is an architect who has a lot of workloads to do. As time goes
by, many workloads in his plate that cause his anxiety at first then it turns into depression. He also
mentioned that he tried to reach out for his family, colleagues and friends about his anxiety, but it gets
worse because his bosses are filing his more workload to do and by that time, he cannot bear it anymore
that is why he attempts to suicide. He also mentioned that his attempt suicidal is four times. The patient
was cooperative and friendly throughout the interview, he is well- groomed, attentive and very responsive
for our question and answer. Through of the whole of interview, the patient remained calm and kind.

DESCRIPTION OF ENVIRONMENT:

Dr. Lourdes Pelagio is caring for the patient at Angel Care Custodial Services. The facility
provides a comfortable and clean environment for the patients. The patient is in a large room with other
patients, which may cause other patients to be distracted from their own tasks.

OBJECTIVES:

The orientation phase's goals are to build trust between the patient and the student nurses. It's
vital to build rapport with the client at this phase so that they feel comfortable interacting with the student
nurses. In addition, the student nurse must maintain privacy and confidentiality. At this point, the patient
provides certain basic information. The comfort of the patient must be guaranteed, and the client should
not feel obligated to answer any inquiries.
Process Recording (Orientation Phase)

NURSE THERAPEUTIC PATIENT ANALYSIS

(Verbal and COMMUNICATION (Verbal and
Nonverbal) TECHNIQUES Nonverbal)

“Magandang umaga Giving recognition. “Magandang umaga THERAPEUTIC. I

sa iyo.” rin po.” have recognized the
patient and he
appear to be happy
to talk with us.
.
“ Ako si student nurse Giving Information “Ako naman si THERAPEUTIC.
Maria Victoria Kenneth A. Tayona I have oriented the
Valencia Pwede nyo 34 years old.” patient to engage in a
po ako tawagin Mavie conversation.
para po mas
komportable kayo.
Ako po ang inyong
student nurse mula sa
araw na ito hanggang
biyernes. Galing ako
Sa Adamson
University ng Manila.”
“Pano nyo po gusto Clarifying “Kuya na lang” THERAPEUTIC.
kayo tawagin Patient wants to be
Sir/Kuya or called and talked to
Kenneth lang po?” comfortably.
.
“kumusta naman po Exploring “Mabuti naman ako” THERAPEUTIC. I
ang araw nyo? determined the
patient’s verbalization.

“ilan taon na po kayo Exploring “32 years old na ko” THERAPEUTIC. I

kuya Kenneth?” determined the
patient’s
verbalization.
“ ano po mga Exploring “ngayon madami THERAPEUTIC. I have
ginagawa nyo o kami activities kaya Ascertained
pampalipas oras nyo nagiging the meaning
po? pampalipas oras ko of patient’s
na pero nung nasa verbalization.
labas ako puro work
lang ako”
 “itatanong ko lang Exploring “meron ako THERAPEUTIC. I
po kung bakit kayo depression, 4 beses determined the
nandito sa Angel na ako nag suicide patient’s
Care?” attempt kaya nandito verbalization.
ako ngayon sa angel
care”
“nakakaramdam po Exploring “hindi naman, okay THERAPEUTIC. I
ba kayo ng lungkot naman ako simula determined the
netong mga nung may mga patient’s
nakaraang araw?” nakasama na akong verbalization.
iba”
“maari ko po bang Exploring “nadepress ako sa THERAPEUTIC. I
matanong kung ano trabaho ko” determined the
dahilan ng pagststay patient’s
nyo dyan sa angel verbalization.
care?
Matanong ko lang po Exploring “nung nagattempt THERAPEUTIC. I
ano po ginawa nyo ako grabe ang determined the
nung nagattempt kayo depression may patient’s
ng suicide? Pwede nakausap naman verbalization.
nyo po hindi sagutin ako na kaibigan at
ang tanong ko kung pinigilan nya ako na
hindi kayo gawin iyon”
komportable”

“itatanong ko lang po Exploring “hindi, isang buwan THERAPEUTIC. I

matagal na po kayo ko palang ngayon” determined the
jan sa angel care?” patient’s
verbalization.

“nung nakapasok po Exploring “nung pagpasok ko THERAPEUTIC. I

kayo dyaan ano po ang gusto ko lang determined the
mga pumasok sa isip ay gumaling at patient’s
nyo? malagpasan ito” verbalization.

“ngayon po ano po Exploring “sa ngayon oo, THERAPEUTIC. I

nararamdaman nyo sa marami activities at determined the
tingin nyo nagiging hindi ko naiisip and patient’s
okay na po ba kayo? work” verbalization.

Kuya Kenneth, may Exploring “wala, pamilya ko THERAPEUTIC. I

asawa po ba or anak lang wala rin ako determined the
kayo?” girlfriend puro patient’s
trabaho lang ang verbalization.
nasa isip ko kaya
nasobrahan ako sa
stress”
 “simula po nung dito Exploring “yung nanay ko, THERAPEUTIC. I
na kayo nagststay simula noon determined the
sino po ang bumibisita napunta ako dito patient’s engage with
sa inyo? At gano dalawang beses the conversation.
kadalas? lang sya
dumadalaw dahil
bawal pa sya
makita hinahatidan
lang ako ng damit at
pagkain”
“kamusta naman po Exploring “meron naman ako THERAPEUTIC. I
ang relasyon nyo sa kaibigan, nung una determined the
kapwa nyo pasyente? kasi nasa isolation patient’s
May kaibigan po ba ward ako Mabuti na verbalization.
kayo? lang nalipat ako”

“itatanong ko lang po Exploring “andoon ako para THERAPEUTIC. I

kung bakit kayo nasa mamonitor ako determined the
isolation ward?” kung ano ang patient’s
behavior ko” verbalization.

“sa loob ng facility Exploring “meron naman tulad THERAPEUTIC. I

may napagsasabihan nila Gerald, nonoy determined the
naman po ba kayo at iba ba” patient’s
tulad ng emosyon nyo verbalization.
po?”
“okay po kuya Giving information “okay maraming THERAPEUTIC. I
Kenneth hanggang salamat din” determined the
dito na lang po muna patient’s
tayo, maraming verbalization.
salamat po sa oras at
pagbibigay
impormasyon”

EVALUATION:
Throughout the virtual interview, the patient was particularly attentive and pleasant. The patient
responds in great detail and tells us everything we need to know. He was easy to work with and
approachable. There are no noticeable behavioral changes. During most of the interview, the patient is
focused and maintains eye contact.

Signature Over Printed Name of Student Nurse: Joanne M. Perez

Signature Over Printed Name of Student Nurse: Maria Victoria Valencia

Inclusive date of Duty: May 4, 2022
 PROCESS RECORDING #1

(TERMINATION PHASE)
Name of Student Nurse: Joanne M. Perez and Maria Victoria Valencia

Name of Client: Kenneth A. Tayona Age: 34 years old

Address:

Date of Birthday: Date of Admission:

April 26, 2022

Diagnosis: Major Depressive Disorder

Setting: Zoom Meeting

Date/Time of Interaction: May 6, 2022

DESCRIPTION OF THE PATIENT:

Mr. Kenneth is more comfortable and relaxed during our termination phase. He communicated
well and share about his day without asking. Patient is neat and well-groomed.

DESCRIPTION OF ENVIRONMENT:

Mr. Kenneth’s environment that day was very busy they were arranging for their upcoming
event which is the anniversary of the facility. Despite their busy schedule, Mr. Kenneth manage his own
to make time for us to conduct for our interview.

OBJECTIVES:

The orientation phase's goals are to build trust between the patient and the student nurses. It's
vital to build rapport with the client at this phase so that they feel comfortable interacting with the student
nurses. In addition, the student nurse must maintain privacy and confidentiality. At this point, the patient
provides certain basic information. The comfort of the patient must be guaranteed, and the client should
not feel obligated to answer any inquiries.
 PROCESS RECORDING

(TERMINATION PHASE)

NURSE THERAPEUTIC PATIENT ANALYSIS

(Verbal and (Verbal and
COMMUNICATION
Nonverbal) Nonverbal)
TECHNIQUES

“Magandang Umaga Giving recognition “magandang umaga THERAPEUTIC. I

po kuya Kenneth” din” have recognized the
patient and he
appear to be happy
getting interviewed.

“ako po ulit ito si Giving Information “ako naman si THERAPEUTIC. I

student anjo at ang Kenneth tayona” have oriented the
kasama ko naman patient to engage in
po ay si mabi” a conversation.

“kuya Kenneth Making Observation “oo kayo yung THERAPEUTIC. I

natatandaan nyo pa nakasama ko nung have verified the
po ba kami?” nakaraan araw” patient’s memory.

“kumusta naman po Exploring “okay naman ako” THERAPEUTIC. I

and araw nyo kuya have determined
Kenneth?” patient’s
verbalization.

“Nakakain na po ba Exploring “oo nakakain naman THERAPEUTIC. I

kayo ng breakfast?” na ako ng almusal have determined
kanina pa” patient’s
verbalization.

“Nabusog po ba Clarifying “oo lagi kami may THERAPEUTIC. I

kayo sa kinain nyo pagkain dito, have the patient
kanina?” kumpleto naman oriented to with there
may snacks din” routine and schedule

“kuya Kenneth alam Making observation “oo nasabi na sa THERAPEUTIC. I

nyo po ba na last amin” have verified the
day na natin to patient’s memory.
makakasama nyo
kami?”

“alam nyo po pala na Exploring “wala naman na, THERAPEUTIC. I

huling araw na natin ngayon okay naman have determined
ito, may mga gusto na ako di na ako patient’s engage with
po ba kayong ishare masyado nagiisip ng conversation.
o idagdag saamin? kung ano
Kung okay lang po makakasama saakin
sa inyo” ang gusto ko lang
ngayon ay
makalabas na”

“kuya Kenneth, Exploring “simula noon nalipat THERAPEUTIC. I

gusto ko lang po ako at may kasama have determined
sabihin na kung na ako ibang patient’s
mayroon gumugulo pasyente mas verbalization.
sa isip nyo o hindi naging okay ako at
kaya nalulungkot may nakakasama
huwag po kayo hindi na ako
matakot na ipaalam nakakaramdam ng
saamin ito ng sa lungkot at pagkaisa”
gayon ay
matulungan namin
kayo sa paraan na
makakabuti sa inyo”

“gusto ko lang po Exploring “maraming salamat THERAPEUTIC. I

magpasalamat dahil din” have determined
sa konting oras natin patient’s
magkasama, verbalization.
naibahagi nyo ang
buhay nyo at
nagtiwala kayo
saamin”
EVALUATION:

We had a pleasant discussion. Even though it was a virtual interview, we formed a rapport.
He's more at ease when answering queries. He was able to recall events from the past. The patient is
relaxed and confident in his responses.

Signature Over Printed Name of Student Nurse: Joanne M. Perez

Signature Over Printed Name of Student Nurse: Maria Victoria Valencia

Inclusive date of Duty: May 6, 2022