PATIENT HAS A MOEBIUS SYNDROME

CONVERSATION THERAPEUTIC OR NON- RATIONALE

THERAPEUTIC USED

Dr. Andrews: So Are you up with THERAPEUTIC – REFLECTING The Doctor used reflecting to
this? verify the situation back to the
Patient, and to finalize the
Patient: Yes, I am very up for decision .
this.

Dr. Murphy: Do you want to be a
comedian? People getting your
jokes must be very important to
you, if you think it’s worth the
risk of dying during elective
surgery.
NON – THEREPEUTIC – VALUE Dr. Murphy used Value
JUDGEMENTS Judgements to make the PT think
that it is a wrong idea and also
stating the risk of the surgery.

Patient : *speechless and shock*

Lucy has a post-op infection

of unknown origin.

CONVERSATION THERAPEUTIC OR NON RATIONALE

THERAPEUTIC USED

Dr. : Lucy, I know I gave you a THERAPEUTIC – STATE BEHAVIOR Doctor used state behavior as he
script for antibiotics, along with OBSERVED. observed that the patient is not
one for pain meds. Why haven’t taking her antibiotics even the
you been taking your antibiotics? doctor gave her the script.

Patient : I never filled my

prescription. I didn’t It was
necessary until it got really bad,
and then I was too weak to go
myself, and I didn’t have anyone
to pick it up for me.

Patient : I’m sorry. I know it was NON – THERAPEUTIC - Female doctor used reflecting to
stupid. REFLECTING bring back the idea to the patient
that it is a stupid behavior.
Female Dr. Very stupid.
Patient : My dad said that
you’re on the spectrum. That’s
why you said that about people
getting my jokes.

Dr. People always get my jokes.

Patient : The you’re very luck.

Dr. That was a joke.

Patient : I see what you did

there.
Patient: You really think this
surgery’s too risky?

Dr. Possible complications

include embolism, hemorrhage,
collateral paralysis, asymmetry,
brain damage and stroke. It’s
also expensive and medically
unnecessary.

CONVERSATION THERAPEUTIC OR NON RATIONALE

THERAPEUTIC USED
Dr. : Gretchen, are you worried THERAPEUTIC – FOCUS ON The doctor used focus on
that your dad can’t afford this FEELINGS feelings as the client is worried
surgery? about the cost of her surgery.

Patient: It’s elective

Dr. In my opinion, it’s medically NON THERAPEUTIC – FLASE The Dr. used false reassurance as
necessary. REASSURANCE He state to the Patient that it is
medically Necessary even
though it is elective.

CONVERSATION THERAPEUTIC OR NON RATIONALE

Patient : My dad said that
you’re on the spectrum. That’s
why you said that about people
getting my jokes.
THERAPEUTIC USED
THERAPEUTIC – NEUTRAL Dr. Murphy used neutral
RESPONSES responses as He answered the
Patient’s Question.

Dr. People always get my jokes.

Patient : The you’re very luck.

Dr. That was a joke.

Patient : I see what you did

there.
Patient: You really think this NON THERAPEUTC – LITERAL DR USED LITERAL RESPONSES AS
surgery’s too risky? RESPONSES HE STATE ALL THE RISK OF THE
SURGERY MAKING THE PATIENT
Dr. Possible complications DOUBT AND WORRIED.
include embolism, hemorrhage,
collateral paralysis, asymmetry,
brain damage and stroke. It’s
also expensive and medically
unnecessary.

CONVERSATION THERAPEUTIC OR NON RATIONALE

THERAPEUTIC USED
‍

CONVERSATION THERAPEUTIC OR NON RATIONALE

THERAPEUTIC USED
DR. Kalu: Are you sure you don't THEREPEUTIC – REFLECTING DR KALU USED REFLECTING TO
want GIVE BACK THE DECISION TO
something for the pain? THE PATIENT AND TO GO ON
WITH THE PROCEDURE.
PT.: No. No, I'm good,
as long as you keep
talking to me.
Dr. How about NON THERAPEUTIC – LITERAL DR USED LITERAL RESPONSES AS
the time RESPONSES THE CLIENT AS HIM TO TALK TO
 I finally found myself HER BUT THE DOCTOR TALK
in the perfect situation? ABOUT HOW HE SCREWED UP
You know, work, MAKING THE CLIENT WORRIED
friends, future, AND UNCOMFORTABLE.
something
I never really had before.
Maybe that's why
I screwed it up.

How do you think, Therapeutic Communication is helping Patient’s?

I’ve been an NA for about 1 year today. A lot of my patient just can’t decide specially if it comes
to the prices of the laboratories and why is it so important. So using therapeutic communication, it can
help the patient to decide, and also it will enlightened them like for example: I have this patient 1/M
with a fever, a Temp. 40. The doctor requested a CBC, PC, UA. But the parents are too sensitive about
the prices, so they just wanted a Doctor’s prescription. So I gave an information of how important these
Lab’s are. If they will deferred it, they’re child will be risk for Seizure or Dehydration. Giving information
in therapeutic way is very important. For a lot of patient has no knowledge about that all they want is
doctor’s prescription but it is better to give a prescription if there’s a baseline.

NAME: PASOQUIN, KENT CARLOS PASOQUIN SECTION: BSN 103

PROF. LAICA L. AMIZOL, RN, MANC,