Situation 3

You call to visit Mrs. Malabanan who is a 46 year old woman with twenty four history of
schizophrenia. Mrs.Malabanan opens the door to you and let's you in but doesn't say anything to
you and sits in the corner of the room muttering to herself.

Conversation Explanation:
 gigising ka sa umaga, then papatayin mo yung alarm mo na parang nanghihina, tapos
hahawakan mo yung ulo mo na parang masakit tapos babangon ka at haharap sa salamin sa
banyo tapos may makikitang something na gamot(haloperidol) mo na iniinom mo then
itataktak mo ubos na tapos kung ano ano yung naiisip mo na. Naconfused kana kasi wala ng
gamot tapos maghihilamos ka at magmumumog then pagkaharap mo sa salamin may tao na
parang imagination mo lang ganon magugulat ka then pinpakalma mo yung sarili mo tapos
papasok na yung Convo natin na to:
 you wake up in the morning, then you turn off your alarm like it's failing, then you hold your
head like it hurts then you get up and face the bathroom mirror then you see something
medicine (haloperidol) you're taking then you stamp it down that's done what you're thinking.
You are confused because there is no medicine then you wash and murmur then when you
face the mirror there is someone who is just like your imagination so you will be surprised
then you calm yourself then our Convo will enter:

Explanation: What is schizophrenia?

 A long-term mental disorder of a type involving a breakdown in the relation between

thought, emotion, and behavior, leading to faulty perception, inappropriate actions and
feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a
sense of mental fragmentation.
 There are five types of symptoms characteristic of schizophrenia: delusions, hallucinations,
disorganized speech, disorganized behavior, and the so-called “negative” symptoms.
However, the symptoms of schizophrenia vary dramatically from person to person, both in
pattern and severity.

 And also Schizophrenia is caused by a chemical imbalance and other changes in the
brain. It tends to run in families, but the environment may also play a role. While it affects
men and women the same, symptoms tend to start earlier in men than in women.
 Therapeutic Communication Technique
-Therapeutic communication is defined as the face-to-face process of interaction that focuses
on advancing the physical and emotional well-being of a patient. Nurses use therapeutic
communication techniques to provide education and support to patients, while maintaining
objectivity and professional distance.
Conversation Therapeutic Communication Technique
Nurse
*knock* Greetings and
“Ms. Malabanan? Are you there ma'am? Sitting near to the client
*knock 3x* Her action of giving a sign of welcome or
recognition.
Patient
“open the door”
*but doesn't say anything to you*
*sits in the corner of the room muttering to
herself*
Nurse
“Good day Mrs. Malabanan. My name Viella
Clarisse Domingo. And I’m your nurse today. Broad Opening
So, what are you thinking about?” *clearly Broad opening statements To allow the
and slowly voice* patient to pick the topic, take the initiative to
express self, and set the direction of the
Patient conversation.
*talking herself again*
Nurse
“By the way, how are you today Mrs. Making Observation
Malabanan?” Observations about the appearance,
demeanor, or behavior of patients can help
draw attention to areas that might pose a
Patient problem for them.
“I’m always fine" *sarcastic smile*
Nurse
“good to know Mrs. Malabanan” Making Observation

Patient
* Sarcastic smile again*
Nurse
“Mrs. Malabanan let’s just eat and take some
medicine after”
Offering Hope
Patient You want it to be true or to happen, and you
*sarcastic smile again* usually believe that it is possible or likely
*maingay na paligid, naghahallucinate*
Nurse
"i'll just come back Mrs to see you again

Patient
*done eating*

Nurse
"I'm going to give you a medicine ma'am"
*Already take*

Nurse
“Mrs.Malabanan did you have a nice visit So parang iniiba niya po yung situation para
with your family earlier? I see they brought ma lessen yung feeling
some of your pictures with them.”

Patient Placing the Event in Time or Sequence

"No! I don't want to be with them again!
*sounds like attacking Mrs. Malabanan*
Asking questions about events occurred in
relation to other events can help patients (and
nurses) get a clearer sense of the whole
picture. It forces patients to think about the
sequence of events and may prompt them to
remember something they otherwise
wouldn’t.

Nurse
“you’re so nice with your family maam”
"you know ma'am your family loves you very
much" Offering Hope
Because hospitals can be stressful places for
Patient
patients, sharing hope that they can persevere
*nakakita Ng lalaki sa likod*
through their current situation and lightening
*Talking herself again*
the mood with humor can help nurses
* Nababaliw na, hinahawakan ulo at titingin
establish rapport quickly. This technique can
sa paligid*
keep patients in a more positive state of mind.
Nurse
“Calm down ma'am, everything gonna be
alright"
"I know your case is hard but I don't lose
hope that you will be healed soon"

Patient
*smiled at you*

*After a couple of days*

Nurse
"I call to visit again Mrs. Malabanan"
"Mrs. Malabanan? *knock 3X*

Patient
*silently open the door*

Nurse Silently listening

"How are you ma'am?" At times, it’s useful to not speak at all.
Deliberate silence can give both nurses and
Patient patients an opportunity to think through and
"I'm better than other day" process what comes next in the conversation.
It may give patients the time and space they
Nurse need to broach a new topic. Nurses should
"Oh good! Good to hear that to you ma'am" always let patients break the silence.

Patient
"Thank you for making me special and
always giving me hope as well, nurse!

Nurse Informing
“Mrs. Malabanan, recalls what happened last Give an essential or formative principle or
time, I wasn't hurt. I felt you don't need me. quality to.

Patient
"I'm so sorry for what happened
*regretful*