Department of Nursing

Pilar Rd, Almanza Uno, Las Piñas, 1750 Metro Manila

Shawn Matthew Manuel NGPRO 117

BSN – 3 April 23, 2024

Reflection paper: 4th day in Waling-waling cottage; 10th duty day

As of today’s rotation, our schedule will be in the waling-waling cottage again for

another 3 days of clinical exposure. I missed interacting with the residents living there and

doing activities which makes them happy. For this duty, Ruel was the resident I handled and

performed the planned therapies. He was very cooperative in the activities of our therapy that

I demonstrated. He cannot verbalize words but often produces murmur sounds, do facial

expressions, and do head movements in expressing his feelings. He was always happy

whenever we finished therapy. His fine motor skills are ok, wherein he can grab things and

place them properly, just like what he did in our play therapy. However, when he gets stressed

that he cannot fit a piece in the puzzle, he tends to tap the table with his hand. Also, he likes

being complimented and does high fives. In addition, when I tend to explain and demonstrate

an activity to him, he is very fast in learning it. It is somehow similar to what I did but once

he tried it again and again, he can independently perform it by himself just by commanding

him what to do. In this clinical exposure, you really need to have a lot of patience in order for

you to build rapport with patients like them. Some of their attitudes are somehow bothering,

but you need to be considerate and understanding of their condition and you need to eradicate

those feelings because nurses should be altruistic.

For this day, there are no challenges I experience but I observed to myself that I need

to enhance my ways in communicating with patients with maladaptive patterns. I figured out

the cause of inadequate information of the resident because I cannot think of other ways of

assessing the resident and only utilize my usual ways of observing. Eventually, my exposure
 Department of Nursing
Pilar Rd, Almanza Uno, Las Piñas, 1750 Metro Manila
in the clinic helped me to be more observant and to determine the signs and symptoms of the

resident about a certain disorder.

I have learned, reflected, and enjoyed the first day of our exposure again in the

waling-waling cottage. I hope I will be better the next time I handle another resident and to be

able to know and gain much information with the use of the skills I learned within these past

few days in different cottages. I look forward to building rapport with other residents,

especially Ruel.