Client s Name: Date: PROCESS RECORDING DAY 1 (March 18, 2011

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NURSE S COMMUNICATION (VERBAL & NON-VERBAL)

CLIENT S COMMUNICATION (VERBAL & NON-VERBAL)

COMMUNICATION TECHNIQUES CLIENT NURSE

(Verbal) Magandang Hapon po, Kuya Adonnis. Ako po si Darwin, isa pong student nurse, andito po ako ngayon para makipaglaro tapos bukas babalik siguro ako (Non-verbal) Open posture, eye contact, moderate voice tone, calm manner.

(Non-verbal) Client was sitting and looking at me in the eye and suddenly divert his attention to television,

Client is not cooperative with the student-nurse unless he was supervised by his father and asks him to follow what we are actually instructing him.

Introduce and offer self to the client. Provides information about the reason for duty in the area. Establishing trust and rapport. Used acceptance of the client s want to be called uncle .

(Verbal) Kuya adonis, tingnan mo toh laro tayo oh, hawakan mo yong kamay ko tapos hugas tayo sa lababo (Non-verbal) Same as number 1, raises hand to let the client hold your thumb

(Non-verbal) He was sitting still looking at me in the eyes with his hands intertwined.

Client doesnt followed the student nurse s instruction. He wasn t able to perform hygiene care on his own with some assistance from the nurse ( e.g offering towel, tootbrush, soap, pail).

Encourage client to perform afternoon care to maintain client s hygiene.

(Verbal) Adonis, tingnan mo nga kung san jan yung ballpen.´ (Non-Verbal) eye contact, smiled at client, stood up and pointed towards the area where the client must proceed.

(Non-verbal) He still looks at me straightly and eventually divert again his sight to the television.

Client is not cooperated during the exercise session. He is hyperactive during the therapy and correcting the movements of the patients beside him indicating authority among all the patients.

Instructed client to participate in the exercise session.

. May paparinig po kami sa inyo na music tapos ito po yung papel at mga pangkulay. Used other language in answering question indicating his multi-lingual skills. ano po ang petsa ngayon? Anon a po ang oras ngayon? (Nonverbal) eye contact. (Verbal) Uncle. smiles after answering. Conducted guided imagery therapy to allow the client to express his feeling and thoughts by means of drawing. (Nonverbal) eye contact. Applaud after client answered the question. calm manner. idrawing nyo po yung ano mang maisip at maramdaman nyo habang pinapakinggan nyo yung music ha. Client answered the student nurse s question indicating that he is orientated to date and time. eye contact. (Non-verbal) Uses hand movements. (Verbal) Uncle. (Non-verbal) Open posture. Client is focused on what he s doing. moderate voice. sit closer to client. moderate voice tone. high-pitch voice. Used closed-ended question to assess client s orientation to date and time. (Verbal) Ano ung pinapanuod mo adonnis? Ganda ah. 13:17 pm. Client cooperated during the therapy. Nakapag-aral po ba kayo sa kolehiyo? Nahirapan po kayo sa buhay working student (Verbal) No problem. and look at him.(Verbal) Uncle Alexis. smile. (Verbal) Enero seis mil dos onse. (Non-verbal) Picked a crayon and started drawing.Provide coloring materials to client. (Non-verbal) smiled and followed the student nurse s interaction. Applaud to give acceptance and recognition to client s participation and correct answer.

Client become serious when talking about his sister indicating a possible conflict Encourage description of perception regarding his hospital stay. calm manner.kaya po tumigil na lang kayo sa pag-aaral ng coruse na Architecture sa UST? Client explained what the drawing is all about. ayoko na bumalik sa bahay ng Client expressed feelings regarding his hospital stay. Applaud to show recognition. moderate voice tone. kasama si Agent Carpio . hoarseness of voice. Assess client s remote memory. (Non-verbal) No eye contact smiled after answering.347 on vacation. Focused on what he is doing. Shared his feelings about the stress he experienced being a working student. Dalawa po kayong magkapatid? Nasaan po ang nanay ninyo? Nasabi nyo po na ayaw nyo ng bumalik sa bahay. calm manner (Non-verbal) Slight eye contact. Used restatement to repeat client s response. ang tagapagligtas. Client provided background of his educational attainment. Mas gusto ko na nga dito kaysa sa labas. Saan naman po kayo nag elementary at highschool? (Non-verbal) Eye contact. Obtain data about educational attainment. laughed after answering the question. (Verbal) Aba oo. Express some insight of the reason for his hospitalization. (Verbal) Kamusta po kayo dito sa loob? Masaya naman po ba kayo? (Verbal) Si Zorro. Encouraging description if perceptions to allow the client to verbally express his thoughts based on the drawing. Used listening . napalabas na po ba kayo dati dito? (Non-verbal) eye contact. moderate voice tone.

Client feels happy when talking about his mother. hoarseness of voice. Binisita ako ni nanay noong pagkatapos ng Pasko. (Non-verbal) Slight eye contact. 27. Tapos binalik ako dito. Lumabas ako kaso binalik lang din ako sa bahay ng kapatid ko. Client used projection as defense mechanism about the reason for his rehospitalization. annoyed facial expression. Able to recall his support person s last visit in the hospital. Si nanay nasa Bulacan.Used restatement and closed-ended question to know if client was rehospitalized or admitted for the first time? (Verbal) Napansin ko po na marami kayong alam na languages. in his relationship with his sister and about his relationship with the people in his environment sucha s the tricycle drivers in their vicinity. Assess client s recent memory regarding last visit of relative. ginagawa akong houseboy.Holding his hands. (Verbal) Oo.leaning slightly to show interest. mga buwaya sila. ako pa naman patay kung patay.2010? (non-verbal) eye contact. Mas malapit ako sa kanya. paano. . (Verbal) May bumibisita naman po ba sa inyo dito? bale.Di ko sila uurungan. Oo. Used restatement to repeat client s response. Oo.concerned facial expression. skills to elicit client s perceptions. noong Dec. moderate voice tone. calm manner. ginawa na naman akong houseboy. 2 days after. nagsumbong yung mga tricycle driver na hinaharangan ko sila. eh dalawa lang kaming magkapatid. saan nyo po natutunan yun? Magkano naman po ang sinsweldo nyo doon? Nagbibisyo po ba kayo kasi ang laki po ng sweldo nyo sa Kuwait noon eh.Ako yung panganay ginagawa akong houseboy.kapatid ako. binisita po kayo ng nanay nyo 2 days after ng pasko. Oo. December 27. (Non-verbal) Smiled when mother was mentioned.

Tapos na po. Balik na po tayo doon para po makakain na Yung Dival saka Lithium. ano daw po ang sakit ninyo? Ang ibig nyo po bang sabihin ay Bipolar po? (Verbal) Wala pero may syota ako. Aba malaki. abala sa pulitika.(Verbal) Nagtrabaho ako sa Manila hotel tapos nagtrabaho din ako as Kuwait may conference kasi doon para sa World War 3. Inom at yosi pero kapag may okasyon lang kasama yung mga katrabaho ko Minsan langs a isang linggo. Iba t iba ang kasama ko doon. nasa pulitika. 3 months lang ako doon. laughed after answering the question. Client was aware of his current mental health . Confidential. syete poses kada isang dinar. Kaya ang laki ng napapadala ko kay nanay. pati mga British. Verbal( Uncle. punta na po tayo doon. Client answered the question but refused to give further insights about hi personal relationship. (Verbal) Noong pinasok po kayo dito at tinignan ng doctor. Assess previous lifestyle particularly vices. Made observations to verbalize what is perceived. Client shows interest in discussing about his previous jobs and vices that may indicate satisfaction and reminiscing his previous experiences. Sila ang pinakamabait na tao sa mundo. Medyo. Assess client s remote memory. (Non-verbal) No eye contact. smile. Ano naman po yung mga gamot na iniinom ninyo? (Verbal) Noon Schizophrenia tapos ngayon Polaroid ba yun? Ayun Bipolar Polaroid haha. ang palitan noon. (Non-verbal) Eye contact. Kakain na po kayo ng merienda pero kailangan nyo po munang maghugas ng kamay. (Verbal) May asawa po ba kayo? Pwede ko po bang malaman ang pangalan? (Non-verbal) Nodding. Slight attention.

moderate tone of voice. Client refused to brush his teeth and agreed to wipe his mouth with towel indicating client s freedom Offered drink to satisfy the client s need for more liquids. Punas nalang po ng bibig para malinis. (Non-verbal) The client immediately emptied his glass and handed it over to the student nurse. The client followed student nurse s instruction. Bbye po. calm manner (Verbal) O sige. heading towards the source of water. condition and the medications that he is taking. (Verbal) Uncle pipila na po kayo papasok ng ward. Performed hand washing.kayo pero magdadasal po muna tayo. Client was calm during the meal time. Used closed-ended question to assess client s awareness of his present health condition and pharmacologic treatment. kailangan nyo na po magtoothbrush ulit para fresh breath pagbalik sa loob ng ward. (Non-verbal) eye contact. Sige. bukas nalang po ulit ako makikipagkwentuhan. Used closed-ended question to assess client s marital status. Used clarification to make clear of client s understanding of the client s mental condition (Polaroid-Bipolar). Encouraged client to perform hand washing for hygienic purposes before meals. (Verbal) Uncle. (Verbal) Ayoko. (Verbal) Sige bukas ulit. (Non-verbal) Client nodded and followed the student-nurse. Nodded to show respect in client s refusal to answer the succeeding question. calm manner smile. moderate tone of voice. kakatootbrush lang kanina. . Okay nay un. (Non-verbal) ) Eye contact. (Verbal) Uncle gusto nyo pa po ba n juice? (Non-verbal)Smile.calm voice. (Non-verbal) Client nodded on student nurse s second suggestion. (Non-verbal) calm voice.

Offered alternatives to maintain client s oral health.of refusal. Terminated the conversation by making final instructions and assurance for the continuation of the interaction the following day. . Client was cooperative until the end of the session.

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