De Guzman, Anna Marie C.

BSN 112

PROCESS RECORDING:

Name: Calisin, Jose

Address: 3285 Jervois Makati

Age: 62 yrs. Old

Sex: male

Educational Attainment: High School graduate

Date of N.P.I.: September 4, 2010

Setting: Inside the area of RBTC

Description of the Environment: The place is quiet, but there are people besides us
and passing by.

Objectives:

1. To be able to establish rapport with the client.

2. To set contact with the client.

3. To assess the client’s needs and problems through verbal and non-verbal
communication with her, using therapeutic communication techniques.

4. To apply learned skills in assessing and communicating with the client for
effective N.P.I.

5. To gain awareness of how my behaviour affects my client and how her behaviour
in turn affects me.

Description of the Patient:

When I approached Tatay Jose, he just finished to take a bath and fixed himself.
He is cooperative and he answers my questions appropriately. He appears healthy and
well groomed. I noticed that while we we’re talking to each other, he have a lonely
appearance. He speaks clearly and when a question asked to him, he answers the
question directly with elaborating his answer further. When I smiled at him, he smiles
also, but mostly he has no reaction while talking.
 NURSE – PATIENT INTERACTION

NURSE PATIENT ANALYSIS TECHNIQUE USED

Orientation Phase
• Magandang • Magandang Informing the client Giving Recognition
umaga po! umaga din. of facts increases
his/her knowledge
about a topic or lets
the client know what
to expect. The
nurse is functioning
as a resource
person. Giving
information also
builds trust with the
client.

• Tatay Jose, ako • Ok lang naman. Greeting the client Giving Information
nga po pala si A- by name, indicating
em, galing po ako awareness of
sa FEU. Kami po change, or noting
ay mga student efforts the client as
nurse, nandito po a person, as an
kami para individual. Such
magbigay ng mga recognition does not
activities sa inyo carry the notion of
ngayong araw na value, that is, of
ito hanggang being ”good” or
bukas. Bali po sa “bad.”
bukas ay may
socialization po
tayo. Ngayon po,
makikipag-
kwentuhan po
muna ako sa iyo.
Mga 30 minutes
 lang poi to. May
mga ilang
kantanungan po
ako sa iyo. Ok
lang po ba?

Working Phase
• Kamusta ka po? • Mabuti naman. When clients deal Exploring
with topics
• Ano po ang iyong • Jose Calisin superficially,
buong pangalan? exploring can help
them examine the
• Ilang taon ka na • 67 issue more fully.
po? Any problem or
concern can be
• Kelan po ang • January 12, 1948 better understood if
birthday mo? explored in depth. If
the client expresses
• San po kayo • Makati City an unwillingness to
nakatira noong explore a subject,
hindi ka pa na- however, the nurse
admit dito? must respect his or
her wishes.
• May asawa kana • Meron
po ba?

• Sino po ang mga • Asawa at anak ko

kasama mo sa
bahay nyo dati?

• Ano po ang • High School lang

natapos mong ang natapos ko.
kurso?

• Nagtatrabaho ka • OFW ako, sa

po ba dati? Ano po construction ako
yung trabaho mo? nagtatrabaho.
Madaming bansa
na din ang
napuntahan ko.

• Bale OFW po pala • Sa construction

The nurse should Seeking Information
kayo. Ano pong ako, nagtatrabaho
 mga ginagawa nyo ako ng mabuti, seek clarification
doon sa nakafocus lang throughout
pinagtatrabahuhan talaga ako kasi interactions with
mo? iniisip ko yung clients. Doing so
mga anak ko. can help the nurse
to avoid making
assumptions that
understanding has
occurred when it
has not. It helps the
client to articulate
thoughts, feelings,
and ideas more
clearly.

• Sabi mo po kanina • Nasa Bahay The nurse repeats Restating

meron po kayo namin, what the client has
anak at asawa. magkakasama sila said n
Pwede ko po ba nagyon approximately or
malaman kung nearly the same
nasan sila? words he client has
used. This
restatement lets the
client know that he
or she
communicated the
idea effectively. This
encourages the
client to continue.
Or if the client has
been
misunderstood, he
or she can clarify
his or her thoughts.

• Ah, ang itatanong • Nadepressed When clients deal Exploring

ko naman po ay kasi ako dahil sa with topics
kung ano po ang trabaho ko, dahil superficially,
nangyari at naloko ako ng exploring can help
ipinasok po kayo agency for the them examine the
dito? Ok lang po last time. issue more fully.
ba na ikwento mo Masyado ko yun Any problem or
sa akin at kung dinamdam at concern can be
 kelan po kayo na- dahil dun dinala better understood if
admit dito? ako ditto ng explored in depth. If
asawa ko dahil the client expresses
sobrang an unwillingness to
depressed na explore a subject,
daw ako. however, the nurse
must respect his or
her wishes.
• Kalian po • Nung mga ilang
nagsimulang buwan din
madepressed simula ng naloko
kayo? ako ng agency,
wala kasi ako
magawa nun
kaya dinamdam
ko talaga.

• Ano po ginawa • Wala ako gaano It may be helpful for Formulating a plan
ninyo para mawala ginagawa kaya the client to plan in of action
yung depressed? nadepressed advance what she
talaga ako. or he might to in the
future similar
situations. Making
definite plans
increases the
likelihood that the
client will cope more
effectively in a
similar situaion.

• Mayroon po ba • Meron, eto ay Broad openings Broad openings

kayo nais yung make explicit that
ibahagi? Handa napagtapos ko the client has the
po ako makinig yung mga anak lead in the
sa inyo tay. ko sa kolehiyo. interaction. For the
Kahti sabay client who is
sabay sila. hesitant about
taking, broad
openings may
stimulate him or her
to take the initiative.
• Naku isang • Syempre
malaking masaya ako yun
tagumpay po nga lang malayo
iyan, ano po ang ang loob nila sa
pakiramdam? akin kaya
nalulungkot din
ako.
Another means of Voicing Doubt
• Saludo po ako • Talaga? responding to
sainyo dahil sa Mukhang hindi distortions of reality
napagtapos naman. Dahil is to express doubt.
ninyo sila, ang malayo loob nila Such expression
swerte po nila sa sa akin. permits the client to
inyo. become aware that
the other do not
necessarily perceive
events in the same
way or draw the
same conclusions.
This does not mean
the client will alter
his or her point of
view, but at least
the nurse will
encourage the client
to reconsider or re-
evaluate what has
happened. The
nurse neither
agreed nor
disagreed; however,
he or she has not let
the misperceptions
and distortions pas
without comment.

• Naku tay,wag po • .............siguro Sometimes clients Making

kayo malungkot nga cannot verbalize or observations
at mawalan make themselves
ngpag asa. understood. Or the
client may not be
ready to talk.
• Sige po • Salamat a-em An accepting Accepting
tay,naintindihan response indicates
kopokayo. the nurse has heard
and followed the
train of thought. It
does not indicate
agreement but is
nonjudgmental.
Facial expression,
tone of voice, and
so forth also must
convey acceptance
or the words lose
their meaning.

• Tay may gusto • Wala naman, General leads General leads

pa po ba kayo masaya ako at indicate that the
sabihin? nandito kayo nurse is listening
mga nursing and following what
student para the client is saying
hindi kami without taking away
mainip the initiative for the
interaction. They
also encourage the
client to continue if
he or she is hesitant
or uncomfortable
about the topic.
TERMINATION
PHASE

Tay maraming • Maraming Giving recognition in Acknowledging

salamat po sa salamat din iha a nonjudgmental
pagbabahagi ninyo sa pagpunta way of a change in
tsaka kooperasyon ninyo dito para behavior, an effort
ninyo po sa amin. the client has made
or a contribution to
a communication.
Acknowledgment
may be with or
without
understanding
verbal or nonverbal.