PROCESS RECORDING: NURSE-PATIENT INTERACTION

ORIENTATION PHASE (November 24, 2010; 6:00 PM)

Therapeutic
Nurse PATIENT Communication Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal
“Hello! Good - Waves hand “Hello! Good - Waves hand  Giving It shows that the nurse
Afternoon po Sir - Smiles Afternoon din.” - Smiles recognition recognizes the client as
R.C.” - Maintains - Maintains a person, an individual
moderate eye moderate eye that gives the client
contact contact fulfillment of his
- Good and open - Good and open worthiness. In addition,
posture posture it does not imply and
- In face to face - In face to face hold the notion of
position to the position to the value that is of being
client. nurse. “good or bad”.

“Ako po si - Moderate eye “Ako naman si - Maintains  Giving Informing the client of
Marianne, 3rd contact R.C. Nagagalak moderate eye information the facts increases his
year nursing - In face to face kitang makilala” contact knowledge about the
student po ng position to the - Good and open topic and what to
Manila Doctors client posture expect on the
College. Ako po - Good and open - In face to face interaction. It also
ang magiging posture position to the builds trust with the
student nurse niyo - Leans forward nurse. client.
simula po ngayon - Smiles
hanggang - Movement of
December 14.” hands
- Shake hands
“Tuwing Monday - Moderate eye No response - Maintains  Establishing Setting up the lucid
to Wednesday contact moderate eye specifics of the boundaries of
nyo po kami - In face to face contact relationship relationship time, date,
makakasama position to the - Good and open time, date, place place and duration of
simula ng 12 PM client posture and duration of meetings clearly
hanggang 8 PM” - Good and open - In face to face meetings orients the patient
posture position to the when. What, where,
- Smiles nurse. and how will begin, go
- Hand gestures on and finally end.

“Sir R.C. gusto ko - Moderate eye No response - Maintains  Establishing To set up a means of
pong malaman contact moderate eye confidentiality respecting the patient’s
niyo na yung mga - In face to face contact right to keep private
information pong position to the - Good and open any information about
makukuha ko client posture his mental and physical
galing sa inyo ay - Good and open - In face to face health and related care.
wala na po akong posture position to the This also means
ibang - Smiles nurse. allowing only those
pagsasabihan - Movement of dealing with patient’s
hangga’t wala hands care to have access to
pong permiso the information that the
niyo.” patient divulges.

“Makikinig po - Moderate eye “Ok yun. Para - Maintains  Establishing Building a trusting
ako sa mga contact naman maaliw moderate eye trust relationship with the
sasabihin ninyo - In face to face kami.” contact patient facilitates a
tsaka magbibigay position to the - Good and open more reliable data
din po kame ng client posture collection because of
mga activities na - Good and open - In face to face the easier disclosure of
makakatulong sa posture position to the information by the
inyo at - Smiles nurse. patient.
makakapagbigay
ng kasayahan”

“Kamusta naman - Moderate eye “Ayos lang - Maintains  Broad It allows the patient to
po kayo dito? contact naman ako.” moderate eye openings take the initiative to
- In face to face contact introduce the topic. It
position to the - Good and open also simplifies that the
client posture
patient has the lead in
- Good and open - In face to face
posture position to the the interaction and to
- Nodding nurse. think of an interesting
- Increased tone of topic for them.
voice

“Maari mo po - Moderate eye “Actually - Maintains  General This gives the patient
bang itanong contact nandito lang ako moderate eye leads an encouragement to
kung ano po ba - In face to face for safe keeping. contact continue on what he is
ang dahilan ng position to the Ang case ko kasi - Good and open saying. It also indicates
pamamalagi nyo client love depression posture that the nurse is
dito?” - Good and open tapos gumamit - In face to face listening and following
posture din ako ng drugs position to the what the patient is
- Slightly leaning e gusto ko agad nurse. talking about without
forward maagapan kaya taking away the
voluntary ako initiative for the
pumunta dito. interaction.
Akala nga nila
yung kapatid
kong special
yung papasok
dito kasi
nakaporma pa
ako nun.”
“Ano pong - Moderate eye “Nagkaroon kasi - Maintains  Exploring
dahilan ng love contact kami ng moderate eye This means delving
depression nyo?” - In face to face problema ng contact further into a subject or
position to the girlfriend ko. - Good and open an idea. This also
client Ang daming lies. posture explores the patient to
- Good and open Una, sabi nya - In face to face help them examine the
posture single siya e position to the issue more fully, not
hanggang sa nurse. only superficially.
naging close
kami sinabi rin
nya na may
asawa siya for 2
years pero
hiwalay na sila
tapos may anak.
E umuwi yung
asawa galing
Taiwan.”

No response - Moderate eye “Nakakatawa pa - Maintains  Silence Provides limit to put

contact nga e. Kasi moderate eye clients actions, thoughts
- In face to face bumili ako sa contact or feeling into words and
position to the tindahan tapos - Good and open shows place of
client ako pa yung posture interaction gives time to
- Good and open pinagtanungan - In face to face develop inside.
posture nung lalaki kung position to the
- Nods saan nakatira si nurse.
R. Tapos tinuro
ko pa tapos yun
pala yung
asawa.”
“Ano na po ang - Moderate eye “Galit pero hindi - Maintains  Encouraging
nararamdaman contact ko yun masabi sa moderate eye expression Helps the client
nyo kay R - In face to face harap niya.” contact appraise his own rather
ngayon?” position to the - Good and open than accept the opinion
client posture of others.
- Good and open - In face to face
posture position to the
nurse.

“Nasaan po ba - Moderate eye “Nasa Bulacan - Maintains  Exploring

siya?” contact na sila.” moderate eye This means delving
- In face to face contact further into a subject or
position to the - Good and open an idea. This also
client posture explores the patient to
- Good and open - In face to face help them examine the
posture position to the
issue more fully, not
- Slightly leaning nurse.
forward only superficially.

This means
“Pwede po bang - Moderate eye “Si R at ang anak - Maintains  Focusing
malaman sino po contact namin.” moderate eye concentrates on a
yung sila na - In face to face contact single important point.
tinutukoy nyo?” position to the - Good and open
client posture
- Good and open - In face to face
posture position to the
- Movement of nurse.
hands
“Ah may anak po - Moderate eye “Oo. Mag 1 year - Maintains  Restating This means repeating
pala kayo?” contact old na nga siya e. moderate eye the main idea
- In face to face Baby girl.” contact expressed by the client.
position to the - Good and open This lets the client
client posture know that he
- Good and open - In face to face communicated the idea
posture position to the effectively. This also
- Movement of nurse. encourages the client to
hands continue. In addition, if
the client has been
misunderstood, he can
clarify his thoughts.

“Ano yung - Moderate eye “Hinahayaan ko - Maintains  Formulating This means planning in
ginagawa niyong contact na lang. Lilipas moderate eye a plan of advance what he might
paraan para - In face to face din naman kasi contact action do in certain situations.
mawala yung galit position to the yun. Ginagawa - Good and open Making definite plans
niyo kay R?” client ko na lang ito posture increases the likelihood
- Good and open para sa anak - In face to face that the client will cope
posture namin.” position to the more effectively in a
nurse. similar situation.
WORKING PHASE ( November 30, 2010; 6:00 PM)
Therapeutic
Nurse PATIENT Communication Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal

“Hello po Sir R.C. - Waves hand “Okay lang ako.” - Waves hand  Giving It shows that the
Kamusta naman po - Smiles - Smiles recognition nurse recognizes
kayo?” - Maintains - Maintains the client as a
moderate eye moderate eye person, an
contact contact individual that
- Good and open - Good and open gives the client
posture posture fulfillment of her
- In face to face - In face to face worthiness. In
position to the position to the addition, it does
client. nurse. not imply and hold
the notion of value
that is of being
“good or bad”.

“Napansin ko pong - Moderate eye “Medyo depressed - Maintains  Making This is verbalizing
medyo matamlay contact kasi dinalaw ako ni moderate eye observations what the nurse
po kayo ngayon. - Good and open R kasama yung contact perceives that
Ok lang po ba posture anak naming pati - Good and open sometimes patient
kayo?” - In face to face parents ko. Hindi posture cannot verbalize or
position to the naging maganda - In face to face make themselves
client. yung usapan position to the understood or the
- Slightly leaning namin” nurse. patient may not be
forward ready to talk.
“Paano niyo po - Moderate eye “Masyado pong - Maintains This gives the
nasabi na hindi contact mabilis yung moderate eye  General leads patient an
naging maganda - Good and open pagbisita nila kaya contact encouragement to
yung usapan posture uminit yung ulo ko. - Good and open continue on what
niyo?” - In face to face Tapos hindi pa posture he is saying. It also
position to the kami makapagusap - In face to face indicates that the
client. ng maayos kasi position to the nurse is listening
nandyan parents nurse. and following what
ko.” the patient is
talking about
without taking
away the initiative
for the interaction.

Looking at
“Kumpara niyo po - Moderate eye “Actually first - Maintains similarities and
sa nakaraang dalaw contact dalaw nga nila yun moderate eye  Encouraging differences.
nila sa inyo, gaano - Good and open e. 15 minutes nga contact comparison
po katagal yung posture lang sila.” - Good and open
pinakamatagal - In face to face posture
nilang dalaw?” position to the - In face to face
client. position to the
nurse.
It explores the
“Ano pong dahilan - Moderate eye “May - Maintains patient to help
at saglit lang sila contact aasikasikasuhin pa moderate eye  Exploring them examine the
bumisita sa inyo?” - Good and open daw kasi si R. contact issue more fully,
posture Ewan ko ba kung - Good and open
not only
- In face to face ano yun. Sa liga posture
position to the daw! Ang babaw - In face to face superficially.
client. noh? Halatang may position to the
kasalanan.” nurse.
This is expressing
“Ah ganun po ba?” - Moderate eye “Oo. Tapos yung - Maintains uncertainty about
contact baby ko pa parang moderate eye  Voicing doubt the reality of the
- Good and open nagkatinginan pa contact patient’s
posture kami tapos binuhat - Good and open
perceptions which
- In face to face ko maya maya posture
position to the umiyak.” - In face to face permits the patient
client. position to the to become aware
nurse. that others do not
necessarily
perceive events in
the same way like
others or draw the
same conclusion.
The nurse will
encourage the
patient to re-
evaluate what has
happened.

Helps the client

“Ano po yung - Moderate eye “Medyo kinabahan - Maintains appraise his own
naramdaman niyo contact kasi first time kong moderate eye  Encouraging rather than accept
nung umiyak yung - Good and open nabuhat yung bata contact evaluation
anak niyo?” posture pero masarap yung - Good and open the opinion of
- In face to face feeling.” posture others.
position to the - In face to face
client. position to the
nurse.

Assessing time
“Natatandaan niyo - Moderate eye “Nung Sunday. - Maintains frame and
po ba kailan nyo po contact November 28.” moderate eye  Placing time or sequence of an
binuhat yung anak - Good and open contact event in event overtime.
niyo?” posture - Good and open sequence
- In face to face posture
position to the - In face to face
client. position to the
nurse.
This means
“Sa tingin niyo po - Moderate eye “Paglabas ko dito - Maintains planning in
ano po yung pwede contact aayusin ko buhay moderate eye  Formulating a advance what he
niyong magawa - Good and open ko para sa baby ko. contact plan of action might do in certain
pag labas niyo dito posture Tatayo ako ng - Good and open situations. Making
para mapalapit - In face to face business tska posture definite plans
yung loob ng anak position to the aayusin ko yung - In face to face increases the
niyo sa inyo?” client. relationship namin position to the likelihood that the
ni R in a casual nurse. client will cope
way.” more effectively in
a similar situation.

WORKING PHASE (December 1, 2010; 6:00 PM)

 Therapeutic
Nurse PATIENT Communication Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal

“Good afternoon - Moderate eye “Good Morning - Maintains  Giving It shows that the
po Sir R.C.” contact din.” moderate eye recognition nurse recognizes
- Good and open contact the client as a
posture - Good and open person, an
- In face to face posture individual that
position to the - In face to face gives the client
client. position to the fulfillment of his
- Smiles nurse. worthiness. In
- Waves - Smiles addition, it does not
- Nods imply and hold the
notion of value that
is of being “good or
bad”.

“Kamusta na po - Moderate eye “Medyo okay na - Maintains  Broad openings It allows the patient
kayo?” contact ako. Kelangan ko moderate eye to take the initiative
- Good and open na mag move on contact to introduce the
posture basta para sa baby - Good and open
topic. It also
- In face to face ko ito.” posture
position to the - In face to face simplifies that the
client. position to the patient has the lead
- Slightly leaning nurse. in the interaction
forward and to think of an
interesting topic.

This gives the

“Ah ganun po ba?” - Moderate eye “Oo. Mas okay na - Maintains  Accepting patient an
contact siguro ng ganun.” moderate eye encouragement to
 - Good and open contact continue on what
posture - Good and open he is saying. It also
- In face to face posture indicates that the
position to the - In face to face nurse is listening
client. position to the and following what
nurse. the patient is
talking about
without taking
away the initiative
for the interaction.

“Maiba naman po - Moderate eye “Dala ng curiosity - Maintains This gives the
tayo. Nasabi nyo contact nung kabataan at moderate eye  General leads patient an
po nung 1st day - Good and open impluwensya nang contact encouragement to
natin na drug user posture mga kabarkada.” - Good and open continue on what
po kayo. Sa - In face to face posture he is saying. It also
papanong paraan position to the - In face to face indicates that the
niyo po natutunan client. position to the nurse is listening
mag drugs?” nurse. and following what
the patient is
talking about
without taking
away the initiative
for the interaction.

“Kailan niyo po ba - Moderate eye “15 yrs old pa lang - Maintains It helps both the
unang natikman contact ako nun. Hindi ko moderate eye  Placing event in nurse and the client
yung drugs?” - Good and open na natatandaan contact time and to see relationship of
posture yung exact date.” - Good and open sequence events in perspective.
- In face to face posture
position to the - In face to face
client. position to the
nurse.

“Saan niyo po ba - Moderate eye “Sa tito ko nakuha. - Maintains It explores the
unang nakuha contact Akala ko lang moderate eye  Exploring patient to help them
iyon?” - Good and open pagkain yun ng contact examine the issue
posture isda tapos bigla - Good and open more fully, not only
- In face to face akong nilapitan ng posture superficially.
position to the barkada ko. - In face to face
client. Tinikman niya at position to the
sinabi niya na nurse.
shabu nga daw
yun. Tinikman ko
din at dun na
nagsimula.”

“Tapos po?” - Moderate eye “Ilang buwan lang, - Maintains This gives the
contact pina rehab na ako moderate eye  General leads patient an
- Good and open ng parents ko. Pag contact encouragement to
posture labas ko, nagshabu - Good and open continue on what
- In face to face pa din ako. Pero on posture he is saying. It also
position to the and off naman.” - In face to face indicates that the
client. position to the nurse is listening
nurse. and following what
the patient is
talking about
without taking
away the initiative
for the interaction.
“Bukod po sa - Moderate eye “Nagtry din ako ng - Maintains It explores the
shabu, ano pa po contact marijuana pero moderate eye  Exploring patient to help them
yung ibang drugs - Good and open alternate sila ng contact examine the issue
na ginamit nyo?” posture shabu.” - Good and open
more fully, not only
- In face to face posture
position to the - In face to face superficially.
client position to the
nurse.
This directs the
“Ano pong - Moderate eye “Paiba iba e. - Maintains
patient’s actions,
pakiramdam pag contact Madalas masaya moderate eye  Reflecting thoughts and
gumagamit ng - Good and open na walang dahilan. contact
feelings back to the
drugs?” posture Feeling ko nga - Good and open
patient and
- In face to face para akong si posture
encourage patient
position to the James Bond laging - In face to face
to recognize and
client tumitingin sa position to the
accept his own
salamin. Minsan nurse.
feelings.
din malungkot.”

“Ano pong balak - Moderate eye “Gusto kong - Maintains

This means
niyong pagka contact magaral kahit moderate eye  Formulating a planning in advance
abalahan kapag - Good and open vocational lang contact plan of action what he might do in
kayo po ay posture kasi ayoko na - Good and open
certain situations.
pinagbigyan na - In face to face maging dependent posture
Making definite
makabalik sa position to the sa parents ko at - In face to face
plans increases the
inyo?” client maranasan ulit position to the
likelihood that the
yung mga nangyari nurse.
client will cope
sa buhay ko.
more effectively in
Gagawa din ako ng
a similar situation.
business at aayusin
ko ang pamilya
ko.”
TERMINATION PHASE (December 13-14, 2010; 6 PM)
Therapeutic
Nurse PATIENT Communication Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal

“Good Afternoon - Moderate eye “Good Afternoon - Moderate eye  Giving It shows that the
Sir R.C.” contact din.” contact recognition nurse recognizes
- Good and open - Good and open the client as a
posture posture person, an
- In face to face - In face to face individual that
position to the position to the gives the client
client. nurse. fulfillment of her
- Smiles - Smiles worthiness. In
- Waves - Nods addition, it does
not imply and hold
the notion of value
that is of being
“good or bad”.

“Kamusta po - Mode “Ok lang - Moder  Broad openings It allows the

kayo?” rate eye naman.” ate eye patient to take the
contact contact initiative to
- Good - Good
introduce the
and open and open
posture posture topic. It also
- In - In simplifies that the
face to face face to face patient has the
position to position to lead in the
the client. the nurse. interaction and to
 - Sligh - Smile think of an
tly leaning s interesting topic
forward for them.
“Tulad po nang  Giving Informing the
aming binanggit “Ah oo nga information client of the facts
nung unang araw pala.” increases her
ng nakasalamuha - Mode knowledge about
namin kayo, ang rate eye - Moder the topic and what
ating huling araw contact ate eye to expect on the
ay December 14 - Good contact interaction. It also
which is today.” and open - Good builds trust with
posture and open the client.
- In posture
face to face - In
“Sa nakalipas na position to No response face to face  Summarizing This is organizing
apat na linggo heto the client. position to and summing up
na po yung nagawa the nurse. which has gone
natin: naglaro, - Decre before and seeks
nagexercise, ased tone of
to bring out the
nagkakwentuhan, voice
nagdrawing, - Mode important points
nagtahi ng wallet, rate eye of discussion and
gumawa ng picture contact - Moder to increase
frame, kumain, at - Good ate eye awareness and
iba pa.” and open contact understanding of
posture - Good both participants.
- In and open
face to face posture It omits irrelevant
position to - In and organizes the
the client. face to face pertinent aspects
position to of interaction. It
the nurse. allows both patient
 - Nods and the nurse to
depart with the
same ideas and
provide a sense of
closure at the
completion of
each discussion.
This is more
effective with
movements of
hands, moderate
eye contact and
good and open
posture.

“Maraming salamat “Merry  Giving It shows that the

po Sir R.C. sa Christmas din. recognition nurse recognizes
tiwala pong Salamat sayo the client as a
ibinigay ninyo sa Marianne at sa person, an
amin, sa mga kaklase mo.” individual that
cooperation at sa gives the client
maganda po fulfillment of her
ninyong worthiness.
pagtanggap. Merry
Christmas. Good - Mode
bye po. Ingat po rate eye
kayo parati.” contact - Moder
- Good ate eye
and open contact
posture - Good
- In and open
face to face posture
position to - In
the client face to face
position to
the nurse.
- Smile
s
- Wave
s