JEDDAH ANNE R.

MARARAC
BN40FREE GROUP 17
PATIENT: ANWAR ANGOLUAN
ST
1 DAY OF NURSE-PATIENT INTERACTION (FEBRUARY 2, 2011)

Nurse verbal Nurse non-verbal Therapeutic Client verbal Client non-verbal Evaluation
communication communication communication communication communication
technique technique technique technique technique
Good afternoon Eye contact Greetings Maganda hapon din Eye contact The client answers
po. Ako po si Smiling Giving information sa iyo jeddah. Body leaning appropriately to the
Jeddah,ang iyong Setting contract backward question.
student nurse
puwede mo akong
tawaging Jedz.
Ano nga po pala Eye contact Seeking information Anwar pero Eye contact The client knows his
ang inyong buong tawagin mo nalang smiling full name
pangalan? akong Pong
Oh sige Anwar, Seeking information Ayon masarap Smiling The client had a
kamusta naman cornedbeef ang good lunch.
ang iyong ulam naming.
tanghalian? Nabusog ako.
Ah! Kaya pala Oo nga eh, sana Smiling The client had a
ganadong Ganado ganun ulit ulam. good lunch and ask
ka ngyon ah? Hangang kelan kayo some question
ditto sa amin?
Siya nga pala Pong Eye contact Seeking information Wala ako The client answers
hangang next week probinsiya pero appropriately to the
lang kami ditto. . may Bahay kami sa question.
Taga san ka pala? Binan, Laguna
May probinsiya ba
kayo?
Ilan po kayo Eye contact Seeking information Tatlo kami Eye contact The client knows
magkakapatid? At Hand movements dalawang babae at Hand movements her siblings.
pang ilan po kayo? ako lang lalake. Sa
 magkakapatid, ako
ang pangalawa.
Ah ganun po ba. Eye contact Seeking information C ate Ailin nasa Eye contact The client was
Nasaan na po ang Nodding laguna at yung Hand movements oriented where his
inyong kapatid bunso kong kapatid sisters stay.
ngayon? nasa japan dun na
siya nakapangasawa
ng hapon.
Ah. Kung gayon po, Eye contact Seeking information Patay na si nanay at Eye contact The client
dinadalaw po ba Hand movements may iba ng pamilya Hand movements sometimes visits
kayo ng inyong na si tatay. Si ate from his siblings.
magulang o mga ailin lang
kapatid mo dito? dumadalaw.
Kailan po yung Eye contact Seeking information Matagal na, mga Body leaning The client tried to
huling dinalaw Hand movements Using silence magtatatlong forward recall the past
kayo? Yung sa buwan na yata, na Hand movements months or date that
pagkakatanda nyo ang nakalipas. had passed when
lang po. her sibling visits him
So matagal tagal na Eye contact Restating or Oo ganun na nga. Hand movements The client seem she
rin po pala ng Hand movements paraphrasing Nodding misses her family a
kayo’y kanilang Using silence lot
dinalaw. May
pagkakataon po ba
na hinahanap
hanap nyo sila?
Ano po ba ang Eye contact Seeking information Nanunuod ako ng Hand movements The client was
inyong mga Hand movements t.v minsan, Body leaning oriented in the
pinagkakaabalahan nakikipagusap sa forward present time.
dito sa loob ng st. mga kaibigan at
Mary Frances? natutulog.
Ah! Ganun ba? Eye contact Acknowledging Naku idol ko si Hand movements The client agreed on
Mabuti naman po Smiling Reflecting Agimat Bong Revilla what I said. The
at kahit papaano ay Nodding at sa babae naman client have crushes
meron kayo idol ko si Vilma in showbiz.
napaglilibangan Santos galling
dito sa loob. umarte eh.
Mahilig ka pala
manuod ng mga
movies. Eh sino
naman crush or idol
mo sa showbiz?
May asawa at anak Eye contact Seeking information Wala. Wala akong Eye contact The client has no
na po ba kayo? asawa at anak. Di pa wife nor girl friend
nga ako nag kaka since birth.
girl friend eh, palagi
akong basted.
Ah ganun po ba, Eye contact Seeking information Wala eh. Hanggang Hand movements The client still recall
ano po pala ang Nodding Grade 6 lang ako Body leaning his school.
kursong inyong nagaaral sa forward
tinapos? mababang paaralan
ng binan, wala kasi
kami pera.
Ah ganun po ba? Eye contact Seeking information Gusto ko maging Smiling The client still know
Pero kung sakali Nodding Police eh sana yun Body leaning his ambition.
bigyan kayo ng yung gusto ko forward
pagkakataon, maging.
makapagaral anu
po ang gusto niyo
maging?
Sige po sa ngayon Eye contact Giving information Sige Smiling The client ready for
hanggang dito na Smiling Acknowledging Hand movements next activity
lang po muna tayo Summarizing and Body leaning
at sisimulan na po planning backward
naming ang mga
inihanda naming
mga activities para
sa inyo.
Sana po ay mag Eye contact Giving information Excited na nga ako Smiling The client ready for
enjoy kayo sa aming Smiling eh, salamat Jeddah! Hand movements next activity
inihandang
programa

JEDDAH ANNE R. MARARAC

BN40FREE GROUP 17
PATIENT: ANWAR ANGOLUAN
2nd DAY OF NURSE-PATIENT INTERACTION (FEBRUARY 7, 2011)

Nurse verbal Nurse non-verbal Therapeutic Client verbal Client non-verbal Evaluation
communication communication communication communication communication
technique technique technique technique technique
Hi Pong! Eye contact Acknowledging Mabuti naman Smiling The client answered
Magandang hapon Smiling Seeking information Jeddah. eto Eye contact some of my
sayo. Kumusta masiglang masigla question.
naman po ang
iyong gising kanina?
Ah ganun ba? Eye contact Seeking information Oo. Masarap nga Eye contact The client had a
Kumain naba kayo Smiling yung pagkain. Smiling good lunch.
ng inyong nodding
tanghalian?
Mabuti naman po Eye contact Acknowledging Paborito ko yung Eye contact The client taught
kung ganun. Ano po Smiling Seeking information adobong pusit Smiling what his favorite
ba ang inyong Hand movements meal.
paboritong ulam?
Ah Ganun po ba? Eye contact Seeking information Hindi ako mahilig sa Hand movements The client taught
Eh sa mga prutas at Smiling gulay pero sa what is his favorite
gulay naman? Nodding prutas, ponkan at fruits.
mansanas
Marunong po ba Eye contact Acknowledging Naku hindi ako Smiling The client answered
kayo magluto? Seeking information marunong magluto Hand movements some of my
eh. Body leaning question.
backward
Ah ganun po ba? Eye contact Seeking information Hindi ako Hand movements The client still
ano po ba ang hilig Smiling masyadong mahilig recalls the games he
mong laro? Nodding mag basket ball used to enjoy
pero naglalaro ako playing before.
ng boxing noon.
Saan naman po Eye contact Seeking information Sa Bahay naming sa Eye contact The client still
kayo naglalaro ng Laguna, may recalls he used to
boxing? punching bag kami enjoy playing
dun. before.
Marunong po ba Eye contact Seeking information Kumakanta ako Hand movements The client sings and
kayong kumanta? Smiling pero di naman Smiling ask question.
masyadong Eye contact
magaling, ikaw
naman Jeddah
kumakanta ka?

Tama lang Pong, Smiling Gusto ko pag may Eye contact The client wants to
ganun kagaling pero talent talent kanta Smiling sing with other
kumakanta lang. tayong dalawa ha? people.
Ah ganun ba? Sa Eye contact Seeking information Tahimik lang ako Eye contact The client answers
tingin ko po Smiling pero mabait. Smiling appropriately to the
masayahin kayong question.
tao tama po ba
ako?
Mabuti po iyon, Eye contact Acknowledging Ay oo nga ikaw din Smiling The client still
para sa ganun ay Smiling mabait at masarap Body leaning smiling face and ask
gumaan ang inyong kausap. Malapit na backward question.
pakiramdam. pala valentines ikaw
sino kasama mo sa
araw na un?
Sa Bahay lang ako, Eye contact Acknowledging Eh ngayon may Eye contact The client still
mag aaral at Smiling minamahal kaba? Smiling smiling face and ask
magbabasa. question.
Oo naman. Family Eye contact Acknowledging Siyempre sa Eye contact The client still
ko at may someone Smiling Seeking information pamilya ko at sa Smiling smiling face.
na din ako inshort, taong nagpapasaya
may BF. Ikaw sakin ngyon
naman kung
bibigyan ka ng isang
puso ngayong
valentines kanino
mo naman ibibigay?
Pamilya at para Eye contact Acknowledging Para sayo, kasi ikaw Eye contact The client still
kanino? Smiling Seeking information lang yung student Smiling smiling face.
nurse na kakaiba sa Body leaning
lahat na kumausap backward
sa akin, mabait ka
kasi sa akin.
Ah ganun ba? Eye contact Acknowledging Magbabagong Hand movements The client answered
Salamat Pong. Ano Smiling Seeking information buhay na ako. Dina Nodding some of my
gagawin mo pag ko gagamit ng Eye contact question.
labas mo dito sa bawal na gamot,
St.Marys? kung may
pagkakataon
magtatrabaho ako.
Mabuti kung ganun Eye contact Acknowledging Sana sana at gusto Nodding The client answered
at makakapag Smiling ko na talaga Eye contact some of my
 bagong buhay kana makalabas namimis question.
paglabas mo. ko na pamilya ko.
Oh siya sige po Eye contact Acknowledging Sige Sige salamat Hand movements The client
Pong at hanggang Hand movements Giving information sayo Jeddah ha? Nodding appreciated what I
dito na lang po Eye contact told to him.
tayo. May mga
activities tayo
mamaya at Sana
magenjoy kayo.

DRUGS NAME MECHANISM ADMINISTRATI INDICATION CONTRAINDICATIO ADVERSE NURSING

OF ACTION ON N EFFECT RESPONSIBILITIES
Clozapine is an Clozapine is given Clozapine is Risperdal) may cause an The most
Generic Name: anti-psychotic once, twice, or eliminated increase in the amount common Assess mental status
medication that three times daily. from the body of clozapine in the side effect of prior to and periodically
Clozapine works by The dose often is by enzymes in blood. This could lead to clozapine is during therapy.
 blocking increased slowly the liver. an increased risk of side drowsiness. • Monitor BP and pulse
receptors in the until the optimal Numerous effects from clozapine. Other side prior to and frequently
Brand name: brain for several dose is found. The medications effects during the period of
Clozaril neurotransmitte full effects of can increase or include dosage adjustment.
rs (chemicals clozapine may not decrease the increased May cause QT interval
that nerves use be seen until several activities of heart rate, changes on ECG.
to communicate weeks after these enzymes increased • Observe patient
with each other) treatment is begun. leading to low salivation, carefully when
including (potentially headache, administering
dopamine type Dosage: ineffective) or tremor, low medication, to ensure
4 receptors, Tablets (orally high blood that medication is
serotonin type 2 disintegrating): (potentially pressure, actually taken and not
receptors, 12.5, 25, 100, 150, toxic) levels of and fever. hoarded.
norepinephrine and 200 mg clozapine in Clozapine •Monitor I&O ratios
receptors, the blood. has and daily eight. Assess
acetylcholine When used anticholiner patient for signs and
receptors, and Route: with these gic effects symptoms of
histamine PO medications, that dehydration.
receptors. the dose of interfere • Monitor for
clozapine may with the development of
need to be function of neuroleptic malignant
reduced or smooth syndrome (fever,
increased. muscles. respiratory distress,
tachycardia, seizures)

DRUGS NAME MECHANISM ADMINISTRATI INDICATIO CONTRAINDICATIO ADVERSE NURSING

OF ACTION ON N N EFFECT RESPONSIBILITIES
Epival binds to For use as Valproic Acid should not Assess mental status
Generic Name: and inhibits Dosage: sole and be administered to Side effects prior to and
Epival GABA adjunctive patients with Hepatic include periodically during
transaminase. Take with food. therapy in the Disease or significant increased heart therapy.
Brand name: The drug's Do not take with treatment of dysfunction. rate, increased • Monitor BP and pulse
Valproic Acid anticonvulsant milk. simple and salivation, prior to and frequently
activity may be complex Effects of Co- headache, during the period of
related to absence Administered Drugs on tremor, low dosage adjustment.
increased brain Route: seizures, and Valproate Clearance : blood pressure, May cause QT interval
concentrations PO adjunctively Drugs that affect the and fever. changes on ECG.
of gamma- Capsule, coated in patients level of expression of • Observe patient
aminobutyric Oral with multiple hepatic enzymes, carefully when
acid (GABA), an Tablet, delayed seizure types particularly those that administering
inhibitory release Oral which include elevate levels of medication, to ensure
neurotransmitter Tablet, coated Oral absence glucuronosyltrans- that medication is
in the CNS, by Capsule Oral seizures. ferases, may increase actually taken and not
inhibiting Syrup Oral the clearance of hoarded.
enzymes that valproate. For example, • Monitor for
catabolize GABA phenytoin, development of
or block the carbamazepine, and neuroleptic malignant
reuptake of phenobarbital (or syndrome (fever,
GABA into glia primidone) can double respiratory distress,
and nerve the clearance of tachycardia, seizures,
endings. valproate. Thus, patients diaphoresis,
on monotherapy will hypertension or
generally have longer hypotension, pallor,
half-lives and higher tiredness, severe
concentrations than muscle stiffness, loss of
patients receiving bladder control.
polytherapy with
antiepilepsy drugs.
DRUGS NAME MECHANIS ADMINISTRATION INDICATIO CONTRAINDICATI ADVERSE NURSING RESPONSIBILITIES
M OF N ON EFFECT
ACTION

Generic Name: Dosage: Acute and Hypersensitivity. • Assess mental status prior to and
Block chronic CNS: neuroleptic periodically during therapy.
Chlorpromazine dopamine Take with full. 10- psychoses, Cross-sensitivity malignant • Monitor BP and pulse prior to and
receptors in 25mg 2=4 times particularly may exist among syndrome, frequently during the period of dosage
Brand name: the brain; also daily; may increase when phenothiazines. sedation, adjustment. May cause QT interval chan
Thorazine alter every 3-4 days accompanied Should not be used extrapyramidal on ECG.
dopamine (usual dose is by increased in narrow-angle reactions, tardive
release and 200ng/day; up to psychomotor glaucoma. dyskinesia • Observe patient carefully when
turnover. 1g/day) activity. •CV: hypotension administering medication, to ensure
Nausea and Should not be used (increased with that medication is actually taken and
Prevention of vomiting. in patients who IM, IV) not hoarded.
seizures Route: have CNS •EENT: blurred
PO Also used in depression. vision, dry eyes, •Monitor I&O ratios and daily eight.
the treatment lens opacities Assess patient for signs and symptoms
of intractable • GI: of dehydration.
hiccups. constipation, dry
mouth, anorexia, • Monitor for development of
hepatitis, ileus neuroleptic malignant syndrome
• GU: urinary (fever, respiratory distress, tachycardia,
retention
 seizures, diaphoresis, hypertension or
• Hematologic: hypotension, pallor, tiredness, severe
agranulocytosis, muscle stiffness, loss of bladder
leukopenia control. Report symptoms
• Skin: immediately. May also cause
photosensitivity, leukocytosis, elevated liver
pigment changes, function tests, elevated CPK.
rashes
• Advise patient to take medication as
directed. Take missed doses as soon as
remembered, witih remaining doses
evenly spaced through out the day.