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

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.

(Verbal) Uncle Alexis, ano po ang petsa ngayon? Anon a po ang oras ngayon? (Nonverbal) eye contact, moderate voice, smile. Applaud after client answered the question. Client answered the student nurse s question indicating that he is orientated to date and time. Used other language in answering question indicating his multi-lingual skills. (Non-verbal) smiled and followed the student nurse s interaction.

(Verbal) Uncle, May paparinig po kami sa inyo na music tapos ito po yung papel at mga pangkulay, idrawing nyo po yung ano mang maisip at maramdaman nyo habang pinapakinggan nyo yung music ha. (Non-verbal) Open posture, eye contact, moderate voice tone, calm manner.Provide coloring materials to client.

Used closed-ended question to assess client s orientation to date and time. Applaud to give acceptance and recognition to client s participation and correct answer.

(Verbal) Enero seis mil dos onse. 13:17 pm. (Non-verbal) Uses hand movements, high-pitch voice, smiles after answering.

Client cooperated during the therapy. Client is focused on what he s doing. Conducted guided imagery therapy to allow the client to express his feeling and thoughts by means of drawing.

(Verbal) Ano ung pinapanuod mo adonnis? Ganda ah. (Nonverbal) eye contact, sit closer to client, and look at him.

(Verbal) Uncle, Nakapag-aral po ba kayo sa kolehiyo? Nahirapan po kayo sa buhay working student

(Verbal) No problem. (Non-verbal) Picked a crayon and started drawing.

kaya po tumigil na lang kayo sa pag-aaral ng coruse na Architecture sa UST? Client explained what the drawing is all about. Focused on what he is doing.

Saan naman po kayo nag elementary at highschool? (Non-verbal) Eye contact, moderate voice tone, calm manner.

Encouraging description if perceptions to allow the client to verbally express his thoughts based on the drawing. Applaud to show recognition.

(Verbal) Kamusta po kayo dito sa loob? Masaya naman po ba kayo?

(Verbal) Si Zorro, ang tagapagligtas, kasama si Agent Carpio .347 on vacation. (Non-verbal) No eye contact smiled after answering.

Client provided background of his educational attainment. Shared his feelings about the stress he experienced being a working student. Express some insight of the reason for his hospitalization.

Assess client s remote memory. Obtain data about educational attainment. Used restatement to repeat client s response.

Dalawa po kayong magkapatid? Nasaan po ang nanay ninyo? Nasabi nyo po na ayaw nyo ng bumalik sa bahay, napalabas na po ba kayo dati dito? (Non-verbal) eye contact, moderate voice tone, calm manner

(Non-verbal) Slight eye contact, hoarseness of voice, laughed after answering the question.

(Verbal) Aba oo. Mas gusto ko na nga dito kaysa sa labas, ayoko na bumalik sa bahay ng

Client expressed feelings regarding his hospital stay. Client become serious when talking about his sister indicating a possible conflict

Encourage description of perception regarding his hospital stay. Used listening

kapatid ako, ginagawa akong houseboy.Ako yung panganay ginagawa akong houseboy, eh dalawa lang kaming magkapatid.

Oo. Si nanay nasa Bulacan. Mas malapit ako sa kanya. (Verbal) May bumibisita naman po ba sa inyo dito? bale, binisita po kayo ng nanay nyo 2 days after ng pasko, noong Dec. 27,2010? (non-verbal) eye contact, moderate voice tone, calm manner,leaning slightly to show interest,concerned facial expression. Oo. Lumabas ako kaso binalik lang din ako sa bahay ng kapatid ko, ginawa na naman akong houseboy. Tapos binalik ako dito, paano, nagsumbong yung mga tricycle driver na hinaharangan ko sila, mga buwaya sila.Di ko sila uurungan, ako pa naman patay kung patay. (Non-verbal) Slight eye contact, annoyed facial expression, hoarseness of voice.Holding his hands.

in his relationship with his sister and about his relationship with the people in his environment sucha s the tricycle drivers in their vicinity. Client used projection as defense mechanism about the reason for his rehospitalization.

skills to elicit client s perceptions.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, 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.

(Verbal) Oo. Binisita ako ni nanay noong pagkatapos ng Pasko, 2 days after. Oo. December 27. (Non-verbal) Smiled when mother was mentioned.

Client feels happy when talking about his mother. Able to recall his support person s last visit in the hospital.

Assess client s recent memory regarding last visit of relative. Used restatement to repeat client s response.

(Verbal) Nagtrabaho ako sa Manila hotel tapos nagtrabaho din ako as Kuwait may conference kasi doon para sa World War 3, 3 months lang ako doon. Iba t iba ang kasama ko doon, pati mga British. Sila ang pinakamabait na tao sa mundo. Aba malaki, ang palitan noon, syete poses kada isang dinar. Kaya ang laki ng napapadala ko kay nanay. Medyo. Inom at yosi pero kapag may okasyon lang kasama yung mga katrabaho ko Minsan langs a isang linggo. (Non-verbal) Eye contact, smile.

Client shows interest in discussing about his previous jobs and vices that may indicate satisfaction and reminiscing his previous experiences.

(Verbal) May asawa po ba kayo? Pwede ko po bang malaman ang pangalan? (Non-verbal) Nodding.

Made observations to verbalize what is perceived. Assess client s remote memory. Assess previous lifestyle particularly vices.

(Verbal) Noong pinasok po kayo dito at tinignan ng doctor, ano daw po ang sakit ninyo? Ang ibig nyo po bang sabihin ay Bipolar po?

(Verbal) Wala pero may syota ako. Confidential, nasa pulitika, abala sa pulitika. (Non-verbal) No eye contact, laughed after answering the question. Slight attention.

Ano naman po yung mga gamot na iniinom ninyo?

(Verbal) Noon Schizophrenia tapos ngayon Polaroid ba yun? Ayun Bipolar Polaroid haha.

Client answered the question but refused to give further insights about hi personal relationship.

Verbal( Uncle, Kakain na po kayo ng merienda pero kailangan nyo po munang maghugas ng kamay, punta na po tayo doon. Tapos na po. Balik na po tayo doon para po makakain na

Yung Dival saka Lithium.

Client was aware of his current mental health

kayo pero magdadasal po muna tayo. (Non-verbal) calm voice, heading towards the source of water. (Non-verbal) Client nodded and followed the student-nurse. Performed hand washing.

condition and the medications that he is taking.

Used closed-ended question to assess client s marital status. Nodded to show respect in client s refusal to answer the succeeding question.

(Verbal) Uncle gusto nyo pa po ba n juice? (Non-verbal)Smile,calm voice. The client followed student nurse s instruction. Used closed-ended question to assess client s awareness of his present health condition and pharmacologic treatment. Used clarification to make clear of client s understanding of the client s mental condition (Polaroid-Bipolar).

(Verbal) Uncle, kailangan nyo na po magtoothbrush ulit para fresh breath pagbalik sa loob ng ward. Punas nalang po ng bibig para malinis. (Non-verbal) eye contact, moderate tone of voice, calm manner (Verbal) O sige. (Non-verbal) The client immediately emptied his glass and handed it over to the student nurse.

Encouraged client to perform hand washing for hygienic purposes before meals.

(Verbal) Uncle pipila na po kayo papasok ng ward, bukas nalang po ulit ako makikipagkwentuhan. Bbye po. (Non-verbal) ) Eye contact, moderate tone of voice, calm manner smile,

(Verbal) Ayoko, kakatootbrush lang kanina. Okay nay un. Sige. (Non-verbal) Client nodded on student nurse s second suggestion. Client was calm during the meal time.

(Verbal) Sige bukas ulit.

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.

of refusal.

Offered alternatives to maintain client s oral health.

Client was cooperative until the end of the session.

Terminated the conversation by making final instructions and assurance for the continuation of the interaction the following day.