PROCESS RECORDING: NURSE-PATIENT INTERACTION ORIENTATION PHASE (January 21, 2013) Nurse Verbal Hello! Good Morning po Maam.

Ako po si Jeric, 3rd year nursing student po ng FEU. Ako po ang magiging student nurse niyo simula po ngayon hanggang January 30 PATIENT Non - Verbal Verbal Waves hand Hello! Good Morning Smiles din. Maintains moderate eye contact Good and open posture In face to face position to the client. Moderate eye contact In face to face position Ako naman si Jasmin to the client Good and open posture Leans forward Smiles Movement of hands Shake hands No response Moderate eye contact In face to face position to the client Good and open posture Smiles No response Moderate eye contact In face to face position to the client Good and open posture Smiles Maintains moderate eye contact Good and open posture In face to face position to the nurse. Establishing confidentiality Non - Verbal Waves hand Smiles Maintains moderate eye contact Good and open posture In face to face position to the nurse. Maintains moderate eye contact Good and open posture In face to face position to the nurse. Therapeutic Communication Technique Giving recognition Rationale It shows that the nurse recognizes the client as a person, an individual that gives the client fulfillment of his worthiness. In addition, it does not imply and hold the notion of value that is of being good or bad. Informing the client of the facts increases his knowledge about the topic and what to expect on the interaction. It also builds trust with the client.

Giving information

Tuwing Monday to Wednesday nyo po kami makakasama simula ng 7 AM hanggang 1 PM Maam gusto ko pong malaman niyo na yung mga information pong makukuha ko galing sa inyo ay wala na po akong ibang pagsasabihan hanggat

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Establishing specifics of the relationship time, date, place and duration of meetings

Setting up the lucid boundaries of relationship time, date, place and duration of meetings clearly orients the patient when, where, and how will begin, go on and finally end. To set up a means of respecting the patients right to keep private any information about his mental and physical health and related care. This also

wala pong niyo.

permiso

means allowing only those dealing with patients care to have access to the information that the patient divulges. Moderate eye contact Ok yun. Para naman In face to face position maaliw kami. to the client Good and open posture Smiles Maintains moderate eye contact Good and open posture In face to face position to the nurse. Establishing trust Building a trusting relationship with the patient facilitates a more reliable data collection because of the easier disclosure of information by the patient.

Makikinig po ako sa mga sasabihin ninyo tsaka magbibigay din po kame ng mga activities na makakatulong sa inyo at makakapagbigay din ng kasiyahan Kamusta naman kayo dito?

po -

Moderate eye contact Naiinip na ako gusto In face to face position ko ng umuwi. to the client Good and open posture Nodding Increased tone of voice Nag-away kasi kami ng nanay ko tsaka pangalawang beses ko na dito bumalik lang ako .

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Broad openings

It allows the patient to take the initiative to introduce the topic. It also simplifies that the patient has the lead in the interaction and to think of an interesting topic for them. This gives the patient an encouragement to continue on what he is saying. It also indicates that the nurse is listening and following what the patient is talking about without taking away the initiative for the interaction.

Maari mo po bang itanong kung ano po ba ang dahilan ng pamamalagi nyo dito? -

Moderate eye contact In face to face position to the client Good and open posture Slightly leaning forward

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

General leads

Nasaan po ang nanay mo ngayon? -

Moderate eye contact In face to face position to the client Nasa Good and open posture siya.

bahay lang -

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Exploring This means delving further into a subject or an idea. This also explores the patient to help them examine the issue more fully, not only superficially.

No response -

Moderate eye contact In face to face position to the client Good and open posture Nods

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Silence

Provides limit to put clients actions, thoughts or feeling into words and shows place of interaction gives time to develop inside.

Sino po ang kasama ng nanay mo sa bahay niyo ngaun?

Moderate eye contact In face to face position to the client Good and open posture Yung katulong naming at driver

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Encouraging expression

Helps the client appraise his own rather than accept the opinion of others.

Nasaan po ba siya? -

Moderate eye contact In face to face position to the client Nasa Antipolo Good and open posture Slightly leaning forward

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Exploring

This means delving further into a subject or an idea. This also explores the patient to help them examine the issue more fully, not only superficially. This means concentrates on a single important point.

Pwede ko po bang malaman sino po yung sila na tinutukoy nyo? Ah may kapatid po pala kayo? -

Moderate eye contact In face to face position to the client Yung nanay ko at Good and open posture kapatid ko Movement of hands Moderate eye contact In face to face position to the client oo nagtratrabaho siya Good and open posture ngaun sa manila Movement of hands bulletin.Alam mo yun?

Maintains moderate eye contact Good and open posture In face to face position to the nurse. Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Focusing

Restating

This means repeating the main idea expressed by the client. This lets the client know that he communicated the idea effectively. This also encourages the client to continue. In addition, if the client has been misunderstood, he can clarify his thoughts.

Opo alm kop o yun.Ano po yung ginagawa niyong paraan para mawala yung inip niyo dito?

Moderate eye contact In face to face position to the client wala natutulog lang Good and open posture

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Formulating a plan This means planning in advance what he might do in of action certain situations. Making definite plans increases the likelihood that the client will cope more effectively in a similar situation.

WORKING PHASE Nurse Verbal Hello po Maam. Kamusta naman po kayo? Non - Verbal Verbal PATIENT Non - Verbal Waves hand Smiles Maintains moderate eye contact Good and open posture In face to face position to the nurse. Therapeutic Communication Technique

Rationale

Waves hand Okay lang ako. Smiles Maintains moderate eye contact Good and open posture In face to face position to the client.

Giving recognition

It shows that the nurse recognizes the client as a person, an individual that gives the client fulfillment of her worthiness. In addition, it does not imply and hold the notion of value that is of being good or bad. This is verbalizing what the nurse perceives that sometimes patient cannot verbalize or make themselves understood or the patient may not be ready to talk. This gives the patient an encouragement to continue on what he is saying. It also indicates that the nurse is listening and following what the patient is talking about without taking away the initiative for the interaction.

Napansin ko pong medyo matamlay po kayo ngayon. -

Moderate eye contact Namimiss ko kasi ang Good and open posture nanay ko,Gusto ko siyang In face to face position alagaan to the client. Slightly leaning forward Moderate eye contact Hindi eh haggang tawag Good and open posture lang kami. In face to face position to the client. -

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Making observations

Dinadalaw po ba kayo ng kapatid niyo dito? -

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

General leads

Kumpara niyo po sa nakaraang tawag nila, gaano po katagal ata kadalas?

Moderate eye contact madalang Good and open posture mabilis. In face to face position to the client. Oo..

lang

at -

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

Encouraging comparison

Looking at similarities and differences.

Ah ganun po ba? Moderate eye contact Good and open posture In face to face position to the client.

Maintains moderate eye contact Good and open posture In face to face position to the nurse.

. Voicing doubt This is expressing uncertainty about the reality of the patients perceptions which permits the patient to become aware 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.

Hindi eh Natatandaan niyo po ba kailan nyo po nakita yung kapatid mo? Moderate eye contact Good and open posture In face to face position to the client. Maintains moderate eye contact Good and open posture In face to face position to the nurse. Maintains moderate eye contact Good and open posture Placing time or event in Assessing time frame and sequence of an event sequence overtime.

Sa tingin niyo po ano po yung pwede niyong magawa pag labas niyo dito ?

Moderate eye contact Paglabas ko dito aayusin Good and open posture ko buhay ko In face to face position -

Formulating a plan of This means planning in advance what he might do action in certain situations.

to the client.

In face to face position to the nurse.

Making definite plans increases the likelihood that the client will cope more effectively in a similar situation.

TERMINATION PHASE Nurse Verbal Tulad po nang aming binanggit ang ating huling araw ay January 30. Non - Verbal Verbal Sa nakalipas na isang lingo heto na po yung nagawa natin: naglaro, nagexercise, nagkakwentuhan, nagdrawing, umawit at sumayaw, gumawa ng turon, kumain, at iba pa. PATIENT Non - Verbal Moderate eye contact Good and open posture In face to face position to the nurse. Decreased tone of voice Therapeutic Communication Technique Giving information Rationale

Moderate eye contact Ah oo . Good and open posture In face to face position to the client.

Informing the client of the facts increases her knowledge about the topic and what to expect on the interaction. It also builds trust with the client.

Moderate eye contact No response Good and open posture In face to face position to the client.

Moderate eye contact Good and open posture In face to face position to the nurse. Nods

Summarizing

This is organizing and summing up which has gone before and seeks to bring out the important points of discussion and to increase awareness and understanding of both participants. It omits irrelevant and organizes the pertinent aspects of interaction. It allows both patient 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,

At sa mga nakaraan po nating pag-uusap, napag-usapan po natin ang ilang mga bagay tungkol sa inyong nakaraan.

moderate eye contact and good and open posture. Moderate eye contact No response Good and open posture In face to face position to the client Moderate eye contact Good and open posture In face to face position to the nurse. Nods Summarizing This is organizing and summing up which has gone before and seeks to bring out the important points of discussion and to increase awareness and understanding of both participants. It omits irrelevant and organizes the pertinent aspects of interaction. It allows both patient 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. This is organizing and summing up which has gone before and seeks to bring out the important points of discussion and to increase awareness and understanding of both participants. It omits irrelevant and organizes the pertinent aspects of

Nasabi po ninyo sa mga pag-uusap natin na talagang nalulungkot kayo at naiinip na. Nabanggit niyo rin na ang pagpunta niyo sa US. Nasabi niyo rin po na namimis niyo na po ang nanay niyo kaya

Moderate eye contact Good and open posture In face to face position to the client Movement of the hands

Oo. Iyon nga ang mga napag-usapan natin.

Moderate eye contact Good and open posture In face to face position to the nurse Nods

Summarizing

gusto niyo na makalabas para maalagaan siya. Nai-share niyo din po sa akin yung mga plano niyong gawin sa oras na makalabas po kayo.

interaction. It allows both patient 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. Moderate eye contact Wala na. Good and open posture In face to face position to the client

May iba pa po ba kayong gusting sabihin? -

Moderate eye contact Good and open posture In face to face position to the nurse Smiles

Encouraging description of perception

Asking for patient to describe feelings, perceptions, and views of their situations. To understand the client, the nurse must see things from her perspective. It shows that the nurse recognizes the client as a person, an individual that gives the client fulfillment of her worthiness.

Kung ganun po, maraming salamat po Maam. sa tiwala pong ibinigay ninyo sa amin, sa cooperation at sa maganda po ninyong pagtanggap.

Moderate eye contact Good and open posture In face to face position to the client Smiles Waves

Salamat din sir.

Moderate eye contact Good and open posture In face to face position to the nurse. Smiles Waves

Giving recognition