PROCESS RECORDING

I. Patients Profile
Name : Efren Abiog Salazar Address : Brgy. Polacion Peneranda Nueva Ecija Admission Date: March 3,1994 Age & Sex :59 y/o M Civil Status : Single Chief Complaint : Violence Diagnosis : Undifferentited Schizoprenia

II. Objectives of the Interaction

At the end of the orientation phase, the student nurse should be able to:

1. Establish rapport with the client. 2. Establish trust through open communication. 3. Obtain the patients initial data, profile and background. 4. Determine the clients chief complaint. 5. Help the client identify the problem.

III. Orientation Phase

STUDENT NURSES RESPONSE CLIENTS RESPONSE THERAPEUTIC TECHNIQUE USED ANALYSIS

Magandang hapon po sir! Ako po si Nurse Annette Guevarra, ang inyong magiging student nurse mula sa Laguna State Polytechnic University, Sta. Cruz Laguna. Nandito po kami mula ngayon Huwebes hanggang sa susunod na Linggo. Kamusta naman po kayo sir?

Client nods. Does not maintain eye contact.

Giving recognition. Giving information. Offering self.

The student nurse was trying to establish rapport with the client, but it seemed that the client was not interested and had a flat affect every time he would respond.

Mabuti naman. Brushes head with his hands. Client nods. Brushes head with hands.

Encouraging expression. Seeking information. Encouraging expression. Seeking information.

The client responded when being asked and still with a flat affect. The client responded when being asked through nonverbal communication and still with a flat affect. The student nurse was trying to explore and get some answers from the client to be able to make the client comfortable.
The student nurse

Nakakatulog at nakakakain naman po ba kayong maayos? Alam nyo po ba kung nasan tayo ngayon sir? Nasa National Center for Mental Health po tayo ngayon sir. Napansin ko po na palagi nyong sinusuklay yung kamay nyo,ano po

Client nods. Brushes head with hands. Does not maintain eye contact. Wala. Does not maintain eye contact.

Presenting reality.

Making observation. Encouraging expression.

was trying to understand what the background of the client is and the client was not

kayang dahilan kung bat nyo ginagawa yun?

Encouraging expression. Exploring.

able to respond properly since he just murmured words.

The client just murmured his answer. Does not maintain eye to eye contact. Encouraging expression. Exploring.

The student nurse

Saan po kayo nakatira nung hindi pa kayo napasok dito?

Oo sa farm. Offering self. Accepting.

was trying to explore the background of the client by asking questions, but the response of the client was not enough and he still responded with a flat affect and with eye to eye contact.
The client was able to

Nagtatrabaho po ba kayo dati? Ano po kayang trabaho nyo? Ah ganun po ba. Kung sakali pong may gusto kayong pagusapan,pwede nyopong sabihin sa akin.

Client nods.

respond to questions asked by the student nurse but still with flat affect. Giving information.

Sige. Client nods.

Sige po sir, dito nalamang po muna. Babalik po kami bukas ng hapon. Salamat po!

The student nurse was trying to explore the background of the client by asking questions, but the response of the client was not enough and he still responded with a flat affect. The client was able to answer the question but still with flat affect.

Prepared by: GUEVARRA, Maria Annette A.

Clinical Instructor: Ms. Ivy Lourdes F. Ortiz, M.A.N.