Orientation Phase

July 25, 2014

Prepared by:
Apurado, Kim B.
Barol, Bona Ruth
Submitted to:
Asst. Prof. Noyme Lour Abegil L.
Laviste
Nurse client interaction (SUMMARY):


! We greeted the client good morning and the client responded with a
greeting and a smile.
! He was not able to take a bath since he was helping in the kitchen early
in the morning as claimed.
! We asked how was his sleep last night and he verbalized, Wala ko
katulog maayo gabie.
! We further asked him what happened last night that caused the
interruption of his sleep and he responded, Ning inom ko ug tambal mga
alas-6 sa hapon nya nakatulog ko gikan alas-7 hangtud alas-12:30. Nya
nakabalik ko ug katulog mga ala-1 dayun nakamata ko mga alas-5 sa
buntag.
! We asked his schedule of taking the medication and he claimed that he
has been taking it before bedtime and that he doesnt have any
medications in the morning.
! We instructed the patient that only one of us will interview him and the
other will just observed the interaction so he wont have hard time
responding to us. We also clarified to him that we would be observing the
interaction as part of our evaluation.
! Furthermore, we informed the client that the said interaction was the
continuation of last weeks conversation.
! Asked about his thoughts and feelings at the time being and he
responded, Ang ako rang ikasulti sa akong kaugalingon kay nalipay kog
dako nga naa nay ning renovate aning Talay Mental Rehabilitation Center.
Ilaha ng gipagwapuhan, gipintalan, gi-ayo ang mga kisame ug ang mga
jalousie. Ila ng gipintalang ang mga window grills. Nagpasalamat kog
dako na murag gidungog na ang akong pag-ampo sa diyos sa atong
labawng makakagagahum, sa atoang ginoo nga marenovate unta ning
Talay Mental Rehabilitation Center tungod sa kadaghang pasyente na
kung pwede gani padak-an ning Talay Mental Rehabilitation Center
tungod sa kadaghang pasyente na dili madala sa gagmay na selda.
! He was planning to stay in the rehabilitation center for 30 years more and
volunteered to be a driver of the ambulance that will soon be given by the
government to Talay Mental Rehabilitation Center. He wanted to offer his
service while staying in the facility for 30 years.
! Asked his thoughts on why he wants to stay for 30 years more and he
replied, Ganahan ra ko na diri ko mupuyo kay gumikan nga ang akoang
mga ginikanan, amahan nako ug inahan, patay na nya ang akoang mga
igsuon naminyo na tanan unya gusto nako sa akoang paningkamot na
makita ra unya sa akoang anak, sa umaabot na panahon na mubangon sa
akoang pangalan, nga mudala sa akoang pangalan nga mutan-aw sa
akoang mga nabuhat ug nahimo ining lugaraha.
! He was prepared to sacrifice his time to offer his service to the facility so
he can be useful in the said facility.
! He verbalized that it is required that a person has a mental stability
before he can drive again.
! Ate Bona put emphasis on the adherence of his medications so he can
recover to his full potential
! Dako kog pasalamat na ako unta magtrabaho na sa Cebu. Dal-on ko sa
akoang uyuan. Ningbalik ra ko diri kay dili ko ka-afford sa tambal nga
palitun dayun magpa-injection ko kada bulan. Nya murag dili ko ka-afford
gumikan nga wala pay sigurog makatrabaho ko. Contractual unta among
trabaho, maghimo mi ug mga buildings. Galing kay basig dili pa sigurado
nga makatrabaho ko, mao na nga nabalaka ko na basig dili ko kapalit ug
tambal. Wala pay klaro mao ng ningsulod na lng kog balik diri sa
paghatud niya nako. Iya na unta kog dal-on sa Cebu mukuha na tani siya
ug legal doctor certificate para makagawas ko diri, as verbalized
! Asked how much is his medication and he responded that Chlorpromazine
costs 10 pesos and he needs to consume 1 tablet per day. He needed 300
pesos every month if he will buy them. And he needs an injectable
medication that costs 125 pesos per month (1/2 cc) plus their boat fare to
Lapu Lapu.
! He verbalized that he has a 3-year experience in cooking for the patient
inside Talay Mental Rehabilitation Center and accompanies the doctor
when there are rounds in the wards and cells every Monday and Friday.
He also mentioned helping the utility workers every day. He also claimed
that he helps in assisting patients who becomes aggressive.
! Ang ako ra unta nga kinahanglan unta nga, ug pwede ma isyuhan ko nila
ug ambulansya na para makadrive na ko, maregular ko sa trabaho or ma
casual pa ko hangtud na ma regular ko. Dayun pag maregular na ko,
makakuha unta ko ug beneficiaries sa akoang pagtrabaho kay mu-abot ko
ug 30 years para naa poy sentimental value sa akoang kinabuhi, sa mga
ning-agi na adlaw na madala nako ig tigulang na nako, as verbalized by
the client.
! Further clarified that the client is hoping for an ambulance so that he can
drive again so to offer his service to the facility and at the same time,
receive monetary incentives. He also wanted to become a regular
employee so he can have beneficiaries because he had 7 to 9 years of
driving experience as claimed.
! The student nurse shared that some of the beneficiaries that are offered
to government employees is the issuance of PhilHealth and SSS which will
further help those who have retired in financing themselves as they live.
! Showed recognition to the client because he has future plans that will
help him in improving his health.
! Asked about his inspiration in life and in improving his health and he
responded that he wanted to return back to his full potential and to be of
help to other patients through driving an ambulance and for emergency
cases.
! The student nurse reminded that patient that we are here to help him
reach his fullest potential and to recover as much as our interaction is
concerned.
! The patient then claimed that his uncle could get a doctors certificate to
be an evidence so he can work again in the society but the doctor still
needs to asses his condition.
! If ever he cannot drive an ambulance, the client claimed that he would
still stay in the facility because he can sense a future in the renovation of
the facility and it will greatly help those people who have the same
conditions as his and those who are suffering of mental illness.
! The student nurse verified what the client told and he added that he
wants the patient to be comfortable in their stay at Talay Mental
Rehabilitation Center.
! The student nurse added that the environment would greatly matter in
caring with the patients confined in the facility, which would then give
emphasis of environmental sanitation and maintenance of a clean
environment.
! The student nurse verbalized her observations that those patients who
have improved mental stability are allowed to help with the chores and
works inside the facility.
! The client verbalized, Laughter is the best medicine.
! The client further verbalized that we should be happy with out life so we
can experience the fullness of life, itself because life is a gift from God.
! Further asked how will the client respond towards disappointments in life
and he replied, Okay ra sa akoa. Ug kabalo ka mudawat ug kadaogan,
kabalo pud ka mudawat ug kapirdihan.
! The student nurse encouraged the client to continue what he just
expressed in dealing with disappointments.
! The client expressed that he was greatly disappointed upon knowing just
recently that there are people who are against the improvement of Talay
Mental Rehabilitation Center. There are people who want to topple down
the institution but he has high hopes that the government will do their job
in maintaining and improving, as well as in expanding the facility.
! The student nurse conversed about the government that there are a lot of
processes to be done before they can come up with a decision since they
will consider the budget and how it may be of help to the majority of the
people. In short, they will weight their priorities because the government
has other projects to implement, as well. The student nurse further
explained that only those who are in the position or who are involved in
such action could answer his inquiries.
! Asked about his inquiries with regards to him being a driver and he
answered that he already told those in the office of the facility about it
and he frequently followed-up them. Those in the office told him that all
he needs to do is to wait for the confirmation than an ambulance will be
given as claimed.
! We informed the client that the 45-minute interaction was done.
! We bid farewell and thanked the client for his time and cooperation. We
then instructed him that we would be back next week on Friday at 9:30 in
the morning. Furthermore, we reminded him that he should take a bath
and prepare prior to our interaction We also offered him that we will bring
bath soap next time so he can bathe himself everyday to enhance his
hygiene and grooming.