PROCESS RECORDING

Description of client: A 65 year old female client. Sometimes the client expressed suppression
during interaction that limits the main points of discussion.
Description of environment: well- ventilated environment and well organized during the
discussion and activities.
Setting: Pavilion 8
Objectives: After the orientation phase, the client will:
 Be able to establish rapport and trust with the student nurse,
 be able to get the patient’s initial data, profile and background,
 be able to establish the plan of activities and the contract to the patient.

ORIENTATION PHASE
Nurse-Patient Interaction Therapeutic Technique Inference or Analysis
Nurse: Magandang araw po
Nanay

Patient: Magandang Araw din

Nurse: Ako po pala si Dennis,  Giving Information  Establishes rapport with

mula po ako sa University of the client
Makati, ako ang iyong
magiging nurse simula po  Offering self  Assures the client that you
ngayon hanggang sa biyernes are their ready to listen
andito po kami mula alas dos
ng hapon hanggang alas diyes
ng gabi.

Patient: ako si Devina

Deogracia, 58 taong gulang,
nakatira sa Tarlac

Nurse: May asawa pa po

kayo?

Patient: wala na po.

Nurse: ibig nyo po bang  Restating  Stating back the patient’s

sabihin ay patay na sya? statement in order not to
give false hopes
Patient: opo patay na daw sya,

Nurse: Ilan naman po ang

mga anak nyo?

Patient: 2 po

Nurse: eh, gaano na po kayo

katagal dito nanay?

Patient: matagal na.. 7 years

na. nung March 5

Nurse: dinadalaw naman po

kayo ng mga kapamilya mo?

Patient: oo, ung pinsan ko

lang.

Nurse: talaga ho?  Voicing doubt  helps the client to arrange

her thoughts
Patient: oo, dinalaw nya ako
kaso matagal na iyon.
 Placing the event in time  Helps the patient to
Nurse: Alam nyo po ba kung or sequence recognize reality
nasaan kayo ngayon?

Patient: ako ay nasa pavilion

8, National Center for Mental
Health

Nurse: ang galing naman nay.

Patient: oo magaling na ako.

Kelan ba ako makakauwi?
 Reflecting  Helps her identify her own
Nurse: kelan ka kaya feelings
makakauwi?

Patient: ewan ko.

Nurse: kumusta ka naman dito

nay?

Patient: malungkot. Naaalala

ko palagi ang mga anak ko
lalo na pag may mga student
nurse dito ( sob)
 Identifying themes  identifies the thoughts,
Nurse: ano po ang ginagawa feelings and behaviors of
nyo pag nalulungkot kayo? the patient

Patient: nagdadasal po.

 Giving broad openings  encourages the patient to
Nurse: may gusto po ba elaborate or give some
kayong pag-usapan nating ideas or feelings that will
dalawa? help her express her
 feelings,
Patient: wala na.

Nurse: oh sige nay, ako po’y

nagpapasalamat sa inyong
oras at sa inyong
partisipasyon.

Patient: salamat din anak.

Description of client: A 65 year old female client. Sometimes, client expresses suppression but
she can answer the following questions that she recalled. She has dry skin with few lesions on
her hands and feet. She can look directly.
Description of environment: well ventilated and well organized during the interaction
Setting: Pavilion 8
Objectives: After the working phase, the client will:
 be able to participate with the different activities,
 be able to express her own insights regarding her mental condition,
 be able to summarized the learning behavior she has learned

WORKING PHASE
Nurse-Patient Interaction Therapeutic Technique Inference or Analysis
Nurse: Nanay Devina  Giving Recognition  To gain the patient’s trust
magandang hapon po. during the NPI.

Patient: magandang hapon din

Nurse:alam nyo po ba kung  Placing the event or  Helps the client to be

anong petsa, araw, buwan at sequence attached to reality
taon ngayon?

Patient: opo. Ngayon ay araw

ng miyerkules, 08 po March
2011.

Nurse: tama po. Eh nasaan po

kayo ngayon nay?

Patient: sa pavilion 8, national

center for mental health

Nurse: Eh, kumusta naman

ang araw mo nay?  Exploring  So that she can use her
knowledge to recall what
Patient: ok naman, masaya. she has done for the whole
Paggising ko nagligpit ako ng day
gamit, tapos naligo na ako at
kumain.

Nurse: nay, paano po kayo

napunta dito sa NCMH?

Patient: hindi ko nga alam eh.

May nagdala sakin dito.

Nurse: (silence and

maintaining eye to eye
contact)  Silence  Gives client the time to
organize thought ang go on
Patient: may sira kasi ang
aking utak

Nurse: ano pa po?  Helps the client to talk

 General Leads more that can help her
Patient: matagal na ako dito express her feelings and
dinala ako dito nung march 5. emotions.
7years na ko dito

Nurse: ano po ang  Helps the client to express

nararamdaman nyo ngayon at  Interpreting and interpret her own
andito kayo sa NCMH? emotions.

Patient: malungkot. Kasi gusto  Helps us to identify the

ko na makasama ang mga  Reflecting patient’s feelings about
anak ko. Kasi dapat paaralin certain things.
ko yung bunso kong anak.

Nurse: Masaya ba kayo pag  Makes her realized the

naaalala nyo ang inyong mga  Encouraging evaluation value of life, hope and love
anak?

Patient: nalulungkot kasi

namimiss ko na sila.
 Recalling her happiest
Nurse: Ano po ang moments with her children
pinakamasayang araw nyo na  Summarizing will help in her learnings.
kasama sila? Ikwento nyo nga
po.

Patient: masaya kapag nag

pipicnic kami dati at kumpleto
pero wala yung asawa ko kasi
hiwalay kami nun.
 Encourages the client to
Nurse: ano po ang gusto share what she feels and
nyong pag-usapan natin nay?  Giving Broad Openings what she wants to talk
Gusto nyo po tungkol sa about
asawa nyo?

Patient: wag na yun.  Makes her realized the

Nurse; eh, masaya po ba kayo value of life, hope and love
sa activity natin nung  Encouraging evaluation
nakaraang araw?

Patient: opo, nag socialization

pala kami kanina.  Making plans increases the
likelihood that the client
Nurse: oh. Nagsaya naman po will cope more effectively
ba kayo? ano po ang gagawin  Formulating a plan of in a similar situation.
nyo para sumaya din kayo sa action
socialization naming bukas?

Patient: sasali ako sa mga laro

at fashion show, kakain din
ako ng masarap na pagkain.
 Appreciation is the best
Nurse: tama nay. Kaya po sa thing that can help the
biyernes ay magpaganda kayo client to have a presence of
at socialization na natin.  Giving Recognition recognition and will
increase her self-esteem.
Patient: oo, sige

Nurse: oh nay, hanggang dito

na muna po tayo ah.
Maraming salamat nay
Devina.

Patient: sige Dennis, salamat

din