VISION A premier university in historic Cavite recognized for excellence in the development of morally upright and globally competitive

individuals.

Republic of the Philippines CAVITE STATE UNIVERSITY Don Severino Delas Alas Campus Indang, Cavite

MISSION Cavite State University shall provide excellent, equitable and relevant educational opportunities in the arts, science and technology through quality instruction and relevant research and development activities. It shall produce professional, skilled and morally upright individuals for global competitiveness.

INTERPERSONAL PROCESS RECORDING

Introduction Today, our group was still assigned in venue committee. The general objective of the class was to maintain the interpersonal therapeutic relationship, to promote client independence and well being, and to enhance the quality of life through meaningful and purposeful activities. Music and dance therapy was planned and our aim is to promote client independence and well being and enhance the quality of life through meaningful and purposeful activities. Patients Name: R.D Sex: MALE The patient assigned to me is from Rehab male ward. He doesnt exhibit bad odor. He wears color yellow tshirt and pants. Upon interacting, his right hand was on his chin and has an unsteady gait. His saliva flows minimally from his mouth maybe because of his impaired teeth.

Description of Setting The patient was fetched at the Rehab male Ward who appeared clean and calm. Then after, the resident was brought at the Social Hall where the interaction and execution of the planned activities for the day took place. For the exercise, we have place them outside the hall for a fresh air because it was surrounded by trees and is conducive for therapy and then inside the social hall for NPI. Chairs were provided for the patient to have a comfortable stay. The environment during the nurse-client interaction was made therapeutic by sitting across the client and assuming an L position. General Objective The student nurse aims to maintain the rapport with the client and continue to use therapeutic communication skills to be able the client to verbalize her feelings.

Specific Objectives The specific objectives of the student nurse are the following: To be maintain trust rapport with the resident To further improve therapeutic communication skills and practice active listening more effectively To assist in performing the activities of daily living while promoting independence of the client To be able to explore what the client feels or thinks To maintain patients safety and be free from harm at all times The specific objectives for the client are as follows: To be able to perform ADLs with assistance To participate in the planned activities for the day To be able to express her thoughts and feelings throughout the interaction and during the implementation of therap

Interpersonal Communication Process Recording Patients initial: Date: Students name: TECHNIQUE USED PATIENT (T) therapeutic, VERBALIZATION (NT) non-therapeutic, (V) verbal; (NV) non(AR) Alternative response verbal Giving recognition NV: The patient smiled Offering self and goes with the student nurse.

INTERVIEWER Magandang umaga kuya Ronaldo! Andito po ulit ako para alagaan ka. Si flor po, eto na po ang tsinelas mo. Tara na po sa washing area!

ANALYSIS The client came near me when she saw me waiting from the outside and called her name. Greeting the client by name shows that the nurse recognizes the client as a person, as an individual. Videbeck (2004), The technique was used to be able to know the clients feelings of the client. The nurse uses direct questions during therapeutic communication. (Johnson, 1986) Giving information to the client orients her on what she will do and expect. It also builds trust with the client. (Videbeck, 2004).

kamusta po kuya ronaldo? Magkakaroon po tayo ulit ng activity mamaya sa social hall.

Questioning informing

V: ginising ako e. May black lady, dinalaw ako ng mama ko, nakablack sya patay na kasi yun NV: The patient smilingly verbalized while wrapping his body with his arms looks like shivering.

patay na po ang mama mo? Kelan po sya namatay?

Questioning restating

V: namatay yun.. nahulog.

Nahulog po saan? Ano pong nangyari?

Placing the event in time or in sequence

Laughed and fronted to me his teeth Saying tingnan mo ngipin ko.liliit ngipin ko.. then smiles NV: The patient get the toothbrush and started to brush followed by washing his face and arms. Then immediately after he finished the routine, he walked with me in the area without even telling him. gumagawa ako ng TV dati eh.. kelangan mo pag gagawa ng TV.. kelanagn mo ng kahoy..battery, yung everedy double A tapos bombilya.. marunong ako gumawa ng TV..

Clarifying and elaborating what the patient is saying. Putting events in proper sequence allows to see them in perspective. The client may gain insight into cause-and effect behavior and consequences(Videbeck 2004) The patient knows where to go even without telling him, he is aware of what is going on his environment. Putting events in proper sequence allows to see them in perspective. The client may gain insight into cause-and effect behavior and consequences, or the client may be able to see that perhaps some things are not related. (Videbeck 2004)

The patient initially stated that he is assembling a television which I think was what he used to do when he was mentally capacitated.

ayun po ba ang trabaho nyo dati kuya ronaldo?

questioning

Nagsingapore ako, titinda ako ng pills.. yung sa center.. pinagbibili ko yung mga films.. film ni nora.. nora aunor opo.. NV: The patient signed a cross two consecutive times and one after the prayer. Then silently whispered hit me baby one more time! Oh baby baby. The clients non-verbal response means acceptance of what was said to her. The client remained pleasant and seemed more cooperative at this point.

Kuya ronaldo mananalangin po muna tayo ah.

informing

The patient loves to sing.

magaling po pala kayong Giving recognition kumanta kuya ronaldo eh! Favorite niyo po bang kanta yan? Ayan, ngayon po ay mageexercise naman po tayo ! Informing

The patient singing while waiting for us to start the exercise. hindi. Yung majim NV: smiled The clients non-verbal response means acceptance of what was said to her. The client remained pleasant and seemed more cooperative at this point.

NV: The patient follows the steps in the exercise with a smile on his face.

Kamusta naman po kuya ronaldo ang pag inom nio ng gamit?

Encourage evaluation

Okay naman NV: still the patients right hand is put on his chin. Nagtatae ako. Kahapon pa Hindi. Yun si Dr. Mendoza, sa kapatid ko doctor yun ! sya yung ngaopera, ditto yun sa Aguinaldo eh

The technique was used to be able to know the patients feelings about his medications. The nurse uses direct questions during therapeutic communication. (Johnson, 1986)

Nagtatae po kayo?pinainom po ba kayo ng gamut? Sino po si Dr. Mendoza

Restating questioning

Asking direct question

Ano pong inoperahan ni Dr. Mendoza?

Exploring questioning

NV; continue walking.

When clients deal with topics superficially, exploring can help them examine the issue More fully. Any problem or concern can be better understood if explored in depth. (Videbeck 2004) When clients deal with topics superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth. (Videbeck 2004)

.May sakit ako eh..

ano pong sakit niyo?

Exploring questioning

epidemya nga! Paulit ulit! kulit kulit!....

While taking the VS kuya Bp ko lang po kayo ah? Hindi po ako mayaman kuya ronaldo, ito po kasing relo ay kailangan para po malamn po natin ang oras. Ahm sabi nyo po kanina, dinalaw po kayo ng mama mo, ano pong sbi niya sa iyo? Si nora aunor po pangalan ng mama mo?

Asking permission

NV: irritably verbalized and whisper words that only him can hear and then look to his side like he was talking with someone. may relo ka. Mayaman ka ! NV: smilingly pointed and look to my watch. NV: make face

The client was looking at something and may be experiencing hallucination again. The clients affect was flat and was opening her mouth as if she was saying something.

si nora Aunor si mama ko umaeextra ako dati sa pelikula e oo. Paborito naming ni mama ko si Nora

Restating Seeking clarification

mahilig po kayong manuod ng pelikula nya. Ano pong mga pelikua ang napanuod nyo? Kwentuhan nyo naman po ako..

exploring

Yung tinik sa dibdib.. maganda yun. Yung kwento kasi nun yung nahulog si Nora onor tapos piatay

The client was asked to tell more about the movie he had watch because I think the story he will be telling is about his life. and the technique used was focusing to help the client concentrate on the topic and further discuss details about it and to avoid topic jumping. The client was asked to tell more about the movie he had watch because I think the story he will be telling is about his life. and the technique used was focusing to help the client concentrate on the topic and further discuss details about it and to avoid topic jumping.

sige po ituloy nyo po ang pagkukwento.

Offering general leads

NV: The patient whispers

kuya gusto nyo pong punasan naten ang bibig niyo po?

Offering self

NV: The patient nodded and when I came back he wipe his saliva from his lips. And every time I notice the saliva and asked him to wipe it, he get the towel from me and then after giving it back to me. nagsasayaw din kami dati.. NV: He automatically

Kuya ronaldo mahilig po kayong magsayaw? Magsasayaw po tayo ngayon ah. Gusto ko po

Informing

maging Masaya po tayo. Itodo po natin ang sayaw ah para magenjoy po tayo. ano pong madalas nyo pong sayawin dati?

stands up when he saw the other patient standing and going at the center.

Seeking information

Macarena.. NV: started to dance the chacha dabarkads steps when he hears the music

Wow ang galling niyo po pala sumayaw kuya ronaldo. Cge lang po sunod lang po tayo sa steps na ituturo po nila ha? While at the middle of dancing.. Tara po samahan ko po kayo sac CR Nakatae po ba kayo ng maayos?

Giving recognition

NV: smiled and continued dancing

The clients effort was recognized and it indicates that she was regarded as an individual

natatae ako.. NV: holding to his butt. Offering self NV: walked to the CR with me waiting outside. opo NV: goes back to our place

According to erik erikson,

Encouraging evaluation.

KAin lang po kayo diyan kuya ronaldo ha. Pakabusog po kayo para po malakas po tayo. Eto po tinapay nyo po oh.

Maraming salamat

This means that the patient appreciated the effort of his nurse.

ibigay mo to kay Jonjon, yung negro

si jojo po?

Seeking clarification

NV: giving the leftover lugaw to me asking to Jonjon! Yung negro looks around, finding Jonjon, ayun , oo, si jonjon

Ahh, opo si jojo po pangalan niya.

Presenting reality

ano pong meron kay Jonjon?

questioning

Then I call Jojo Gallegos for him to get it. And smiles when Jojo gave thanks to him. NV: drinks his juice and said nothing maila san juan, oo si maila yun. binaril

Asking direct questions sino po si maila san juan? Kapatid ko, nursing yun, mga tao sa amin nursing.. mayayaman tao sa barangay namin natatakot nga ako ksi. Ayoko (then whispered) When clients deal with topics superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth. (Videbeck 2004) When clients deal with topics superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth. (Videbeck 2004) The nurse tries to clarify if whos del Rosario the patient is talking about.

natatakot po kayong???sige po sabihin nyo po. Nakikinig po ako

Offering self Offering general leads

Nabaril ako eh, unang insidente ko nabaril ako, eto oh (pointed to his right scarred knee) .meron nga din sa tagiliran ko, pinauwi ko na . Si del Rosario Si del Rosario, si ronaldo NV: silent Oo! Paulit ulit!

ano pong pangalan ni del Rosario? ano pong nanyari kay del Rosario?? Ahm kuya, kahapon po nasabi nyo pos a akin na 31 po kayong magkakapatid tama po ba?

Seeking clarification questioning

restating

(Irritable then look s at his side whispering paulit ulit.. looks like talking with someone)

The client was looking at something and may be experiencing hallucination again. The clients affect was flat and was opening her mouth as if she was saying something.

Ahh. Kamusta po sila? Nasan po sila?

exploring

Wala ka ng pakielam! Hindi ka naman nila kilala NV: making face.

kuya, napansin ko po na parang may kinakausap po kayo, sino po ang kausap niyo? kuya tanong ko lang po kung kelan po birthday mo?? march ano po? Ano pong date at year po?

Making observation

NV: whispered.

questioning

march !

The client was looking at something and may be experiencing hallucination again. The clients affect was flat and was opening her mouth as if she was saying something. This is essential for the nurse to know more about the patient.

Seeking information

march ! march 31st !

I think there is something with the number 31. Or maybe is something happened within this date. Because when I asked him if how many are his siblings, he answered 31 and he was the 31st.

anong taon po kuya ronaldo? ahh,. Thank you po kuya ronaldo! Bale ngayon po ay babalik napo tayo sa ward. Para po makapagpahinga nap o kayo. bUkas po ulit ha?

Seeking information

1969..

Giving information Appreciating

NV; stands up and then lined up. (whispering)

It allows both nurse and client to depart with the same ideas and provides a sense of closure at the completion of each discussion. (Videbeck, 2006) Giving information to the clients lets her know what to

Ganitong oras din po. Ingat po kayo.

expect.

Oh cge po iwan niyo nalang po ang tsinelas niyo ditto sa labas. Bye po kuya ronaldo !

salamatBabay.. NV: the patient left the slippers silently and then came enter the ward softly saying babay without looking at me.

It seems that the patient still appreciated the nurse even though he has mood changes all throughout the NPI.

Summary: Today has been more successful than yesterday! The patient was cooperative though there are times that his mood changes not like yesterday that he was irritable for a long period of time. Nurse patient interaction today is a little bit okay. I have taken some information about him that I think needed to be more elaborated tomorrow. The patient enjoyed our play and dance therapies that made me knew that she is fond of dancing and also loves music. Good communication technique and patience is still the best factor in dealing with this kind of patient. However, I know that my skills should improve more to further understand the patients thought process and cognition.