Patient’s Initials: V.G.

Age: 37 Date: August 14,2010

Student’s name: Andrea Nikki Moralde

INTERVIEWER TECHNIQUE USED PATIENT PATIENT ANALYSIS

(What the student nurse said) (Label for the technique used, VERBALIZATION (Patient’s congruency of its
T-Therapeutic, NT-Non (What the patient said and actions and words)
Therapeutic) non verbal response)

“Kuya Victor, good morning Giving Recognition (T) “Mabuti naman ako .” The patient is in a good
po, kumusta po kayo?” Eh ikaw kamusta?” condition for today. He has a
clean physical appearance and
“Ok naman po ako kuya Giving recognition(T) NV: the patient smile wore his clothes well also. It
Victor, mukang masigla po Seeking information(T) shows that he is not in the
kayo ngayon ah” psychosis phase at this moment
The patient verbalized
that he had a good sleeping
“Kamusta po ang tulog nyo?” Seeking information(T) “Ayos naman, nakatulog pattern he was also able to
naman.” recall if what he eat this
“Kumain po ba kayo ng morning. The patient with
maayos.” Ano po ulam niyo Seeking information(T) “Opo kumain,kanina hotdog mental illness may not sleep or
kanina?” ang inulam naming kanina.” eat for day therefore the nurse
must assess the clients usual
pattern of eating and sleeping
then determine how those
pattern have changed.( Chow
and Cummings ,2000;
Videbeck )
 The patient can do his
“Oh kuya Victor tayo po muna Offering self (T) “Nakapag sipilyo na ako kanina
activities of daily living all by
mag sipilyo at maghilamos at nakapaligo pero magsisipilyo
sasamahan ko po kayo, ako po ulit ako.” his self as he verbalized that he
ang magdadala ng gamit nyo.”
already done bathing and his
grooming was neat. This means
that his ability to do activities
of daily living is not affected by
After the morning care, the
his mental illness.
student nurse accompany the
patient to the social hall. According to the theory of
Dorothea Orem, self care is a
learned behavior and deliberate
action in responce to a need.
Self care is performed by
mature and and maturing
individuals. When someone
else must perform a self care
need,it is termed dependent
care. .( Chow and Cummings ,
2000; Videbeck )
 Silence or long pauses in
communication may indicate
“Hayan kuya Victor, very Giving Recognition (T) No response many different things. The
good! Tara sa social hall, may Giving information (T) NV: The patient follows the
bago po tayong activity na student nurse. client may be depressed and
gagawin.” struggling to find the energy to
talk. Sometimes pauses indicate
the client is thoughtfully
considering the question before
responding. At times, the client
may seem to be lost in his or
her own thoughts and not
paying attention to the nurse. It
is important to allow the client
sufficient time to respond, even
if it seems like a long time.
(Vedebeck 2nd Edition)
“Kuya Victor, alam nyo po ba Seeking information(T) “Sabado ngayon” The patient was able to
kung anong araw na ngayon?” Orienting (T) verbalized the current day and
event, which mean that he is
conscious and aware to that
specific moment.

“Wow very good kuya Victor, Giving recognition (T) “ Ma’am, gusto ko na po The patient has established
ano po ang gusto nyo na pag Broad Opening (T) umuwi, saka....” rapport, as manifested by his
usapan natin ngayon”? NV: The patient eye to eye eye to eye contact with the
contact. student nurse. The nurse-client
relationship requires trust. Trust
when the client is confident in
the nurse and the nurse
presence convey integrity and
reliability. Trust develops
when the client believes that the
nurse will be consistent in his
or her words and actions and
can be relied on to do what he
or she say. Some behaviors, the
nurse can exhibit to help build
the client’s trust include being
friendly, caring, interested,
understanding and consistent;
keeping promises; and listening
to and being honest with the
client. (Vedebeck 2nd Edition)
“Saka ano po yun kuya Victor? Exploring (T) “ At saka.. ma’am pwede po The patient already establish
Sige po sabihin nyo lang po Offering self (T) bang humingi ng kaunting rapport as manifested by his
saken at nakikinig po ako,uupo tulong? Kahit bente lang po, eye to eye contact and telling to
po ako dito sa tabi nyo, ikwento pamasahe kop o pauwi.” the student nurse what he
nyo lang po. Wag po kayong wanted to say. Eye contact,
mahiya.” NV: the patient with eye to eye looking into the other person’s
contact. eyes during communication, is
use to assess the other person
and the environment and to
indicate whose turn is to speak;
It increases during listening but
decreases while speaking.
While maintaining good eye
contact is usually desirable, it is
important that the nurse doesn’t
“stare” at the client. (Vedebeck
2nd Edition)

“Kuya Victor, hindi naman po “ Ma’am opo naiintindihan ko

sa nagdadamot ako, kasi po ho, hindi naman po sa akin The patient able to understand
hindi po talaga kami pwede Giving information (T) ibibigay ang pera. Sa nurse po, what the student nurse told and
magbigay ng pera. Bawal po Consensual Validation (T) kay ma’am Lolith ho, Ma’am explained. Informing the facts
kasi yun samen at saka gusto ko na ho talaga makauwi. that the client know what to be
studyante pa lang po ako kuya Sabi ho saken pwede na daw ho expect.
Victor, wala pa po akong akong umuwi kung may
trabaho. Pag pasensyahan nyo pamasahe na daw ho ako.
na po, naiintindihan po ba Ma’am kahit tulong na lang ho
ninyo?” ninyo sakin yun.”
“Ahh.. gusto nyo na pong NV: The patients nods with eye The patient able to understand
umuwi pero wala po kayong Restating (T) to eye contact. what the student nurse said.
pamasahe.” Eye contact, looking into the
other person’s eyes during
communication, is use to assess
the other person and the
environment and to indicate
whose turn is to speak; It
increases during listening but
decreases while speaking.
While maintaining good eye
contact is usually desirable, it is
important that the nurse doesn’t
“stare” at the client. (Vedebeck
2nd Edition)

“Ipapaalam ko po muna kuya

Victor sa prof. namin yung Formulating a Plan (T) “Oho, maraming salamat po The patient was glad on what
sinabi nyo saka po sa nurse, ma’am.”
he hear as he show his smile on
pero hindi kop o maipapangako
sa inyo na makapagbibigay po NV: The patient smile his student nurse. Facial
ako ha.”
expression such as smile
After a while….. connects words to illustrate
meaning; this connection
“Kuya bp ko po muna demonstrates the speaker’s
kayo,akina po muna yung Giving information (T) NV: Lending his arm to the
internal dialogue. An
kaliwang braso nyo para student nurse with a smile.
mamaya magsisimula na tayo expressive face portrays the
sa palaro.”
person’s moment-by-moment
 thoughts, feelings and needs.
After the few minutes the play
These expressions may be
therapy had started…
evident even when the person
does not want to reveal his
emotions. (Arnold and
Boggs,1999)

“Kuya Victor,mukang excited Making Observations (T) NV: The patient nods and smile The patient understand the
na po kayo ah, Sali po kayo sa with an eye to eye contact. instructions given by the
mga palaro ha..” student nurse and he shows
willingness to participated.The
patient understand and show
willingness to join the activity.
Facial expression such as smile
connects words to illustrate
meaning; this connection
demonstrates the speaker’s
internal dialogue. An
expressive face portrays the
person’s moment-by-moment
thoughts, feelings and needs.
These expressions may be
evident even when the person
does not want to reveal his
 emotions. (Videbeck 2nd
Edition)

The patient was able to

“Gagalingan ko po ma’am para verbalized the things that he
“Oh kuya Victor, ano nga ang Formulating a plan of action manalo tayo.Para madaming need to do well to be able to
kailangang gawin para (T) premyo mamaya.” have his reward. This illustrate
makatanggap ka ng premyo?” BF Skinner Operant
Conditioning wherein
“Behavior that is rewarded with
reinforcers tend to recur.

After the therapy, the student

nurse inform the patient that the
activity is finished and they are
going to take their meriendas.

The patient got so excited

“Hindi naman po when the student nurse told
ma’am..masaya…Kakain na” him about the foods that was
“Oh kuya Victor, Tapos na po Seeking information (T) NV: The patient smile to the prepared for this day. This
ang palaro, tayo po ay kakain student nurse. illustrate the basic drives or
na.. Napagod po ba kayo? needs that motivate people. The
Masaya po ba?” most basic needs-the
 physiologic needs of foods
must be met first it would
dominate the persons behavior.
(Abraham Maslow Theory;
Videbeck 2006)

The patient understands the

“Ah hindi naman po kayo Restating (T) student nurse instructions Trust
napagod at Masaya..,Kuya NV: The patient nods with an develops when the client
Victor, dyan ka lang muna ha eye to eye contact. believes that the nurse will be
kukuha lang ako ng pagkain consistent in his or her words
mo.” and actions and can be relied on
to do what he or she say. Some
behaviors, the nurse can exhibit
to help build the client’s trust
include being friendly, caring,
interested, understanding and
consistent; keeping promises;
and listening to and being
honest with the client.
(Vedebeck 2nd Edition).
 “Salamat po ma’am.’ The patient understand the
“Oh kuya Victor heto na po ang Offering self (T)
instructions given by the
pagkain nyo.Kumain lang po NV: The patient smile to the
kayo at ako na po ang student nurse. student nurse. Facial expression
maghahawak nitong juice
such as smile connects words to
ninyo.”
illustrate meaning; this
connection demonstrates the
speaker’s internal dialogue. An
expressive face portrays the
person’s moment-by-moment
thoughts, feelings and needs.
After eating…. Seeking information (T) “Oho masarap ho.” These expressions may be
NV: patient smile and nods
evident even when the person
“Kuya Victor pabalik nap o
tayo sa ward,… kumusta does not want to reveal his
naman po ang lasa ng pagkain
emotions. (Arnold and
nyo ngayon? Masarap po ba?”
Boggs,1999)
“Wow! Mukang nasarapan nga Giving Recognition (T) “opo ma’am…salamat” He is happy on the food that
kayo sa pagkain na inihanda
the nurse gives to him and he
namin ah,.. Kuya Victor, oras NV: The patient smile to the
na po para mag paalam..Oh student nurse. was satisfied. The patient and
pano po ba yan, next week na
the nurses established rapport
lang po ulit ha.”
as evidenced by him being open
to the student nurse and smiling
while talking. Facial expression
such as smile connects words to
illustrate meaning; this
connection demonstrates the
speaker’s internal dialogue. An
expressive face portrays the
person’s moment-by-moment
thoughts, feelings and needs.
These expressions may be
evident even when the person
does not want to reveal his
emotions. (Arnold and
Boggs,1999)
gg
Interpersonal Communication Process Recording

General Objectives:

• To establish a nurse-client relationship.

• To guide the client toward identifying a plan of action to a satisfying and socially acceptable resolution.

Specific Objectives:

• To establish nurse-patient relationship.

• To maintained trust and rapport with the client.

• To facilitate the clients expression of thoughts and feelings.

• To promote and improve therapeutic communication.

Evaluation:
This was our third day at CCMH but our second day to handle and mingle with our patient. We get
the patient from the ward and let them to brush teeth and wash their face. I’ve noticed that my patient
was so excited for the new activity. When he hear about the play therapy, I see to his face the smile and
excitement and I asked to him what comes to his mind when I say play therapy and he said that he think
of prizes.

During the play therapy that we conducted, He was so active and often participated to different
games. A few minutes later, upon observing my client, I noticed that my patient seem to be lost in his own
thoughts and not paying attention to the one who are speaking in the front. At this situation, it is important
to allow the patient to have sufficient time to concentrate or respond even it seems like a long time.

For the third day that I met my patient after our conversation, there’s an eager feeling that I want to
be part of his healing process. I put myself on him, what if I am on his situation. I hope that during my duty
on CCMH with V.G., I can see the progress on him becoming good and lessen the onset of schizophrenia.
It’s a stressful day, but a productive and happy day also. I hope that I can learn more from V.G. and also
from the other patient of CCMH.
 Republic of the Philippines

CAVITE STATE UNIVERSITY

(CvSU)

Don Severino de las Alas Campus

Indang, Cavite, Philippines

COLLEGE OF NURSING

INTERPERSONAL COMMUNICATION
PROCESS RECORDING
Submitted by:

Moralde, Andrea Nikki B.

Submitted to:

MR. ROLANDO P. ANTONIO

August 2010