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Process Recording

This document summarizes the orientation phase of a process recording between a student nurse and a patient named Sotero Rondon. The student nurse asks questions to get to know the patient, such as learning his name, where he lives, if he is married, and how he feels about being in the facility. The patient provides answers and displays some non-verbal cues such as head movements and hand gestures. The interaction aims to build rapport and gather information from the patient in a therapeutic manner.

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Paulo Zamora
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570 views

Process Recording

This document summarizes the orientation phase of a process recording between a student nurse and a patient named Sotero Rondon. The student nurse asks questions to get to know the patient, such as learning his name, where he lives, if he is married, and how he feels about being in the facility. The patient provides answers and displays some non-verbal cues such as head movements and hand gestures. The interaction aims to build rapport and gather information from the patient in a therapeutic manner.

Uploaded by

Paulo Zamora
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PROCESS RECORDING

NAME OF PATIENT: NAME OF STUDENT:PAULO M. ZAMORA


DATE ADMITTED:8-8-01 CLINICAL INSTRUCTOR:JOSEPHINE BARNACHEA
PSYCHIATRIST:DR.HYACINTH MANOOD
DIAGNOSIS:UNDIFFERENTIATED SCHIZOPHRENIA

ORIENTATION PHASE

NURSE PATIENT NON-VERBAL CUES THERAPEUTIC EVALUATION


COMMUNICATION
Magandang umaga Magandang umaga Client was sitting and
pos a inyo? rin. looking at me in the
eye. Broad Opening THERAPEUTIC
Ano po ba ang
pangalan mo? Sotero Rondon He was sitting still
looking at me in the
Ako nga pala po si eyes with his hands Giving Information
Paulo Zamora student Ano po’ng gusto mong intertwined.
nurse ng Urdaneta malaman?
City University po sa
Pangasinan.Simula po
ngayon ,araw-araw na
tayong magkakasama
at pag-uusapan natin
ang inyong
talambuhay

San ka po nakatira Sa Ilocos Sur po. His head started to


move to the right and
scratching his head. Offering Self
Anong araw ngayon? Martes po.

May asawa ka ba Wala akong asawa He was making hand


gestures and his eyes Exploring
Anong naalala mo? Yung pamilya ko sa just looked straight.
Ilocos
Masaya ka ba dito? Oo..Masaya kasi may
mga nurse na nag-
aalaga sa amin at
saka may libreng
pagkain dito.

Minsan ba nalulungkot Hindi naman kasi


ka? marami kami ditto at
kayo pumupunta dito.
Exploring
Salamat po sa inyong Walang anuman po He’s saking his head
tiwala sa paglahad ng that he agree as he
mga bagay bagay. stand up.

Pagod ka na ba kuya Oo eh.

Okay sige.Pahinga ka Opo


na kuya
Sotero.Hintayin lang
muna natin ang iba na
matapos na,

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