PROCESS RECORDING FORMAT (use of therapeutic communication)

Name of Client: JFK

Age of Client: 21
Description of the client: The patient was anxious, depressed and worried. She avoids eye contact and was very much restless and disturbed.
Description of the Environment The environment of the room was calm, silent, and has a room temperature. The room was locked from the inside to avoid noise and to
insure the privacy of the patient.

ORIENTATION PHASE

STUDENT NURSE THERAPEUTIC COMMUNICATION CLIENT’S RESPONSE ANALYSIS AND INTERPRETATION

(verbal and non verbal) TECHNIQUE USED (verbal and non verbal)
“Magandang araw po. Ako po si  Offering self “Maganda araw din sayo.” (smiling Greetings the client shows that the
Student Nurse Denver ang magiging slightly, looking at me directly and with nurse acknowledges the client as a
nurse niyo ngaung araw po na ito.” monotonous voice) person
(smiling, briefly touches the shoulder)
“Andito po ako ngaun maam para “Okay.” (nods her head and suddenly The clients start to trust the nurse.
kausapin po kayo upang matulungan ko shows sad expression)
po kayo sa nararamdaman niyo po.
Huwag po kayong mag alala dahil lahat
po ng impormasyon na makukuha ko
dito ay ligtas and konpindensyal. Okay
po ba sainyo yun ma’am?”(leaning
forward and maintaining good eye
contact)
“Bago po pala tayo magsimula maam.  Giving Recognition “J na lang po.” (looks down and eye The client becomes more comfortable
Ano po pala ang gusto niyo na itawag contact is not maintained) with the nurse.
ko po sainyo?” (smiling while
approaching client in a friendly manner)
“Wala naman” (scratch her head)
“Okay po maam J, Magsabi lang po
kung may kailangan pa po kayo ahh,
katulad ng inumin, pagkain o pagpunta
sa cr.” (sitting, open posture,
maintaining eye contact)

“Sige maam J, sabihin niyo lang po  Broad opening Medyo malungkot, at madaming iniisip. The client is quite hesitant to vocalize
kung may kailangan po kayo. So, Tapos bigla na lang ako kinakabahan at her feelings.
ma’am J, kamusta naman po kayo? sumasakit ulo ko. Pati nahihirapan din
Ano po nararamdaman niyo ngayon?” ako makatulog tuwing gabi. (eye
(leaning forward, open posture, contact, open posture, sad expression)
maintaining eye contact)
“Mga ilan araw na po nag anito ang  Exploring “Matagal na eh. Siguro mga limang By giving follow up questions to the
mga nararamdaman nyo? (leaning araw na itong nararamdaman ko na ito. client, the nurse shows that he is
forward, open posture, maintaining eye Siguro dahil nga sa madami ako naiisip listening and that it urges the client to
contact) kaya ganito” (eye contact, open continue giving information about
posture, sad expression) herself.

“Para ung feeling is nabibiyak ang ulo

“Pwede niyo po ba maipalawanig kung
gaano ung sakit ng ulo na inyong ko kaya ganon di ako makatulog rin
talaga tapos kapag lumipas ang oras
nararamdaman?” (leaning forward,
open posture, maintaining eye contact) nawawala na siya pero di pa rin talaga
makatulog ng maayos” (eye contact,
open posture)
“Ganun po ba, Mga ilan oras din po
bago kayo makakuha ng maayos na Halos mga apat na oras ako di
tulog?” (leaning forward, open posture, nakakatulog (eye contact, open
maintaining eye contact) posture)

WORKING PHASE

STUDENT NURSE THERAPEUTIC COMMUNICATION CLIENT’S RESPONSE ANALYSIS AND INTERPRETATION

(verbal and non verbal) TECHNIQUE USED (verbal and non verbal)
“Maganda araw po Ma’am J, Kamusta  Encouraging expression “ Ayon, Ok naman na po” (Smiling, My client looks anxious and worried.
naman po kayo?” Ano po maintains eye contact)
nararamdaman niyo ngayon? (smiling,
eye contact, open posture)
“Kaso pagminsan na lng ang di ko The client has able to express her
pagtulog kahit papaano nabawasan feelings.
“Nakakatulog na po ba kayo ng
maayos?” (smiling, eye contact, open pero meron pa siya. Sa mga problem
posture) ana iniisip ko andon pa rin at di pa
nawwawala.” (eye contact, open
posture)

“Ganun po ba, Ayos lang po ba na ako  Offering self “… Silence” (Smiling, nods her head) The client is aware that the nurse wants
po ay umupo at pagusapan po natin to talk to her
yan ulit? (sits beside the client, smiling,
eye contact, open posture)

“So maam J, kung may gusto man kayo  Encouraging description of “Sige” (eye contact, slight smile) The client shows willingly to converse
sabihin, Andito po ako sa tabi niyo. perception and has shown open attitude.
Handa pong makinig at tulungan kayo.
Okay po ba sainyo yun? (smiling, eye
contact, open posture)

Maari niyo po ba bang sabihin ang  General leads Sa totoo lang, nahihirapan ako ngayon. This is a follow up remark that
nararamdaman niyo? (smiling, eye Para ba akong binabangungot araw encourages the patient to continue
contact, open posture) araw kapag naalala ko yung mga talking and expanding the topicv
nangyayari lagi sa bahay. Ung pag
aaway parati ng magulang ko kung
saan nagbabatuhan sila sa isa’t isa ng
masasamang salita hanggang sa
magkakaroon na sila ng pisikal nap ag
aaway. Dahil doon naiisip ko kung di na
ba nila ako mahal at iniisip na lng nila
ay kanilang pang-sarali lamang. (eye
contact, sad expression)

Naiintindihan ko po kayo kung saan  Restating Madalas po nurse, iniiyak ko na lang po Repeating a key word that captured the
kayo nanggagaling. Alam ko po na ito at nagkukulong na lang ako sa attention of the patient, provides
mahirap po pinagdadaanan niyo kung kwarto para wala makakita saakin. Tas validation and confirmation that there
saan naiipit po kayo sa pagitan ng away minsan nakatunganga lang po ako at was an effective communication
ng iyong mga magulang.Pwede ko po iniisip yung mga problema ko tas bigla
ba malaman ano ginagawa niyo kapag na lang po ako kakabahan at sumasakit
sumasagi sa isip niyo po yung problema ulo ko. (eye contact, sad expression)
niyo po? ” (eye contact, open posture)
“May mga bagay naba ba nasubukan  Reflecting “Gumagawa na lang ako minsan ng The client shows relief and slight
niyo na po para maibsan o maiba ang mga paintings dahil hilig ko rin ang hopefulness.
intesyon niyo? Para sag anon di niyo magpinta mula doon nakakapag-
gaano maisip ang inyong problema concentrate naman po ako. Minsan
parati. ” (eye contact, open posture) nanonood ako ng palabas sa Netflix.
Yon lang naman po ung mga gingawa
ko na nakakawala ng aking problema.”
(looks directly to me and with slight
smile)
“Mabuti naman po kung ganon maam at
nakahanap po kayo ng paraan para
mapaling atensyon niyo at gumaan
pakiramdaman niyo kahit papaano. “Okay po, kahit papaano gumaan
Maganda na ipagpatuloy niyo lang po pakiramdam ko po ngayon. (looks
yan upang matulungan po niyo po sarili directly to me and with slight smile)
niyo na ma refocus yung mga thoughts
niyo at maibsan ang iniisiip niyo. Maari
rin po tayo maghanap ng mga bagong
bagay o gawain na makakatulungan sa
pagpapagaan ng ating pakiramdam.
Okay po ba sainyo yun ma’am?
(leaning forward, open posture,
maintaining eye contact)
“Maraming Salamat po maam J, na  Offering self “Maraming Salamat din. (smiling and The client expressed his gratitude and
nakatulong ako na gumaan ang inyong with eye contacts) shows interest to become better
pakiramdam. (smiling, open posture,
maintaining eye contact)

TERMINATION PHASE

STUDENT NURSE THERAPEUTIC COMMUNICATION CLIENT’S RESPONSE ANALYSIS AND INTERPRETATION

(verbal and non verbal) TECHNIQUE USED (verbal and non verbal)
“Baka may mga kaanungan pa po kayo  Offering self “Matanong ko lng po. Kelan po ako It’s time for the client to go home as she
maam, Pwede nyo pa po sakin sabihin pwede makauwi sa amin? (scratch her shows signs of getting better.
bago po natin tapusin ang session head)
ngaun” (smiling, open posture,
maintaining eye contact)
“Pwede naman po ngaun maam. Basta  Giving Information “ Sige po” (eye contact, open posture) The client had shown that she fully
pagkauwi niyo po. Magpahinga lang po understand the information given by her
mona sila at inumin lang po nila ang doctor.
niresetang gamot ni Doc.” (smiling,
open posture, maintaining eye contact)
“Sige po ma’am, may ilang minute na  Summarizing “ Maraming Salamat din” (Smiles, eye The client warmly thanks the nurse and
lang din po tayo bago matapos yung contact, open posture) shows positive expression.
session na ito at sana sa loob na isang
oras na magkasama tayo, sana naging
mabuti ang iyong pakiramdam at
naniniwala rin po ako na malalampasan
niyo lahat ng pinagdadaanan niyo.
(smiling, open posture, maintaining eye
contact)

“Maraming Salamat din po Maam J”  Closing of the interview “Ok po, Maraming salamat ulit” (Smiles, The client shows appreciation to the
(smiling, open posture, maintaining eye eye contact, open posture) nurse and to the whole session
contact)