OLIVAREZ COLLEGE TAGAYTAY COLLEGE OF NURSING
Interpersonal Communication Process Recording (Day 4)
Introduction TERMINATION PHASE The nurse terminates the relationship when the mutually agreed goals are met, the patient is discharged or transferred or the rotation is finished. The focus of this stage is the growth that has occurred in the client and the nurse helps the patient to become independent and responsible in making his own decisions. The relationship and the growth or change that has occurred in both the nurse and the patient is summarized. General Objectives: To protect patient from harming himself To stabilize his good mental health or state of mind To increase his level of independence To establish a hopeful life outside the institution To regain self-respect Establish reality of separation Mutually explore feelings of rejection, loss, sadness, and anger and related behavior
Specific Objective as a student: To evaluate the patients readiness of oneself
To develop independent care To gain self-awareness and self-care To prevent interdependency of the patient to the nurse To relieve discomfort on understanding others.
Specific Objective for patient: To make him realize that there is hope in life To promote self-actualization To reduce level of fear To provide physical cleaning To create a good therapeutic bonding
Summary: This is our last day of interacting with the patient .We first had our remotivation therapy that tackles about ocean and the things they remember in the said scenario. My patient is not cooperative here because he thought its boring. Second we had our puzzle game ang he refuse to complete the task because he said he didnt know how to do it and the materials is cut into pieces. And third, we had dance therapy which he cooperate and show his skills in dancing Cha-Cha. He knows the steps and he can memorize the sequence of steps immediately. And lastly we had a rehearsal for their favorite songs that they will sing at the socialization day.
Evaluation: The patient is happy and tried because of the games weve played. The patient makes decision for himself. If he likes the activity he participates well. If he didnt like it he wont pay attention at all.
Patient name: Luciano Malabanan Student name: Nikka F. Gatpandan Diagnosis: Perception to the client: The patient is cooperative.
Date: October 7 2011 Time started: 2:00pm 4:00 pm Place conducted: Bayanihan hall
Perception to the environment: The environment was sunny. Interviewer Maganda Hapon po.. Technique Used Respect/Giving Recognition -therapeutic Suggesting collaboration therapeutic Patient The patient nodded at go directly to the faucet for ADL. The patient started his ADL. Analysis Showing respect is an important factor in effective communication. The patient is following task given. This indicates that the patient knows and aware of his daily routine, therefore the patient was able to perform self-care. Silence or long pause in communication may indicate different things. The client may be depressed and struggling to find the energy to talk. Sometimes pauses indicate the client is thoughtfully considering the question before responding. At times. (Vedebeck 2nd Edition) The patient participates actively in the activity. He can
Sige po Tay, mag-toothbrush at maghilamos na po tayo para maging maganda ang inyong pakiramdam.
Tapos na po kayo Tay? Punta Giving Recognition na po tayo sa Bayanihan hall, therapeutic
No response Non verbal: The patient follows the student nurse.
Tay, mag e-exercise po muna tayo bago magsimula para
The patient nodded.
masigla ang ating katawan. Wow, ang galing naman ni tatay mag-exercise, dito na po ulit tayo sa ating upuan. Tay, naaalala nio pa po ba ako? Wow, natatandaan niyo po. Kamusta naman po kayo? Ang tulog mo po? Tay kukunan ko po ulit kayo ng BP, Temperatura ng inyong katawan, pulso at RR nio po? May gusto po ba kayo pag usapan ngayon? Giving recognition therapeutic Help to orient Broad opening - therapeutic The patient follows the student nurse and sits in the chair. Opo, si Nikka. Maayos naman ang tulog ko.
do the same movement the leader is doing in front. The patient can understand the student nurse instruction. The patient answers the question correctly. Broad openings let the client lead the interaction. It may stimulate the client to take an initiative speak. The patient is cooperative to the student nurse.
Asking for permission therapeutic
The patient nodded.
Broad Openings therapeutic
No response. The patient is just looking around. Wala naman. The patient is starring at the car.
Ano po tumatakbo sa isip nio ngayon? (Looking at the client and making observation) Ano po tinitingnan niyo? Ano po naiisip niyo sa kotse? Ano po itsura ng sasakyan niyo? Maganda po ba?
Broad Openings therapeutic
Questioning - therapeutic Asking question therapeutic Asking question therapeutic
Yung mga kotse. Maganda po. Dati may ganyan din ako. Ganon ohh (pointing on a black BMW.) Maganda din yun akin e,, kulay puti. Hindi, may drive kami dati.
Broad openings let the client lead the interaction. It may stimulate the client to take an initiative speak. Broad openings let the client lead the interaction. It may stimulate the client to take an initiative speak. The patients answer the question. The patient recalls his past life and his car. The patient remembers his car and the color of it.
Ahm marunong po kayo magmaneho?
Asking question therapeutic
The patient came from a middle class family,
Remotivation therapy.. Tay, interpret niyo po yun nakikita niyo sa larawan huh, makipag-cooperate po kayo. Puzzle for play therapy.. Tay, ganito po ang gagawin niyo, bubuuin nio po ito at ang kalalabasan po ay bahay. Bubuuuin niyo lang po parang ganito po.. (the student nurse demonstrate it) HepHep Hooray.. Ok tay, galingan niyo po sa laro huh.. Encouraging collaborationtherapeutic No response. The patient knows the mechanics of it and he won the game. The patient is looking forward for the next activity. Suggesting collaborationtherapeutic Giving informationtherapeutic Ayoko niyan. Di ako marunong.. The patient is refusing and didnt want to complete the puzzle. The patient still didnt understand how to complete the puzzle. He wasnt able to perform it alone. Suggesting collaborationtherapeutic Sige po. The patient brings his chair in front. And looks around. The patient is not interested with the topic. So he looks around and not paying attention with the speaker.
Hindi yan mabubuo, sira yan.
Wow, ang galing niyo po tay, Giving recognitioncongrats po.. therapeutic ang sunod po naten gagawin ay sasayaw, gusto niyo po bay un? The dance therapy. Tay, magsasayaw tayo ng cha-cha huh, tuturuan po naming kayo ng steps. Encouraging collaborationtherapeutic
The patient nodded and follows all the steps correctly.
The patient knows the basic steps of cha-cha and he can immediately memorize the steps. He can follow the leader and perform the different steps well.
Wow, ang galing ni tatay sumayaw. Palakpak po tayo. Last activity is music therapy,
The patient smile.
The patient is happy with the outcome of our dance therapy.
Tay kantahan naman tayo Suggesting collaborationhuh,kakanta po kayo sa gitna. therapeutic ano po gusto niyo kantahin?
When the smoke is going down.
Wow, ang galing mo po kumanta, Dito na po tayo Tay, kakain na po tayo. Pero bago po kumain mag-dasal po muna tayo lahat. Balik na po tayo sa ward. While walking in the hallway.. Tay, hanggang bukas na lang po kami, SOCIALIZATION DAY po namin yun, hindi na po kami babalik pagkatapos nun.
The patient sits in the chair.
The patient is cooperative in this activity because he was given the opportunity to sing his favorite song. And he really knows the lyrics and he sang well. The patient follow instructions and wait till the prayer is done before eating his meal.
Setting limits- therapeutic
The patient has no response. Flat affect.
The patient is thinking.