Process Recording Week 2

8/12/2019 Process Recording Week 2

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Demographic data:

Patients Name: Rodriguez, Romeo Age: 35 years old

Birthday: July 15, 1979 Sex: Male

Civil Status: Single Nationality: Filipino

Address: Narra, Bayawan City, Negros Oriental Religion: Roman Catholic

Date and Time of Admission: July 3, 2004 Occupation: None

Medications: Fluphenazine Decanoate cc Ward: Male Ward

Chlorpromazine 100mg BID

Diagnosis: Suicidal/Escape Tendency

General Impression (appearance upon first contact):

The client is alert, awake with eyes open and looks at the student nurses. He also responds appropriately and oriented to time, place, and

person. He appears to be stated chronological in his age with cooperative attitude and behavior. Furthermore, he is dressed appropriately for

the place and weather. The client has an erect posture with smooth, coordinated, and steady gait. Hygiene is good with clean skin and nails

trimmed. He establishes recurrent eye contact to the student nurses and smiles appropriately. His speech is clear with moderate pace and

comprehensible and expresses full and free-flowing thoughts and answers to questions are based on his rationales.


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Seating arrangement:

PatientR

KIM

BONA

Chair

C h

ai r

Bench

Legends:

StudentNurses

Patient

The patient interview provides the gateway to the health of the patient. Because it is both a science and an art, the skill ofinterviewing will improve as you continue your training. Although psychiatric patients differ in some ways from medical and surgicalpatients, seating arrangements and use of space by patients can provide valuable information to the nurse, clarifying not only thenurses appraisal of the patient but also the way in which the nursing interventions should be implemented. That is why it is verycrucial to let the patient choose what seating arrangement and where he is comfortable at conversing, given that it is accessible toboth the nurse and the patient. Offering a choice of seating arrangements allows greater flexibility in the interaction.

As shown in the figure above, the patient decided to sit on a wooden bench under the shade of a tree. Moreover, the studentnurses brought their seats about 3 to 4 feet away from the patient which facilitates interaction to be audible to both without invadingpersonal space and promotes social interactions. The patient may perceive the nurse-client interaction as a threat if his personalspace is violated therefore it is very decisive for the student nurses on-duty to maintain the social space. One student nurse is seatedlateral to the patient while the other is seated in front of the patient so to provide perimeter to which the conversation is contained.

Tree


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Nurses Thoughts and feelings :

Being of service in helping our patient cope up with the different stressors in life to help him be gainfully productive to the community wherehe belongs is one of our prime motivations. For us to do this, it is our sincere desire to render our service and share the best of our abilitiesand knowledge in guiding our patient gained back sound way of thinking and desired behaviour he used to have. Also, it will be anexperienced we re hoping to have and develop the skills needed to become a better health care provider in this area.

We first desired to established rapport and accomplish contract setting for us to formally start our journey of mutual partnership wherein thepatient developed coping skills and we, student nurses, gained the lived experienced. This is not an easy task ahead of us, but, we arehopeful and confident enough with the help our mentor and above all, the almighty God.

We desire to accomplish contract setting and foster an atmosphere where there is acceptance, understanding, genuine care, opencommunication and trust for each other. Important points to consider where emphasized during the first meeting. Expectations from us werelaid out to our patient and we also asked our patient what he is expecting from us during the entire psych rotation that we will be with him.


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Objectives:

Learning Objectives:

Within the nurse-patient interaction, the student nurse shall:

1. Initiate contract setting containing time, place, date, and duration of the interaction to the patient properly2. Clarify n urses expectations to the patient appropriately

3.

Mutually agree on goals to accomplish with the patient properly4. Identify patients problems thoroughly 5. Discuss the terms of termination to the patient correctly6. Clarify nurses role and responsibilities to t he patient sufficiently7. Discuss the terms of termination to the patient correctly8. Converse about the confidentiality of the interaction to the patient

Client centered Objectives:

Within the nurse-patient interaction, the student nurse shall:

1. Communicate problems to the student nurses appropriately2. Clarify patients role in the interaction with the student nurses appropriately 3. Express thoughts and feelings to the student nurses genuinely4. Shares information about self and his relationships towards other people to the student nurses appropriately5. Identify goals with the student nurses correctly6. Convey expectations to the student nurses accurately7. Shares information about self and his relationships towards other people to the student nurses appropriately8. Verbalize any concerns to the student nurses


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Nurse client interaction:

Nurses Verbal and Nonverbal Cues Clients Verbal and Nonverbal Cues Therapeutic CommunicationTechniques

Analysis

Bona and Kim: Good Morning, Sir.(smiles)Bona: Ako diay si Bona, Sir.Kim: Ako si Kim, Sir. Kami mgastudent nurses gikan sa SillimanUniversity College of Nursing.

Client: Good morning pud, MaamBona, Sir Kim. (smiles)

Giving Recognition Greeting the client shows that thestudent nurses are well aware ofthe presence of an individualdespite having the mentalcondition. This is one of the waysto create an atmosphere ofacceptance.

Bona: Kinsa gani atong pangalan,Sir?

C: Ako diay si Romeo Rodriguez.Natawo ko sa Bayawan City,Negros Occidental

Giving Recognition Asking the clients name conveysrespect to the client as a personand shows worth of an individualregardless of his mental state.

Kim: Magpuli-puli lang mi saakong kauban ug pangutananimo, Sir. Okay lang ba, Sir?

C: Okay, sige sige, Sir Kim,Maam Bona.

Suggesting Asking the clients perception ofhis comfort will greatly increasebuilding of trust between thenurses and the client.

Kim: Okay, Sir. Naa mi diri, Sir,para mukat-on ug magtuon sainyong sitwasyon isip mgastudent nurses.

C: And then, the second part ofyour schooling has beenemphasized on practicing,accordingly.

Giving Information Providing information to the clientabout the reason of the studentnurses involvent in his care willgive him an idea of your purpose.Positive patient response showsunderstading in the informationgiven.

Bona: Putting into action what welearned. Ang among nakat-unanamo pong e-apply para pud mimakatabang sa mga

nanginahanglan. Okay lang ba saimo, Sir?

C: Daghang salamat, Maam.Daghan kaayong salamat.

Giving Recognition Affirmative responses to patientencourages patient to voice outwhat is in his mind. Asking theconsent of the client show

respect.

Kim: So kami diay, Sir, manganhimi diri kada Byernes sa buntag.Mga between 9:30 to 10:00 mimaabot. Niya mag-istoryahanay

C: 45 minutes Okay ra.(smiles)

Giving Information Stating the specific time andduration of the interview will givespecifics to the client as to whenthe interaction will start and end.


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ta sa sulod sa 45 ka minutos.Kim: Okay lang ba sa imuha, Sirna magistoryahanay ta kabahinsa imung mga concerns, unsaimung mga problema imung isay-isay niya kami amo kangtabangan na masulbad nimoimung problema. Kami, isip mga

estudyante, mu giya nimo.

C: Kinahanglan ra ko maligo, magtoothbrush, then paghuman ugkaon, mangandam na ko sa 45minutes na pag-istoryahanay.

Giving Information Giving details to the client withregard to the scope of interactionwill give him a trace as to whatthe interaction will be all about.Affirmative response from thepatient gives the student nurse anidea of acceptance an

cooperation from the client.Bona: Nakadungog ko Sir nakabalo kang kinahanglanmagpreparar sa dili pa mimaabot. Nangandam na ka,naligo ug nakailis na ug humanana kag kaon para pag-abot namo,komportable na ka ug ready na tamagsugod ug istorya sa saktongoras para dili pud ka malangannya dili pud ta madugay.

C: Okay.

C: Sige. Sige.

Restating Restatement of what the clientsaid gives him an idea that hiscommunication of idea is effective.This encourages the client tocontinue.

Kim: Ang tanan diay nimongisulti, Sir, kay confidential. Walaylaing tawong makabalo ani gawasnamong duha, ang doctor ugnurse na ga alagad sa imu,among maestra, ug among mgaclassmate. Ang impormasyon naimung ihatag kanamo, Sir, kayaamo pud ng e-share sa amongclassmates para pud makakat-onpud sila sa imung sitwasyong.Pero, Sir, dili namo gamitunimung tinoud nga ngalan,mugamit ra mi ug codename.Okay lang ba sa imu, Sir?

C: Okay.

C: hmm.

C: (nods)

C: Okay ra.

Giving Information Stating the details of patientconfidentiality displays respecand encourage atient to verbalizehis thoughs and emotions, as wellas his observations, to the studentnurses because his identity andinformation are protected.

Bona: Naka-agi na ba kagestudyante na pareho namo, nga

C: Oh. (nods) Clarification The student nurse clarifies hervague guess by validating it to the


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nag-alaga sa imuha? client.Bona: Okay. So kami, Sir,magsugod mi karongsemanahuna kay mao ma niatong unang pagkita. Mu-anhi mikada Byernes sa buntag.Mahuman mi, Sir, siguro mgaSeptembre, mga hinapus. Di lang

mi mkasulti ug insaktong petsa,Sir, kay basig nay mga pag-bag-ona mahitabo sa mung schedule.

Kim: Maningkamot mi, Sir, namatabangan ka sa imung mgaproblema. Ang among mahatagnimu, Sir, kay ang amongpanahon ug oras, ang amongkahibalo arong mka giya mi saimuha. Kabahin sa kanang mgapersonal na panginanghalongnimu sama sa kwarta, dili mimakahatag ana, Sir, pero sahinapus na sa among duty, Sir,naa ra unya mi pahalipay sa imukay dili man pud pwede, Sir, nakada bisita namu manghatag mikay ang uban mag unsa unya.Mangigi pud na sila. Mao ngpanahon na matapos na amongduty, angay mo tanan na naypahalipay na madawat para fair.Okay ra sa imuha, Sir?

C: Daghang salamat.

C: Okay ra kay katungod mannamo na mutug-an sa iyong mgapangutana, mu-istorya sa amonggibati, mu-istorya sa inyong mgapangutana ug sa inyong is-torya,makasabot mi dayun mutubag miug unsa among e-tubag kay paramakatabang pud mi sa inyuhangpagtuon, sa inyung pag-eskwela.Ug makagraduate na mo,makakuha na mo ug kurso,mapatindog na ninyo inyongpangalan as a full-pledge nursena makatabang na mo sa uban.

Giving Information

Offering Self

Presenting the time scope of thenurse-client interaction and thepossibility of termination wiprepare the patient to givesignificant information that will beuseful in helping him achieve thegoals of care.

The student nurse offers hispresence, interest, and desire tounderstand. Moreover, offering histime conveys to the patient theworth of his self. Favorablresponse from the patient is alsoneeded to encourage hicooperation.

Bona: Pero kami, Sir, ang amogyung tinguhaan, Sir, ikaw judamong tabangan ug giya. Unsa-on nimo pag sulbad imung mga

Giving Information It is important to be mindful of thestudent nurses purpose of theinteraction. Clarifying to thpatient on his perception about


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problema. Ug naa kay mgaproblema na muabot sa kinabuhi,unsaon pud nimu pagpama-agipara masulbad para makabalo tasa kung unsa jud ang angaynatong himuon, diba? Usahayman gud, nay uban na maglibog.Maglisud sila ug sulbad sa ilahang

mga problema.Kim: Unya, ang among gipangayogumikan sa imu, Sir, kay angimung kooperasyon paramatabangan ka namo nya dili pudta maglisud. Magtinabangay langta, Sir. Okay lang ba na, Sir?

Bona: Kay partnership man ta,Sir. Kay kung dili ka mu share saimung mga concerns, mgaproblema, unsaon man na namopagtabang ug pag-giya kanimo.Mao na nanginahanglan mi saimung kooperasyon.

C: Ang una nakong ika-istoryanga aning lugaraha, sama sa usaka kampo.

Suggesting Collaboration

the interaction and its purposeshows an impression to the clientthat the student nurse is there tohelp him and it is not the clientsrole to help the student nurse.

The student nurse seeks to offer arelationship in which the client canidentify problems in his emotions,thoughts and relationships withothers, as well as his ability tocope with lifes stressors. This willalso cause the client to cooperatein the interaction.

Kim: Nganung kampo man, Sir? C: Nya sama sa sa 9s aka kampo,naay guardya ug utility. Nya angulity ky to authorize utilization.Mukuha ug authorize. Mukuha ugkatungod sa guardya namakasulod aning lugaraha. So,ang buhaton sa guardya, naamag goy policy na Keep thegate always close. Sigeng seradoang pertahan sa biskang unsangorasa. Dili mupasulod ug taga-gawas, dayung ug naay mubisita

Encouraging Description ofPerceptions

To understand the client, it isimportant that the student nursewill see things from the clientsperspective. This will also provideclients thoughts about hisenvironment, particularly theplace he is staying.


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sa selda na usa, dili paduolan ugdaghan. Dili paduolan ug lain. Ugnaay daghan na mubisita saselda, dili paduolan ug lain. Dilipaduolan ug daghan. Unya pag-abot sa alas onse sa gabie, echeck ang likod na gate. Dayungug natulog na ang mga watcher,

natulog na ang mga pasyente,walay mulayas, walay nag wild,walay nakig-away, matulog naang guardya. Mu nay akoangobservation. Dayun, ug naay magreaction, mga side effects satambal, ug mag reaction sa gabie,sa disoras sa kagabion kanangtyempo tingkatulog na ba,kinahanglan na naay nurse namu-atender, mu tagad sapasyente na magpa-inom ugtambal na pangpakontrol sareaction. Nya ug naay mag-away,naay mga nasamaran, naay mganangapangus, nangasamad,kinahanglan na mutawag ugambulansya para na mu assist salugar na sama niini.

Bona: Salamat pud saimpormasyon na imung gihatagsa amoa, Sir. Diba imu mi nimunggitagaan ug idea.

Kim: Tapos, Sir, unsa man imunggina-expektar sa amua?

C: Ang akong paghunahuna sainyuha, ang akong panan-aw,kinahanglan jud untangmakahuman mo sa pag-eskwelakay para makatabang mo sauban. Dayun ug naa na moykurso na makuha, makatrabahana mo. Syempre, ugmakatrabaho na, ampingan ang

Encouraging Expression

Broad Openings

Asking the client about hexpectations will make him feelthat his preferences are alsoneeded in the interaction. This willalso show his importance as aperson and as a part of the nurse-client relationship.


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pagtrabaho. Dayun, pahalagahanang pagtrabaho. Dayun, mutan-aw ug mga butang na ikaayo oika-apply pa sa pagtrabaho,magamit na butang para sapagtrabaho para ma asenso angpagtrabaho.

Bona: Okay, Sir. Salamat sa

imuhang ideya pero amonggusting makat-unan, Sir, kabahinlang sa ato unyang pag-istoryahanay sulod sa 45minutos, kada Byernes, unyasulod sa du haka bulan. Mgaalmost 2 months. Unsa manimung gusto pud na makad-unangikan namo? Unsa pud imungayuda nga gusto nimu nga amupud na mapa-ambit nimu? 11 saka kay gustong ipa-ambit?

Bona: Therapy

C: Ang akong gusto ipa-ambit kay

naa unta moy therapy na himuonkay para maapil ang tanangpasyente, maapil ang tanang naasulod diri sa inyuhang therapykay speaking about the history oflife and physically, naa juyproblema sa lawas nakinahanglan ma-ugnat o ma-exercise para mu circulate angdugo sa lawas dayun magamitang kaalam, dayun maka-hunahuna sa mga butang nagusto nilang himuon, nga gustonilang e-project o e-proyektonge-dayandayan sa ilang lawas nga11s aka nila ilang kagaugalingogabilidad.

Encouraging Expression Telling the client to verbalize what

is in his mind enhancacceptance and thereforepromoting trust in threlationship. This is also a way ofknowing what the client is lookingforward in the future and how hecan be helped in the course of thenurse-patient interaction.

Kim: Maabot ra pud ta ana unya,Sir

Kim: Nakasulay 11s ak ana angsa diha, Sir?

C: Oh. Seeking Information

This allows the student nurse toidentify the understanding of thepatient and wether the patientneeds further explanation aboutthe matter.

Bona: Unsa man inyung gihimoang sa diha, Sir?

C: Dance theraphy. (smiles) Clarification Asking the client about his pastexperiences will give an idea as tohow therapies work to the patient.

Bona: Ah, dance theraphy, sige.Mu-abot ra unya ta ana, Sir,depende sa mga kinahanglan

C: Nakasulay mi naghimo mi ugpulseras dayung gipasul-ob saakoa. Naa puy gipahimu mi ug

Seeking Information Asking the clients choice wilgreatly help in alleviating wellnessin his daily living because this wil


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ninyo. So unsa man imungganahan, Sir?

Bona: Ah.

pulseras sa lain pang mgabutang, nga sa laing panahon.Gipahimu mi ug pulseras dayungamong gibaligya kay ipalit namoug merienda.

reflect his ideas of how he will beof use in other people and in abigger society.

Bona: Kinhangalan pud nato na,Sir, para mahibalik atong abilidadsa panginabuhi. Kung naa na tapangiabuhi, bulahan na makuhanato ato adlaw-adlaw nato napanginanglanung pinansyal.

C: Oh. Accepting An accepting response indicates tothe patient that the student nursefollowed his train of thought. Thiswill also enhance trust in thenurse-client relationship.

Bona: So, mao na imungexpectation, Sir? Na naa moytherapy. Sakto ba akong gisulti,Sir?

C: Oh, sakto. Sakto ang imonggisulti.

Consensual Validation The student nurse should seekclarification so the know whetherher thoughts are in sync with theclients.

Kim: Ngano diay na admit ka diri,Sir?

C: Na admit ko diri, Sir, kay kuanman gud

Encouraging Expression Asking the client about histhoughts of why he whospitalized encourages the clientto make his appraisal about thetopic

Bona: Makahinumdum pa 12s ak,Sir?

C: Makahinumdum pa ko sa mgapanghitabo nako.

Placing Event in Time orSequence

Structuring the events will helpthe client remember the sequenceof what happened to him and willconvey consistensies with hiinformation given.

Bona: Pwede ba nimu mi masaysayan sa mga panghitabo, Sir?Kay maminaw mi nimo.

C: Naadmit ko diri gumikan sagikuha ra ko sa barangay tanodthen gisakay ko sa tricycle dayungisulod ko sa barangay hall naselda. Dayun, after 3 days nagifollow-up ang identification sa

akoang pagkatawo, sa dihangnapamatud-an na nila, gidala kosa mental rehab. Ay, sa NationalCenter for Mental Health.

Encouraging Expression This shows the interest of thestudent nurse in helping thepatient with his condition oproblems. Encouraging client tospeak his experiences will give thestudent nurse information for

beteer patient outcomes.

Kim: Asa man na dapit, Sir? C: Sa Manila. Seeking Information Asking information to the client


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will help in validatinconsistensies in the future.

Kim: Ah, sa Manila, So, unsa mantong mga tuiga, Sir?

C: 2003, February 4. Seeking Information The information provided aids insequencing of events.

Bona: So katung nahitabo, Sir.Katung gikuha ka sa barangaytanod nya gidala sa barangayhall, mga unsa man tong petsa,Sir?

C: Mga February 2, 2003. Seeking Information The information provided aids insequencing of events, and can beused in understanding theexperiences of the patient as anindividual.

Kim: February 2, 2003. So didtoni siya nahitabo sa inyungbarangay?

C: Sa Sitio Veterans, Brgy.Bagong Silangan, Fairview,Quezon, City.

Seeking Information Asking for his address will validatethe occurrence of the events.

Bona: So didto diay ka ani saManila katong nahitabo ni, Sir?

C: Oh. Clarification Validating student nursesunderstading to the patient aids insequencing of events.

Bona: So akong usbon, Sir, ha? C: Oh Clarification Validating student nursesunderstading to the patient aids insequencing of events.

Bona: Sitio Veterans, Brgy.Bagong Silang

C: Silangan. Restating This will verify to the client whathe just said and to observe theclient for the consistencies of hisideas.

Bona: Ah Silangan C: Oh Fairview, Quezon City Restating To validate what the client said.Kim: So didto ni unang nahitabo,Sir?

C: Oh, pagka 3 days after Seeking Information To aid in rightly sequencing theevents

Kim: So pagka February 4,gihatud ka sa?

C: NCMH. National Center Seeking Information To confirm the place where hewas brought after.

Bona: Unsa may meaning ana,Sir?

C: National Center for MentalHealth

Seeking Information To clarify the meaning to makethe flow of interaction clear.

Bona: Asa man ni, Sir? Unsangaddress aning National Center for

Mental Health?

C: Ang address ana kay Noybe dePebrero St., Mandaluyong

Seeking Information To establish consistencies with thedata gathered.

Kim: Noybe de Pebrero St.,Mandaluyong.

C: Ug didto napamatud-an sadoctor sa ilahang medicallaboratory examination ug samga doctors laboratory

Restating So the client may know what he just said so to confirm if the datagathered is consistent to whathappened to him in the past.


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examination, napamatud-an sa usaka doctor na naa koy sakit nanervous breakdown.

Kim: Mao nay giigon sa doctor,Sir?

C: Mao nay giingon sa doctor. Seeking Information To verify what the client had saidabout the diagnosis of the doctor.

Bona: Nakahinumdum pa ka saimung doctor?

C: Ang akoang doctornahinumdumang pangalan saakoang doctor kay si RonaldoEskanio.

Seeking Information To confirm whether what theclient is telling about his doctor isreal or not.

Kim: Niya karon, Sir, pwede minimo saysayan, Sir, kung unsayhinungdan sa imung nervousbreakdown?

C: Nagkasakit ko ug nervousbreakdown gumikan sa angsinugdanan ani usa ko ka taxidriver.

Encouraging Expression To let the patient verbalize hisexperiences having nervoubreakdown and to give aimpression of interest to theclient, as well as his paexperiences before he wadiagnosed with nervoubreakdown.

Bona: Taxi driver. Dayun, Sir? C: Dayun, 14 s aka adlaw saakong pagbyahe, mga alas 6 sakagabi-on na padpad ko sa lugarsa Kalookan, sa Rizal Avenue,Kalookan atbang sa MCU, 14 saka 14 14 sa Rizal Avenue.Gisakyan ko ug pasahero nga tuloka buok, 14s aka14 lalaki ug usaka babaye. Ang 14s aka babaye ay ang us aka lalaki diri saakong tapad, ang us aka babayekay sa likod niya ang us aka lalakiky sa ako jung likod. Unya anggasakay nako na pasahero na tulo

kabuok, ang 14s aka lalaki kalitna ning bunot ug 14 s aka nakwarentay-singko. Nakakat anghammer, inggansado, naay load.Dayun nagpahayag na hold-up ni.

General Leads It encourages client to continue inthe interaction and it conveys thatthe student nurse is listening andfollowing what the client is saying.To know the sequence of eventsthe client experienced and topicture out the event as to whatreally happened that predisposedhim to have nervous breakdown.


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Sa dihang gitiunan kogkwarentay-singko, nakaingun kona mutuman lamang ko sa ilangmga mando. Nagpahatod sila ugRosario, Pasig. Mao tong pirtenakong kulbaa nya ang akongtupad na lalaki ga mando sa akoaug asa ko muagi. Giingnan ko nilana ayaw pagbuhat ug daotanglihok 15s aka1515 kang patyun,madayunan ka ani.

Kim: Ila kang gihadlok. C: Oh, wala ko gapakitag daotanglihok gumikan na nakati-on saakoang likod ang kwarentay-singko na nakakat ang hammer,naay load. Nya ug pitkon,mubuto, patay ko. Mao nanggisunod nako ilang pagmando.

Making Observations To let the client know that thestudent nurse understands whathe is feeling and to give him theidea that the nurse is listeningattentively to what he is saying.To understand the situation basedon what the client narrated.

Kim: Oh, dayun unsay nahitabodasun, Sir?

C: Gapahatud sila ug Rosario,Pasig. Gihold-up ko nila, gikuhaakong kwarta dayun gidala nilaakong sakyanan. Gipakanaog kosa Rosario, Pasig sa taytayan saRosario sa floodway. Gipakanaogko sa floodway sa Rosario, Pasig.Rosario, Pasig Bridge. Niya akongboundary na, usa ka semana nawala ko ka boundary.

General Leads To encourage the client tocontinue narrating the events thathappened and to communicateinterest of the nurse about thetopic being talked about.

Bona: Wala ka naka-remit? C: Oh, wala ko ka remit ugboundary. Duh aka semana nawala ko ka boundary, hapit bente

mil akong kwarta. Hapit bente milakoang naipon. More or less,twenty thousand ang akoangnaipon na inug boundary, ilahangnaapil ug kuha sa akoa. Dayun

Consensual Validation To validate understanding inaccord to the meaning of wordsthe client is saying. This also

conveys uniformity in the wordsbeing used in the interaction ofboth the student nurse and theclient. The clent also verbalizedfurther about what happened to


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napakanaog man ko sa Rosario,Pasig, ning sakay ko ug taxi. Ningpara ko ug taxi. Ning sakay ko sataxi, ning ingun ko sa taxi driverna ihatod ko sa akoang operatorkay nahold-up ko nya gi-carnappud akoang unit. Pag-abot nakosa operator, giingnan nako nabayari na lang ninyo ang taxi, Sir,kay akoang unit gi carnap nya naholdup ko. Ning-ingun siya naayaw rag kabalaka anangimuhang unit kaya moa ra nangipa publish. Kay naa maypublishing na Manila Bulletin nanaa sa Ayala, Makati, naa pud saIntramuros. Unya, sa ingana napamaagi ning- ingun ko na, Unsaman akong buhaton, Sir? Nin gingun siya, Mintras wala kay unitnga e byahe, tagaan ka namo ugallowance nga budget nimo sapang-adlawadlaw napanginahanglanun. Dayun, kaynaa man kay pundo diri kayregular man ka na taxi driver, gahulog man ka ug tag bente pesosang kada-adlaw nya adlaw-adlawang imuhang byahe, tagaan kanamo ug tag 300 a day. Kada-adlaw naa kay 300 pesos. Unya

imuhang unit, mu extra extra nalang sa laing unit mintras dili pamarecover and imuhang unit ngasakyanan nga na-carnap nagidala sa laing lugar. Mao tong

him.


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ilang atubangan. Nya pagloadnako ug bala, gi-ingnan nakonakit-an nyo si Lola Petra ning agidiri. Pero ning ingon man pud silaug Oo. Ning agi diri.

Bona: Si kinsa ang ning agi, Sir? Si Lola Petra. Lola nako. Dayunpag-istorya nako ana, namaayona akong buot. Ningpauli na langko. After four days or five days,gikuha na lamang ko sa mgabarangay tanod then gidala kogbarangay hall. Pero wala nilamaagaw sa akoa ang akoangkarbin kay ako mang gitago. Akomang gitako akong karbin kaynaa man koy bag. Nya sa amogung lugar, naa mi fraternity ugusa mi ka kuan, kanang protektorsa usa ka kompanya, sa usa kanegosyo, naa mi Nissan Safari.Naa koy Nissan Safari nga unitisip usa ka protektor sa usa kafraternity nga naa mi sa usa kachapter.

Seeking Information To determine whether the client isbasing his past action with soundrationale. It will also convey whatthe client was thinking at themoment when he acted deviouslywith his peers at work and whatcalmed him down.

Bona: Ah, ga-eskwela d.i kasauna, Sir?

C: Dili. Fraternity sa usa kaestambay.

Seeking Information To clarify information and to helpin sequencing of events.

Bona: Ah, estambay. Asa man moga-estambay dapit?

C: Sa chapter six, sa KampoFairview.

Seeking Information To validate the given informationof the client.

Kim: Ah, sa Fairview. So saFairview ra jud diay ka gapuyo?

C: Oh Seeking Information To validate his location duringthose events.

Bona: Nya naa gyud diay moymga kapunungan sa inyung mgaestambay?

C: Oh Seeking Information To verify what the client had saidpreviously.

Kim: Nganung naipon man ka samga estambay, Sir, na taxi driver

C: Kay dili unta ko estambay saunsa galling kay nahitabo ang us

Seeking Information To encourage the client toverbalize his reasons and to verify


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man ka, di man ka estambay? aka hold-up sa usa ka gasolinestation sa Spiritual Fairview,Quezon City. Mao na akoynapasanginlan, kaminapasanginlan na nanghold-up sausa ka gasoline station.Nakasulod mi ug prisuhan thenpaggawas namo kay naabsweltoman mi sa kaso, kay napamatud-an na wala mi sala na nahimu saus aka hold-upan na nahitabo saus aka gasoline station. Sapaggawas na namo, nag-estambay na lamang mi.

and validate the arrangements ofevents.

Bona: Then, human ato, Sir, maona tung ning drive naka ug taxi?

C: Humana mi atug drive ug taxi,protektor na mi.


To provide concise flow of eventsand to trace train of thought. Itwill also be helpful in evaluatingconsistensies later on.

Bona: Ah, so kanag ikaduhangnahitabo na napriso ka, Sir,human ka ana nag taxi driver?

C: Oh. Placing Event in Time orSequence

To provide concise flow of eventsand to trace train of thought

Kim: Diba ning-ingun ka, Sir, ngasa February 4. So katung gi-holdup ka, Sir, kahinumdum ka unsatung mga tuiga?

C: 2001. Katulo man ko nahold-up gud hangtud 2003. 2001hangtud 2003.



Bona: Atung usahun, Sir, ha? Souna kang na hold-up, Sir, unsangtuiga, Sir?

C: 2001. Placing Event in Time orSequence


Kim: Mao ning unang panghitabona gisaysay nimu ganina saamoa, Sir?

C: Dili pa. Mao gyapun na siya napanghitabo. Ingun-ana gyapun.Basta mapadpad ko ana nga

lugaraha, mao ng mahitabo nako.



Bona: Sa ikaduhang panghitabo,Sir, unsa man tong tuiga?

C: August 2003. Placing Event in Time orSequence


Kim: August 2003. Gi-hold-up ka,Sir?

C: Oh. After na na nga na-admitnku kay February 4, 2003 man




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to.Bona: So after diay ka na-admit,Sir, nakagawas ka, nakatrabahora pud diay kag balik? Naka-drivera pud ka?

C: Oh. Dayun November 2003,gihold-up na pud ko.



Kim: So sulod sa tulo ka higayun,Sir, ilang motibo, Sir, parehogyapun tung pusil iti-on sa imu?

C: Moa ng actually, pagkahumannakog admit ato. Dayun 2004ning attempt ko ug suicide. Angakong tawag at oaky contemptedsuicide.



Bona: Mga unsa man tongbulana, Sir?

C: Mga July 2004. Placing Event in Time orSequence


Bona: Humana ka ani na-admit,Sir?

C: Oh. 2003 man ko na admit. Placing Event in Time orSequence

Bona: Unsa man kang bulanagipagawas atong 2003, Sir?

C: Tulo ra ko ka adlaw saMandaluyong.



Kim: Nganu mang tulo ra man kakaadlaw didto, Sir?

C: Gipagawas na ko nila kayhumana na ko nilag inspeksyonnya gipa-inom ko nila ug tambal.Sige ko nilag painom ug tambalna capsule.

Seeking Information Gathering information is one stepto better understand the client asan individual person and to beconsistent with the interaction.

Bona: So take home medicationna lang ka ato, Sir?

C: Oh. Take home medication andfollow-up check up.

Seeking Information Information is needed in validatingthe order of events.

Kim: So padayon ta, Sir, paramasubay nato imung sitwasyon.

C: Okay. Offering Collaboration To enhance nurse-clientrelationship and to promotecooperation from the client as theconversation goes deeper.

Kim: So katung higayun nanahold-up ka, Sir, unsa manimung gihimo? Ning share pud ka

sa imung mga amigo na mao niimung gibati? Na gikulbaan kakay gihold-up ka? Ning share pudka sa imung amigo, Sir?

C: Mag sharing mi kay naa manmi sharing about the problem andof the whole life. Ang tibuok

nimung kinabuhi u gang imungproblema, magbahinbahin mi ugstorya ug muhatag mi ug mgamensahe sa mga uban na maonay nahitabo namo ug unsa ang

Seeking Information Asking how the client respondedto a crisis in life will give thstudent nurse an idea as how to

help the client in respondingappropriately to the situation.Italso provides a glimpse of theclients relationship towards thepeople around him.


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amuang padulngan namanumbalik sa amuang kinabuhiug sa amoang huna-huna satibuok namong kinabuhinanumbalik ang pagkahitabo saKuratong Baleleng Gang na gi-ambushan sa mga pulis saCommonwealth bridge.

Bona: Mao na pud ning naka-trigger sa imuha.

C: Gumikan na armado mi,nahimo nako na mukasa ug pusilsa duh aka tawo, si TatangHayme ug si Brader Dio.

Encouraging Expression To know what factors triggered hiscondition and to enable the nurseto understand how to intervene.

Kim: Niya na-unsa man sila, Sir? C: Ning ingun man sila na oo,nakit-an namo na ning agi diri. Sailang pag-istorya sa ako na nakit-an nila ning agi si lola, ning tuoko nila ug ningubos akongpaghunahuna sa mga daotangbuhat.

Exploring To let the client think so he canremember the response of hispeers and whether his action isgood or bad

Bona: Imu diay tong planong

pusilun sila, Sir?

C: Oh Seeking Information To clarify the purpose of the

clients action towards his peers.Kim: Nganu imu mn silangpusilon, Sir? Unsa man anghinungdan?

C: Kay nagduda na man ko ngausa sila ka myembro sa KuratongBaleleng Gang nga nagpakalisudsa amoang barangay, na ang mgatawong gigipit nila ug ilahanghimuan ug mga butang na daotansama sa pagpatay.

Verbalizing the Implied To know the reason why the clientacted that way and to see thingsin the clients own perpective.

Bona: So Sir, unsa mangpamaagi, Sir, nga nakaingun manka pagsulti nga nagduda man ka?

Unsa man imung basehan, Sir,nga nagduda man ka nila usa silasa mga myembro sa BalelengGang? Unsa man imungobserbasyon, Sir?

C: Kay ang akoang makita gud naang mga tawong manganha saamoa, nga mubisita gagikan sa

ilaha. Gikan sa ilahang pwesto,mu anha sa amoang pwesto kayusa man ka compound amonggipuy-an. Dayun sa mgapanghitabo na ing-ana, naa

Encouraging Description ofPerception

To enable the client to evaluatewhether his action is acceptable ornot and to let the client judge his

actions.


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dayuy mahitabo na krimen samasa pagpatay, sama sapagsalvage. Sa amoa naakalamyo na taytayan ba,kalamyong creek na taytayan nasiya na tubig sa lalom na hugawkaayo. Sa kalamyong creekdaghan kaayong gipanglunod namga tawong patay.

Kim: So kanang imung gi-ingonna compound, Sir, kinsa maynanag-iya ana nga compound?

C: Ang tag-iya ana si CeasarAngeles Castaeda.

Exploring To gather information forconsistencies.

Bona: Nganung nakapuyo manmo didto, Sir?

C: Kay si Ceasar AngelesCastaeda us aka direktor saLTO, Land Transportation Office.Nya sa pagkuha namog lisensiya,kaila man si Ceasar sa amuangagalon, gi refer namo nga siyaymu-follow up sa among recordskay kwaan man ka ug personal

identification sa imuhangpagkatawo para isyuhan ka uglisensiya ug unsa na lisensiya.Mao na nga ning ingun si Ceasar,si Ceasar Angeles Castaedaning-ingon na kung gusto nimumu drive ug 10-wheeler nainternational or mu drive ka uginternational or mu drive ka ugtraktor nga trailer, pwede kangmu drive ipa-otso natu imung

lisensiya para makadrive ka uginternational. Pero magdala ka uginternational diri, ky amoang edrive test. Tan-awun namingkahibalo ba gyud ka mu drive.

Exploring To know where he is living and thereason why he is staying in suchplace. To gather information forconsistencies. To stitch the eventsin sequence.


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Kim: Nganung naabot man kadiri, Sir? Giunsa man nimu pag-abot diri, Sir?

Gumikan na gidala ko sa akongmama. Dili unta ko mupauli dirikay ning-ingon ko na mu drive rako ug taxi, mu drive ra ko ug mgasakyanan basta mamaayo nakokay para mabuhi nako akoangkaugalingon para makakwartaginagmay parang dili mimagkalisod kaayo. Mu drive raunta ko ug sakyanan ig maayonako. Dili unta ko mupauli peroingun man si mama nga naa natay ticket sa barko nya naa na tayschedule. Mao tong ningpauli nalamang ko.

Seeking Information To have knowledge how the clientreached Negros Oriental and whoaccomplanied him. To evaluateclients thoughts in the immechange of location.

Bona: Bitaw kay para septi pudka, Sir, para pung dili kamadisturbo.

C: Kay diri man gud, murag ug saakoang hunahuna, dili na komasulod aning mental.

Giving Recognition To let the client feel that thedecision he made is for his owngood.

Kim: Ganahan ka muuli sa inyo,Sir?

C: Sauna, pero sauna, dili unta koganahan mupauli diri sa amoang

probinsiya. Adto na lamang ko saManila.

Seeking Information To perceive whether the client islooking orward for the future and

to make the goals of thinteraction easier to attain.

Bona: Nganung ganahan man kasa Manila, Sir?

C: Kay daghan mang trabahodidto. Dagko kaayong mgabuildings. Naay panginabuhi. Diri,lisud kaayo diri ang pangwartakay gagmay ra gud kaayong mgatrabahuanan dri. Gagmay rakaaung mga buildings. Mao ngsauna, nkakuha gyud koglisensiya 16 anyos pa ko. Gipa-

fake nako akoang birth certificate.Gipahimu nakong 18 akong edadpara legal age na maka drive ko.Ang girekomendar mn gud nila naedad kay 18 man gud ang

Exploring To see things in clients ownperspective and to enable thecleint to reason out what heresponded previously.


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pinakabata. Mao na nga, kuan 7to 9 years experience ko sapagdrive.

Bona: So taas-taas diay pudimung eksperyensiya, Sir noh?

C: Oh. Giving Recognition To encourage the patient to speakhis experiences and to eanable thestudent nurse to validate herinterpretation of the clientsthoughts.

Kim: So, sa pamilya na sad tanimo, Sir. Kumusta imungrelasyon sa imung mgaginikanan, Sir? Sa imung mama?

C: Akong mama ug papa, patayna. Akong mga igsuon, minyo natanan.

Seeking Information To obtain clients family structureand his relationship towards them.

Bona: So sir, kinsay ngalan saimung mama?

C: Josefa Legahe Guardiano Exploring To obtain information aboumother.

Bona: Pila ang edad sa imungmama pagkamatay, Sir?

C: 60 Exploring To obtain information aboumother

Kim: Si papa nimo, Sir? C: Si papa, Antonio BaldadoRodriguez, Sr.

Exploring To obtain information aboufather.

Bona: Pilay edad namatay imungpapa, Sir?

C: Wala ko kabalo pero namataysiya atung 1986.

Exploring To obtain information aboufather.

Bona: 1986. Kinsa may unanamatay, Sir? Imung papa,imung mama?

C: Si papa. Kay si mama namataysa January 6, 2010.

Exploring To obtain information aboumother.

Kim: Unsang gikamatyan saimung mama, Sir?

C: Heart attack. Sakit sakasingkasing dayung naa siyayhigh blood. Hypertension.

Exploring To know whether he has aheridfamilial disease, whicpredisposes him to it.

Bona: Dayung imung papa, Sir,unsay gikamatyan?

C: Gi-salvage. Exploring To obtain information aboufather.

Kim: Asa man gisalvage imungpapa, Sir?

C: Sa, kuan Terong, Bayawan,Negros Oriental.

Exploring To let the client verbalize histhought of what happened to hisfather.

Kim: Kabalo ka unsay hinungdannganung gisalvage imung papa,Sir?

C: Gikasinahan man gud mi kaydaghan man mi ug manok, dayunbaboy, karabaw. Ilang gikuhaamong mga hayop. Human atowala pa sila makontento, ila pang

Exploring To examine clients thoughts andfeelings toward the tragedy thatmay contribute to his illness in thepresent.


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gisalvage ang akong amahan.Pero actually nakakuha mi ug tuloka suspect na napatunayan nasila gyuy gapatay. Nga naprisodiri sauna sa Dumaguete. Dirinapriso sa Dumaguete.

Bona: Ah, okay so 1986 imungpapa namatay, Sir?

C: Oh, 1986. Placing Event in Time orSequence

To trace the chain of events.

Kim: So sa igsuon na sad tanimo, Sir. Kinsa man gangpangalan sa imung mga igsuon,Sir? Pila man mo kabuokmanagsuon, Sir?

C: Lima mi kabuok. Exploring To obtain information about hisfamily.

Kim: Ikapila man ka, Sir? C: Ika-lima Exploring To have an idea of his role in thefamily being the youngest.

Bona: So kamanghuran diay ka,Sir?

C: Oh. Exploring To validate the student nursesperception.

Kim: So kinsa man inyungkamaguwangan, Sir?

C: Celia Guardiano Rodriguez. Ay,minyo na ni siya. Celia RodriguezVillanueva.

Exploring To obtain information about hissiblings and for consistencies ofdata gathered.

Kim: Pila naman ang edad aniniya, Sir?

C: Wala na ko kahinumdum. Exploring To obtain information about hissiblings and for consistencies ofdata gathered.

Bona: Wala na ka kahinumdumsa iyang edad, Sir?

C: Oh, tanan sa akoang mgaigsuon, wala nako kahinumdumug pilay edad.

Exploring To obtain information about hissiblings and for consistencies ofdata gathered.

Kim: Ang sunod ni Celia, Sir,kinsa may ngalan?

C: Joseline Rodriguez Kaloring Exploring To obtain information about hissiblings and for consistencies ofdata gathered.

Bona: Joseline RodriguezKaloring?

C: Oh. Exploring To obtain information about hissiblings and for consistencies of

data gathered.Kim: Sunod ni Joseline, Sir? C: Arlene Rodriguez Tejores Exploring To obtain information about hissiblings and for consistencies ofdata gathered.

Bona: Arlene Rodriguez C: Tejores. Ang ika-upat lalaki, Exploring To obtain information about his


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junior. Antonio GuardianoRodriguez, Jr.

siblings and for consistencies ofdata gathered.

Kim: Ikaw na dayun agndasun,Sir?

C: Dayun ako. Exploring To validate clients perceptionabout his thoughts

Kim: Buhi pa ni sila tanan, Sir? C: Ang akoang mga igsuon, buhipa.

Exploring To gather information about hissiblings and

Bona: Mubisita pud sila nimu, Sir? C: Usahay, pero sukad nan a-admit ko sa 2008, kaduha ra kogibisita. 2010 hangtud karun.2010 katung paglubong ni mamathen mga 6 days ra ko didto, ningbalik ra oud ko diri. Dayun pagka,atung May 13 hangtud may 17,ning bisita na pud ko didto karung2014.

Exploring To assess clients relationshiptowards his siblings and how hissiblings responded to his illnessbased on their behaviors.

Kim: Ah, ning bisita ka, Sir? C: Oh kay pista man sa amoa. Verbalizing the Implied To validate what the client hadsaid previously.

Bona: Ah, namista. Aha man kanamista, Sir?

C: Sa Barangay Narra. Namiestami sa amoang barangay.

Exploring To know the place where theclient went and for consistenciesof the events

Kim: Kinsa man imung kuyog,Sir? C: Akoang uyuan nga gikan saCebu. Exploring To let the client verbalize who waswith him during those timesKim: Gi-anhi ka diri, Sir? C: Gi-anhi mi diri sa akong uyuan

na gikan sa Cebu dayung akoangpag-umangkon nga naa sa ila,gidala kauban niya. Kauban minamiesta sa among barangay, sabarangay Narra.

Exploring To have an idea of his relationshiptowards other family membersand their actions toward theclient.

Bona: Gibalik ra pud ka diri, Sir? C: Oh, ningbalik ra pud ko diri. Exploring To know what took placethereafter.

Bona: Ilaha kang gihatud, Sir? C: Oh, ilaha kong gihatud. Exploring To be aware of his relationship

towards his extended family.Kim: So dinhi na jud diay kagapuyo, Sir?

C: Oh. Exploring To know where the client isstaying so to assess henvironment that would greatlycontribute to managing his illness.


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Kim: Wala ra pud kay problemasa imung mga igsuon, Sir?Magkasinabot ra ba mo, Sir? Unsaman imung relasyon sa imungmga igsuon, Sir?

C: Ang relasyon namo sa akongmga igsuon nga suod gyud mi.Dayun kay kamanghuran man ko,sila ray mahibalo nakongmuhatag sa akoang mgapagkaon, ingun ana.

Encouraging Expression To let the client verblilize histhoughts and feelings toward hissiblings and their relationship witheach other

Bona: Karun, Sir, unsa mayimung gibati nila? Unsa manimung pagbati nila nga karungnaa ka diri nagpuyo?

C: Karon, ang akong gibati nadako kaayo kog kakulangan saamong pamilya. Imbismakatabang ko sa akoang mgaigsuon, imbis makatabang ko saakoang mga ginikanan, imbismakatrabaho ko para makahatagko ug kwarta sa akoang mgaginikanan, imbis makatrabaho kopara naay pagkaon ang akoangmga ginikanan, wala na koytrabaho. Wala koy nahimo.

Encouraging Expression To encourage the client inverbalization of his feelings towardhis family and to assess clientsthoughts about his role in thefamily in the past and at present

Kim: Mao na imung gibati, Sir? C: Mao nay akong gibati. Encouraging Expression To validate the student nursesinterpretation of clients thoughts

Kim: Nabalaka ba ka, Sir? C: Sa pagkakarun, naa pa koygamayng kabalaka gumikan nganaa koy nervous breakdown unyanapamatud-an sa doktor nga naakoy, kuan complicated angakoang sakit. Nahimung naa napud koy Schizophrenia orschizophrenic nga side-effect ngamag reaction ko kung maka-inomko ug tambal. Na-injectionan ko,naay side-effect na gitawag ug

schizophrenic.

Encouraging Expression To let the client verbalize histhoughts and feelings and tofoster a trusting nurse-clientrelationship throughout theinteraction.

Bona: Unsa man imung reaction,Sir?

C: EPS. Extrapyramidalsymptoms. Mag reaction gumikansa side-effect sa tambal.

Encourage Description ofPerceptions

To determine what the clientexperiences with the adverseeffect of his medications.

Kim: Unsa may epekto ana sa C: Matarantar ko nga dili ko Encourage Description of To evaluate client s respo


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imung lawas, Sir? Unsa manimung bation ana, Sir?

mahimutang, maglaway ko nyamugawas akoang dila nga murakog marobot-robot nya samokkaayo akong paghunahuna dayunmablangko akong paghunahuna.

Perceptions toward the medication he istaking.

Bona: Niya, sige pa gyapun ka uginom ana nga tambal, Sir?

C: Gainom pa ko sige. Exploring To assess clients adherence tothe medication despite theadverse effect of this drug.

Kim: Unsa man na tambal imunggina-inom, Sir?

C: Chlorpromazine. Exploring To know what drug causes theseeffects on the patient and to

Bona: So mao na ang imungbation kung mu-inom ka ana ngatambal, Sir?

C: Oh. Pero karun, ayo na ko. Dilina ko ma-robot. Dili na. Nadawatna sa akoang lawas then naka-recover na pud ko sa akoangkaugalingon.

Exploring To validate the effect of themedication towards the client inthe clients own understanding

Kim: So, dili na maglibog imungpaghunahuna, Sir?

C: Igo na lamang masamukanang akong paghunahuna thenmatarantar ko, gamay na lang,mild.

Exploring To know whether the action of themedication is effective in patientsresponses

Bona: Matinud-anon kay ka mu-

share, Sir. Ginatun-an man pudna namo ang mga tambal, Sir,pero mas maayo gyud ng gikansa katumar mismo ang side-effects para ma-confirm namokung unsa gyud ang gibati sa usaka tawo nga nagtumar ana ngatambal. Niya makatulog ra ka,Sir?

C: Oo, makatulog ra. Sa

pagkakarun, na recover na ko.Ning balik na akong gana sapagkaon, ningbalik na angkahimsog sa akoang panglawas,then ningbalik na ang akoanggana sa pagtulog.

Exploring To verify whether the medication

is not interrupting the clientssleeping pattern and cognition.

Kim: Kumusta diay imungkahimtang diri, Sir?

C: Sa akoang kaugalingon,gumikan nga sa pagkamatay

nako ug sugurun nako sasinugdanan katongnagpakamatay ko, nawad-annakog paglaum sa kinabuhi.

Encouraging Expression To have an awareness of clientssituation as of the moment.

Bona: Unsa tong tuiga nga C: 2004, nagpakamatay ko Placing Event in Time or To provide an order of events.

k k Si ? h d i S


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nagpakamatay ka, Sir? paghumag admit. SequenceKim: Mga unsa man tong bulana,Sir?

C: July 2004. Nagsuicide ko.Ning-ambak ko sa tabay nga dilina mabalik akoang ulo sa babaw.Gi-una nako akoang ulo. Lalum,dayun ambot kung unsanghimala-a ug nganong nabuhi paman ko. Napalot akoang ulo.


To provide an order of events ndto let the client think about whathappened.

Bona: So, ning-ambak ka satabay, Sir. Nabantayan diay kanila, Sir?

C: Oh. Nag-night swimming kokay ala-una naman to sakadlawun. Ala-una naman to sakadlawun, nagnight swimming ko.

Exploring To validate what the client hassaid previously in the interaction.

Bona: Si-aw pud ka, Sir. Naa pudkay sense of humor, Sir.

C: Oh Humor Humor establishes comfort inexpressing thought and opennessin the topic discussed. It alsoconveys acceptance and trust inthe interaction. Humor is a basicpart of the personality and has aplace within the therapeuticrelationship. As a part of inter-

personal relationships, it is aconstructive coping behavior. Bylearning to express humor, apatient may be able to learn toexpress other feelings. As aplanned approach to nursingintervention, humor can promoteinsight by making con- scious

Bona: Mao man gud na, Sir. Sakinabuhi, naa gud tay mgaproblema nga dili nato makayangsulbaron. Naa man gud tayproblema, Sir, nga dili natomasulbad diha diha dayun. So,kinahanglan siya, Sir, ug taas ngapasensya. Kay usahay gud, ug

C: Oh. Calisthenic exercises pud. Suggesting Collaboration The student nurse seeks to offer arelationship in which the client canidentify problems in living withothers, grow emotionally, andimprove the ability to formsatisfactory relationships. Thestudent nurse offers to do things

it ikih ith th th f th li t


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itong apikihon, mao nayhinungdan nga kita mag nervousbreakdown, magdaot ta. Niyakanang sa imuha, Sir, kungbation gani ka ug kakuyaw, kungbation gani ka ug kakulba, Sir,muginhawa ka, Sir. Inhale,exhale. Inhale, exhale until suchtime na kana imung kulba, Sir,

mawala. So, muginhawa ka sailong, Sir, dayun imung e-hold sa3 ka Segundo then imungipagawas sa baba ang hanginhinay-hinay murag gahuyop ugkandila. Usa na siya, Sir, kapamaagi para marelax imuangmind ug sa imung heart. Kaykung makulbaan man gud ta, Sir,mu paspas atuang heart. Somaayo gyud na marelax ta, Sir.

Dayun, Sir, kung mahimo,undangan nato angpagpanigarilyo kay ang sigarilyomkacause man gud siya, Sir, omaka-trigger sa imung mgabalatian kay ang sigarilyo, Sir,naa nay nicotine. Nakapapaspasman na siya sa heart beat somakacause siya, Sir, na angimung kulba, muandar pud. Sokung mahimo, Sir, mu-undang ta.

C: Kana pung kape, Maam.Ingun pud sila nga bawal pud dawna kay makadaot daw na , Maam.

Giving Information

with, rather than for, the client.

Providing adequate information tothe client will give him facts abouthis health habits and how tomodify for healthy living.

Bona: Base sa among pag-eskwela, Sir, kanang caffeinatedo kanang mga ilimnon na naaycaffeine sama sa kape ugsoftdrinks kay makapa boost na

C: Oh. Giving Information Dispensing significant informationabout the concerns of the clientwill help him in understandingabout living healthy.

siya sa atong brain na mu work


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siya sa atong brain na mu workpero naa pud na siyas side -effectsa heart. Naka-cause na siya ugpalpitations, Sir. So, kungmahimo, Sir, kaning mga pagka-una, imung likayan. Kung dili mangani ka makalikay, at least imuhasiyang e-minimize.

C: Kinahanglan man untang diligyud masubrahan sa pag-inom ugpanigarilyo gumikan kay ikadaotkini sa panglawas.

Giving Information Dispensing significant informationabout the concerns of the clientwill help him in understandingabout living healthy.

Bona: Niya ang alcohol, Sir, kaymakatrigger pud sa uban natongmga balatian so, as much aspossible, mintras magpaka-ayupa ka sa imung lawas, maglikaygyud ka, Sir, namagkakomplikasyon para maayoatong pagtulog, baskog atonglawas, ug healthy ta, so atonglikayan ang pag-inum anag mgailimnun na naay caffeine ug

alcohol ug kanang pagpanigarilyo.Kay ang panigarilyo, Sir,makadaot sa imung kasingkasingug sa imung baga. Niya bawalmagkasakit, Sir, kay mahal angtambal. So as much as possible,Sir, take good care of yourhealth. Kay regular man ka naga-inom ug tambal so naay dakongposibilidad nga maayo gyud kabasta maglikay ta sa mgagipangdili.

C: Oh kay makadaot sa lawas nyasa lawas ra pud mubalik.

C: Thank you, Maam.

Giving Information

Giving Information

Providing adequate information tothe client will give him facts abouthis health habits and how tomodify for healthy living.

Dispensing significant informationabout the concerns of the clientwill help him in understandingabout living healthy. It will alsoprovide health education to theclient.

Kim: So naabot naman ang 45minutes natong panag-istoryahanay, Sir, daghankaayong salamat sa imung

C: Thank you, Maam ug Sir. Godbless, good luck. Goodbye Maam.Goodbye, Sir.

Giving Recognition Thanking the client shows that thestudent nurses are well aware ofthe presence of an individuadespite having the menta

panahon Niya magkita ta sa C: Sa Friday condition This is one of the ways


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panahon. Niya magkita ta sasunod semana, puhon sa Friday.

C: Sa Friday. condition. This is one of the waysto create an atmosphere ofacceptance.

Bona: Niya mubisita na pud minimo, Sir, kaya tong ipadayunang atong panag-istoryahanay.Okay lang sa imuha, Sir?

C: Okay ra. Giving Recognition Reminding the patient about thenext visit will help him rememberthat the continuation of theinteraction will be in the followingweek.

Bona and Kim: Salamat kaayo,

Sir. Thank you.

Bona: So ana lang siya, Sir.Sulayan lang nimo o obserbarannimo nga dili ka manigarilyo nyaug naay manigarilyo, mulikay ka.Imung obserbaran, Sir, sulod saus aka semana, duha ka semanaug unsa gyuy dagan kay ug basinganahan ka maka-uli, Sir, ugmaayo-ayo na gyud ka ug dili na

mu-andar, naa man nayposibilidad maayo. Niya mag-ampo pud ta, Sir. Mutuo ba kagginoo, Sir? Mag-ampo pud ka,Sir?

C: Oh. Every 6 in the morningand 6 in the evening. Usa komatulog, mag-ampo ko. Unsa komumata, mag-ampo ko.

Suggesting Collaboration The student nurses intent in usingthe suggesting technique shouldbe to provide feasible alternativesand allow patients to explore theirvalues in their unique lisituation. The nurse can thenfocus on helping the patienexplore the advantages anddisadvantages and the meaning

and implications of talternatives.

Bona: So mag-ampo gyud ta, Sir.

Kim: So, salamat sa panahon,Sir. Thank you, Sir.

C: Salamat pud, Sir. Thank you. Giving Recognition Thanking the client in the end ofthe conversation conveys respectand shows that his efforts areimportant to the student nurses.

Synthesis:


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Synthesis:

Our conversation with our patient revolved around establishing an atmosphere of acceptance, understanding, open communication and levelof trust and contract setting wherein we laid out our objectives and purpose of coming to take care of him during our Psyche rotation. Thecontract setting is mutually beneficial. It is our objective that our patient will gain back his coping skills and be gainfully productive andfunctional while, we the student nurses, gained the lived experience of taking care of patient with maladaptive behaviour and be of help inguiding the patient lead a normal way of life.

We informed him that were coming every Friday morning, unless there will be changes, we will let him know ahead of schedule. Therapecommunication would last for 45 minutes and we expect him to be prepared for the conversation by doing his self-morning care, eatingbreakfast, changed into clean clothes so we could start right away when we come and make the most of our limited time. We also informedhim that there would be times that apart from the regular 45 minutes conversation, we will have group activity for everyone with assignedstudent nurses to interact among them. We give much emphasis of the importance of his participation and cooperation by sharing with uswhat we will be asking for from him. Patient was informed that all information gathered would be dealt with utmost confidentiality. Onlypeople taking care of him will have access to the information like the doctor, nurses, our clinical instructor, and our classmates when wepresent his case but rest assured your personal identity will be kept confidential. We will use pseudo name. Other health team members willget to know if they directly involve in his care.

We also asked our patient his expectations from us and said none. Termination of our contract was also discussed with our patient. We hadour initial interview with our patient right after we had contract setting with him. We are glad our patient openly and elaborately shared withus how it started. For a limited time, we already had an overview of how it started. We thank our patient for the time and we bid goodbye.

Bibliography:


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Bibliography:

Beck, C.K., Rawlins, R.P., & Williams, S.R. (1993). Mental-Heal th Psyc hiatr ic Nurs ing: A Holis t ic l i fe-cycle Appro achEd). St. Louis, Missouri: Mosby

Stuart, G.W. & Laraia, M.T. (2013). Pr inc ip les and Prac t i ce o f Psych ia t r i c Nurs ing (10 th Ed). St. Louis, Missouri: Mosby

Townsend, M.C. (2014). Essen t i a ls o f Psych ia t ri c Men ta l Heal th Nurs ing : Concep t s o f Care in Ev idence Based Pract i(6 th Ed). Philadelphia: F.A. Davis Company

Varcarolis, E.M. (2002). Founda t ions o f Psych ia t r i c Men ta l Hea l th Nurs ing : A c l in ica l app roach . USA: W.B. SaundCompany

Videbeck, S. L. (2011). Psych ia t r i c Mental Heal th Nurs in g (5 th Ed) Philadelphia: Lippincot Williams & Wilkins

Documents

Process Recording Week 2