Professional Documents
Culture Documents
Objectives:
• To establish Nurse Patient relationship
• To help the client identify issues or concerns causing the problem
• To meet the patients need and find solutions
• To examine the feelings and responses of the patient
• To help the patient develop better coping skills and more positive self-image
• To develop skills in interpersonal relationships and problem solving
Setting: The student nurse and patient had their conversation in the northern part underneath the Santol tree of the New Chinese Pavilion, just next to patient Noel. The
place was calm, clean and with fresh air making a fine atmosphere creates a peace of mind for the patient. The patient wore the hospital uniform, a blue shirt and short
terno and wore slippers. Both the student nurse and patient are sitting in a cemented seat face to face with a distance of 1 meter apart during the conversation.
Thoughts and feeling of the student nurse on the Nurse Patient Interaction: When I was having my conversation with my patient I felt at ease and calm. It’s because of
an idea knowing that my patient is already well manageable, not harmful or destructive and nice. During our conversation my patient is interactive that’s why I was
confident enough in asking questions and answering him back as well as giving some pieces of advice. My patient describes his stories well detailed and is correctly
matched with those information on the Patient’s Chart. He talks to me on an eye to eye contact that’s why I see the sincerity and truthfulness of my patient.
“ Magandang umaga Andrew, “Oo… Angelica…” >Greeting the client would make the
bagong ligo ulit ha. narito ulit ako conversation more comfortable.
ngayong umaga para samahan at
mapaglingkuran ka. Mamaya may
aktibidad ulit tayong gagawin. Sa >Giving recognition recognizes patient
ngayon, mag-uusap muna tayo as a person, such recognition does not
sandali. Bale Hanggang 11 am ulit carry the notion of value, that is, of
kami dito. Natatandaan mu pa ba being “good”or ”bad”; Broad
ako andrew?” openings make explicit that the client
has the lead in the interaction.
“ Nasaan tayo at anong araw na “Sa New Chinese Pavilion… Byernes ngayon dba, April For every interaction with the patient,
ngayon?” 29, 2011.” the student nurse should always orient
the patient with regards to time, place,
and date of the day.
“Kamusta ang pagtulog natin “Okey naman..alas otso akong nakatulog” It shows that the student nurse is
ngayon andrew?” concern with the patient.
“ Mabuti kung ganun Andrew, “oo”. Smiles Asking the client’s readiness and
handa ka nab a ngayong araw na consciousness for the day.
ito?”
“mabuti, una nating gagawin “sige,may premyo ba yong laru?.” For every interaction with the patient,
ngayon ay mag ehersisyo at the student nurse should always orient
maglalaro tayo.” the patient with regards to the plan of
actions.
“ Oo kaya dapat galingan mu at “sige Masaya kung ganun.” Encouragement. Cheering the patient
maglaru ng mabuti, ok? to provide support and to be able to do
well in the said activity.
“napagod ka ata sa laru niyo “oo masaya nga eh at ayos lang” Making observation.
kanina?, nag enjoy ka ba
Andrew?”
“sige,ipagpapatuloy natin mga “sige, para makwento ko pa lahat sayo” Asking for permission. This
pinaguusapan natin kahapon provides agreement or a contract
Andrew ha, kung okay lang sayo? between you and the patient as a
” part of the Nurse Patient Interaction
“Salamat Andrew, kelan ka pala “Nung 1991 yong una kung admission”. Giving broad openings to initiate
pinasok ditto sa NCMH?” the conversation that lead
or invite the client to explore
(elaborate, clarify, describe)
thoughts and feelings. Also it helps
explicit that the client has the lead
in the interaction. For the client
who is hesitant about talking, broad
“Ah bale matagal kana talaga “Hindi naman bale 7 years and 6 months na ako dito,
dito”. kase yong huling admission ko noong October 13, 2003, openings may stimulate him to take
ganito kase yon. Nung 1991 yong una kung admission, the initiative.
sumunod 1999 hangang 2002 pagkatapos nung May 2003
hanggang June 2003 yong at huli ay nung October 13,
Placing event in time or sequence.
2003.”
Another follow-up question about
the patient’s information and asking
the client to consider people and
“ah ganun ba, sinu ang nagdala “Si mama ko, kase nakita niya na kakaiba daw yong galit events in light of his or her own
sayo dito?” ko, pero nagaarte lang ako nuon sakanya.” values. Doing so encourages the
client to make his own appraisal
rather than accepting the opinion of
others.
“ Anong dahilan para mag arte ka “ Hindi ko na matandaan kung bakit” Exploring and asking clarification.
ng ganun?”
“ganun ba. Alam mu ba ang “ Oo…may sira sa pag-iisip, pero maayos na daw ako Seeking information and exploring
kondisyon mu ngayon?” sabi nila.” with the client’s feeling are done in
order to have a background check of
“Kelan ba nagsimula yong “Nung third year college ako, nakita kase ng mama ko na the client and to be aware about the
kalagayan mung ganyan?” bumabagsak ako sa klase at tulala ng dalawang araw client and serve as a basis to further
daw, kaya pinunta niya ako sa metropolitan hospital at assess the client. Exploring about the
rinefer ako sa neurologist at psychiatrist, sinabi nung client can help examine the client more
Chinese doctor na catatonic daw ako kaya inadmit ako fully.
don ng 2 to 3 weeks siguro, duon ko din naranasan ma
ECT”. Placing event in time or sequence.
“ ganun ba, anu naman “wala naman kase tinusokan ako ng pampakalma tapos Seeking information and exploring
naramdaman mu nuon andrew” un in ECT nila ako. Tapos mga 1 second lang siguro with the client’s feeling are done in
nung naramdaman ku yong kuryente sa ulo ko”. order to have a background check of
the client and to be aware about the
“ilang beses naman?” “isa lang, tapos tumino din ako kaya yon inuwi na ako ng client and serve as a basis to further
mama ko.” assess the client. Exploring about the
client can help examine the client more
fully.
“ah, kelan naman yong sumunod “yon nuong 1991 na, dinala ako mg mama ko kase
na nagkaroon ka ng kalagayang nasaktan ko na siya, kinuha din ako ng mama ko kaya
ganun ulit?” hanggang 1992 ako nuon dito, di ko lang matandaan Exploring. To know when and how his
kung anu yong saktong araw, .” condition started
“Ilang taon ka naman nuon?” “26 ako”
Placing event in time or sequence.
“ah, eh nuong 1999 panu ka ulit “gumagala na lang ako sa labas nuon, di ko naman na
napunta ditto?” ipinagpatuloy pag aaral ko, lumayas ako kay mama,
natulog sa kalye tapos may kumuha sa akin na
government officials ata yong mga yon at dinala ako
Seeking information and exploring
dito”.
with the client’s feeling are done in
“alam ba yon ng mama mo?” “Hindi, barkada ko nga naglabas sa akin, nuong year
2002. Kaya tumira ako sakanila pero nagsuntukan kami order to have a background check of
nuon kaya pinaalis ako ng papa niya kaya pinapunta ako the client and to be aware about the
sa auncle ko, pero dinala naman ako ng auncle ko sa
client and serve as a basis to further
mama ko”.
assess the client. Exploring about the
“ganun ba Andrew, anu na ang “naging okay naman lahat ulit hanagang sa nasasaktan ko
nangyari pag uwi mu?” ulit si mama at natakot sa akin kaya dinala ulit ako sa client can help examine the client more
ditto, yon na yong 2003 buwan ng May hanggang June ”. fully.
“ganun ba, paanu ka ulit nakauwi “home conduction, hinatid ako ng social worker sa Seeking information is important to
andrew?” Valenzuela sa tinitirahan naming, di ko nadatan mama ko know more about the client, to know
kaya don muna ako pinatira sa anak ng nagmamayari what have caused his condition and
nung paupahan, pinakain ako at 3 araw ako doon, kaso what precipitates it
sabi sa akin iniwan na daw ako ni mama kaya umalis na
ako doon, kaya pagala gala na ulit ako sa kalye.
Pagkatapos may lumapi sa akin na lalaki, sabi niya
magtratrabaho daw ako sa kuya niya, si nestor, kaya
sumama ako, nagtrabaho ako sa Durabuilt bilang janitor
at tagabuhat, pero umalis din ako kase nalaman nilang
may diperensya pag-iisip ko at bumagsak na din yong
Durabuilt…”
“ganun ba, paanu nila nasabing “nakita daw ako ng isa nuon na nakahubad sa kalye, kaya Seeking information and exploring
maydiperensya ka sa pag-iisip?” yon.” with the client’s feeling are done in
order to have a background check of
“eh saan kana pumunta nuon “ Wala nagpagala din sa kalye kaya nabangga ako ng the client and to be aware about the
andrew?” sasakyan at tinakbu ako nang isang driver sa orthopedic client and serve as a basis to further
hospital, doon sa may mga nakasabit ang paa sa assess the client. Exploring about the
alambre...” client can help examine the client more
fully.
“ Sa ang sugat mu nuon?” “dito sa may kaliwang paa ko”. Exploring. To further understand and
know the history of the patient.
“yon lang ba ang nakuha mung “oo sa paa ko lang” Exploring. To further understand and
sugat?” know the history of the patient
“Ah nalaman na ba nuon ng mama “oo pero noong hinatid na lang ako ng social worker ng Exploring. To further understand and
mu ang nangyari sayo?” orthopedic sa amin, at nan duon na yong mama ko” know the history of the patient
“ganun ba Andrew, anung sinabi “nagulat siya, sinabi niya sa akin na hinanap daw niya Placing event in time or sequence.
ng mama mu sa nangyari sayo?.” ako. Pero mga higit isang buwan lang ako tumira sa
mama ko kase nasaktan ko ulit siya, doon niya nakita
yong kakaibang galit ko daw, pero yong nga nagaarte
artehan lang ako. . .”
Seeking information and exploring
“ kaya ba binalik kana niya ulit “ oo, sabi niya magpapa X-Ray lang daw pero inadmit with the client’s feeling are done in
doon nuong October?” naman nap ala ako ng mama ko at mula nuon hindi na
ako binisita.” order to have a background check of
the client and to be aware about the
“ ah ganun ba Andrew, wala na “wala na, natakot siguro sa akin mama ko kaya din a niya client and serve as a basis to further
bang ibang dumalaw sayo?” ako dinalaw, nagkaphobia na anu?”
assess the client. Exploring about the
client can help examine the client more
fully.
“anung ibig mung sabihin na “kase baka iniisip niya na sasaktan ko ulit siya kaya Asking for Validation. To be able to
natakot sayo ang mama mu?” yon”. understand more what the patient
really mean.
“yon ba ang tingin mu andrew, “oo, alam ko naman yon’ kaya pag wala ng kukuha sa Encouragement to provide positive
alalahanin mu na lang na mahal na akin dito na ako” outlook for the patient and to increase
mahal ka ng mama mu”. self-esteem.
“hindi ka ba Masaya ditto “Masaya din naman” Asking broad openings and exploring.
Andrew?”
“Ah mabuti kung ganun Andrew, “sige angelica, pwede bigyan mu ako ng pagkain na Ending the conversation. And gining
cge Andrew kailangan niyo ng cornets, dalawa yong pula at blue, kahit sa socialization information specially on the plan of
pumasok. Ipagpapatuloy na lang mu na lang ibigay sa akin”. actions and schedule of activities.
natin sa lunes ulit. Wala kami
bukas at ng Sunday”.
“cge Andrew, tatandaan ko yan”. “salamat” smiles Accepting. To increase trust and
enhance the nurse patient relationship.
EVALUATION: Objectives for that day were met. Client is as active as always during the shift. Client responds well to each question asked and also share and
narrates his stories well detailed. Client’s feeling was examine more fully and was able to focus more on the positive aspect of the patient. The patient’s positive outlook in
life was enlightened more.