VIII
NURSE-PATIENT INTERACTION
PATIENT INITIAL: VIOLET DATE: January 23,2015
AGE/GENDER/STATUS: 33/F/SINGLE TIME: 1:00pm 2:00 pm
MEDICAL DIAGNOSIS: BIPOLAR 1 WITH PSYCHOTIC FEATURE
PHASE OF INTERACTION: ORIENTATION PHASE
ENVIRONMENT: (CIU) Well cleaned ward but still there is a smell and while conducting the interview we barely hear because of the noise and
other patient is interrupting [Link] cold environment.
GOALS:
[Link] establish therapeutic relationship to the client.
[Link] assess the mental status of the patient.
OBJECTIVES
1. To orient the patient what is the purpose of our visit and what to expect in the interview.
2. Enable the patient to share information and knowledge about some questions.
ORIENTATION PHASE ( JANUARY 23,2015 @ 1:00 PM 2:00PM)
NURSE PATIENT COMMUNICATION ANALYSIS
VERBAL & NON-VERBAL VERBAL & NON-VERBAL TECHNIQUE
Hello maayong hapon. -Hello maayong hapon pud. -The nurse greets the patient to
(Smile , Wave hand) (Nod,Smile) make her feel respected. The nurse
uses giving recognition technique
-Magpaila-ila sa ko [Link] diay si of communication.
Zahra 3rd yr nursing sa um matina.
(Maintain eye to eye contact) PT-The client responded and
recognizes the student nurse.
-Pwede naku mahibal an imuha -Ako diay si Violet nagpuyo sa - GIVING RECOGNITION SN-The nurse determines if the
pangalan? sitio soriano,catalunan grande -Acknowledging, indicating client is oriented with her name
(smile) .33 y.o naku. and age.
[Link] by the nurse
(Smile,-Waves hand) show that she recognizes the PT-Client was able to state her
patient as a person, as an name and age.
individual.
-Violet maayong buntag [Link] ta No Response -GIVING INFORMATION SN-is orienting the patient on how
[Link] usa ipahibalo nimu kung -making available the facts long they will visit her and what
ngano mi naa [Link] naa mi diri kay
tungod naa mi mga pangutana sa
the patient needs. are the purpose of visiting.
[Link] pagahisgutan ang imuha PT-client is nodding when the
pamilya kung okay ra sa imuha?.kami nurse is stating their purpose.
naa diri karung adlawa jan 23 hantod sa
January 30.11:00am-12:30pm.
(Smile ,Maintain moderate eye to
eye contact )
-Naa diay ko kauban si maam [Link]
kini si Maam PM ug kauban pud namu -Ahh Maam Z sangay man diay
amoa CI si sir N. ta noh pareho ta. imuha Z ug
ako S unya si Maam PM
[Link] pricess ta noh? Mga
angel man ta.
(Smiling ,- Sitting
comfortable,- facing towards
the nurse)
-Maam Guardian man ko
maam. Nagtrabaho man ko kay -PT-patient exhibits delusion of
[Link] gud ko ni
grandeur by stating that she is a
mayor maam.
guardian and assistant of the
(Holding the hand of the
mayor
nursing student,Speaking in a
low-toned voice)
-EXPLORING
-Violet naa ko pangutana nimu. Ngano -Nagwild man gud ko maam.
gani naa ka diri? (Acting what she has done. SN-the student nurse is giving
(maintain moderate eye to eye contact. -With movement of the hand encouragement to continue.
-listening to the client)-Ngano man nag while explaining what They indicate that the nurse is
wild ka? happened)-Ani man gud to following what has been said
maam badlungon man gud ko
and is interested in what is to
maam. Gabii naman gud to
naglaag ko gikan ra gud ko sa come next. .
ako mga barkada unya paguli
naku sarado balay unya nag
sige ko sipa-sipa sa
-Delving further into a subject
[Link] giabrihan ni
[Link] nahadlok ko maam or idea.
kay nakita naku naa siya gitago
sa iyaha [Link] kayo ko
maam ba kay basi patyon ko
niya.
-Ngano nakaingon ka na nay gitago -Niana man gud si papa na -exploring
imuha papa sa likod? Ngano nakaingun patyon tika karun bantay lang SN-the student nurse want to
ka na patyon ka niya? [Link] to maam dagan ko
know more about the client
dagan jud ko kusog uy patyon
palang ko adto ko kina auntie thinking on her father.
unya ana ko auntie magtawag
PT- able to describe why she is
ta 911 ha kay basi patyon ko ni
afraid.
[Link] maam wala naman
to okay na man mi ni papa,
dugay naman to
[Link] man ko nila
papa maam.
(-With movement of the hand
while explaining what
happened)
-Kinsa nang ginaingun nimu nga auntie -oo [Link] pangalan ni -OFFERING GENERAL
nimu?pwede naku mahibalan iyaha auntie kay si [Link] na ako LEADS.
pangalan? ginaadtuan pag kasab-an ko
(-maintain moderate eye to eye contact) nila [Link] kayo mi ana SN-The nurse encourages the
maam. patient to talk by her nonverbal
activity such as nodding or
various gestures
-Ngano nakaingon ka na close mo? -Kay sa iyaha man gud ko
nagaadto pag masuko sila
mama .sa iyaha man ko
nagsulti sa ako [Link]
palangga man kayo ko niya
[Link] man gani ko
niya katong sa ilaha pa
[Link] kayo na ako auntie
maam.
-Close jud diay mo sa imuha -Sa may catalunan grande kana -
[Link] mangutana ko ha asa ganing naay [Link]
gani ka nagpuyo karun? lang amoa ana jud pagliko
ninyo dapit sa may stop light.
-Violet kinsa man naa sa inyuha balay -Akong mama ug papa,si
karun? OFW,iyahang anak ug ako pud
PT-is responsive and very active.
[Link] ate tua naman sa
[Link] naa na gud ko
anak Maam ang pangalan kay
si R.N maam cute kayo to siya
maam.(smiling)
-[Link] pud diay didto imuha -Oo maam.
manghod ug anak.
Unya Violet naa ko [Link] ba -wala naman ko madunggan na - ENCOURAGING
ka madunggan o makita na lain? maghunghung sa ako DESCRIPTION OF
-asking the patient to verbalize
[Link] katong gibutang ko PERCEPTIONS
nila sa single cell maam naa ko what she perceives.
nakita na kalayo maam abi gani -Visual hallucination
PT-patient exhibit visual
naku impyerno to maam maayo
gani maam wala ko hallucination when she stated
[Link] lang nasunog about seeing a fire and thought
maam daan na mental hospital that it was hell.
[Link] kaayo ko ato
maam bah.
-Violet sa tan aw naku murag katulugon -Maam gusto naku muoli MAKING OBSERVATIONS
na man ka noh kay sige naman ka maam gimingaw naku sa ilaha
SN-verbalizing what is
[Link] na pud mi ugma ha maam ug sa ako anak
ing-ani gihapon na [Link] karun [Link] si mama maam bi [Link] nurse often
pagpahulay na kay murag taas-taas pud muoli [Link] ko ganahan diri makes observations that can be
ato pag istorya. kay bugnaw [Link] si called to the patient's attention
(smiling,waving hand) mama maam na kuhaon naku
diri maam bi baho diri PT-patient appears sleepy
[Link] nku maam? keeps on yawning.
- Sige maam babye,bye sir,bye
maam [Link] mo ugma
[Link] lang ko diri.
(smiling ,waving hand while
going to the bed)
