C.
NURSING MANAGEMENT (ACTUAL)
Process recording
General Appearance
Upon receiving the client, he was wearing MMH uniform, black slippers, he has a
dark complexion, short hair cut, has a word tattoo on the left arm, and has well-trimmed
fingernails and toenails.
Attitude
Responsive
Behaviour
Calm and responsive
Mood and affect
Appropriate affect
Intellectual Functioning
A. Process
The way he answer is normal, and relevant to the question.
B. Content
Sometimes forget some details but gives information that is relevant to the
question.
Perception
The client said that it is better in the institute for the time being because he
believes that he might get attacks frequently than he is inside the institute.
Insight
He is aware of his surroundings and also understand the situation he is in.
Judgement
Has a reasonable decision making.
Initial Process Recording
Objectives:
Establish rapport with the client
Establish a trusting nurse-client relationship
Assess the clients general condition which serve as a baseline data
Develop on understanding and appreciation with the client’s condition
(insert chart)
PSYCHOTHERAPIES
1. Play Therapy
-A technique that makes it possible for the patient to express himself. Free play
enables client a unique opportunity to discharge strong motion in a secure atmosphere. It is
also a form of psychotherapy for regressed psychotics to an extent of making it impossible to
communicate with them through verbal channels.
Objectives:
To encourage the client to interact with others
To let the client enjoy themselves
To develop their sportsmanship
To allow them to express theirselves
Reaction:
Not yet performed.
2. Picture Therapy
-A therapy where photo-interactive activities are used to increase people’s one
self-knowledge, awareness, and well-being contributing to emotional healing and learning.
Objectives:
To let them express their thoughts about their chosen picture
To help them remember past in a joyful manner
To help the client in exploring their feelings
To understand their mental capacity
Reaction:
Not yet performed.
3. Music and Art Therapy
-Is the opportunity for socialisation and self-expression and sometimes
realisation is affected by certain musical activities. Art therapy is the process by letting the
patient express feelings and thoughts through various artistic means particularly drawing.
One type of therapy with purposeful use of music and arts as a participative or listening
experienced in the treatment of patient to improve and motivate their mental and emotional
state.
Objectives:
To let them express their emotion in creating/draw on how they feel while
listening to music
To interpret on what they are feeling and to understand them in their drawings
To acknowledge the emotional problems and in order to help them figure it
out
To understand their emotion in slow and fast music.
Reaction:
During this psychotherapy, the examiners played two variations of music according to
tempo. 1 slow and 1 fast music which the client will listen to each one and will draw
whatever they think of while listening to music. For the duration of the activity, the client
drew a simple house with trees, rice fields, and mountain.
LEARNING DERIVES (GROUP’S THOUGHTS ABOUT THE EXPOSURE)
D. RECOMMENDATION
E. CONCLUSION
As a conclusion, people with mental illness are often misunderstood and often times
being criticised for their inappropriate behaviour. Worst are often labeled with stigma
throughout their lives corrupting their functions. Therefore, the clients who have still a family
should include in taking care of the client’s condition because there is a great influence from
the family and significant others in the development and progression of the illness. In relation
to the management and interventions, close monitoring and guidance are important for the
safety of the client especially for the recurrence of the signs and symptoms of the illness.
Throughout our duty in MMH, we encountered new patients that we do not normally
meet that would make us realise how lucky we are in a way that we do not yet adopt these
mental disorders. We should learn how to appreciate what we have. With that, we must give
the best we can in order to provide their needs and make them feel that there are people who
still care for them so that they don’t lose hope and have a chance to recover.
