GARCIA, VINCENT S.

NURSE-PATIENT INTERACTION Patients Profile Name: Jim Racoma Age: 32 y/o Address: Luisiana, Laguna Educational Attainment: Vocational Graduate Birthday: November 19, 1979 Religion: Protestant Admitting Date/Time: 01/05/10 10:59 pm Admitting Diagnosis: Undifferentiated Schizophrenia Admitting Physician: Johann D. Yee M.D

Before the actual interaction with my patient, I, along with my group mates was brief about what should be the proper way in treating them and how we should respond to them verbally and nonverbally. Before our scheduled Nurse-patient interaction, we performed measures to prepare ourselves in caring for the patient emotionally, physically and intellectually. Such measures included self-awareness activities, knowing the different possible diagnosis present to the client and understanding them.

NURSE-PATIENT INTERACTION NURSE PATIENT VERBAL NON-VERBAL VERBAL NON-VERBAL Good Morning Kuya! Smiling, Good Morning din Smiling, leaning maintaining eye Sir! slightly forward, contact, sitting maintaining eye erect. contact. ANALYSIS Giving Recognition It was the first technique I used for me to establish rapport to him and it indicates that I recognize him as an individual. He was

with affect and mood was happy to see new people. The content is casual welcoming of new persons as evident in his nonverbal response. He
greeted me back as an indication that he is willing to talk and is oriented to person. Sige po sir, ano yung Leaning slightly Giving information was MMSU Sir? forward, used to introduce maintaining eye myself so that trust will contact. be build and for him to feel comfortable.

Ako po si Vincent, (same as above) taga MMSU po, ako po ang student nurse niyo ngayong hanggang 10 po ng umaga, may papalit po sa akin mamaya. At hanggang biyernes po kami dito.

Also it was a good way of telling my purpose and limitations of the interaction. It is also a time to make us more comfortable with each other, to make rapport and build trust, a reason why my nonverbal response was the same as previous one. He asked question which indicates that he is listening and is starting to trust me. His nonverbal and verbal response tells that he is ready for conversation. The content is that he is willing to listen to me and will be actively participate in the interaction. His mood

Mariano Marcos State Maintaining eye Ah (pause), University po kuya. contact, Sitting marcos. Nasa Batac, Ilocos erect. Norte po ito.

is still nervous but is more on being comfortable. He is with affect and is oriented to person. kina (same as above); Since he asked a Laughed a little question, I answered his query. Giving Information was again used to increase his knowledge about things so as a nurse, I function as his resource person in the real world. My nonverbal actions suggests that in willing also to answer his questions honestly. The content is all about expressing his queries and the mood was happy and starting to be comfortable with me as indicated in his nonverbal actions.

Opo kuya, bayan po (same as above); Ako si Jim Castillo (same as above); Since he was now kung saan lumaki ang smiling and Racoma, taga Smiling comfortable with my dating presidente. Ano nodding Luisiana, Laguna, 32 presence, I decided to na po ulit pangalan y/o. ask him personal niyo kuya at taga saan questions. My po kayo? nonverbal action tells that whatever he tells me or if he is willing to open up, Ill be here to listen. And his nonverbal and verbal actions suggest that it was effective for he answered my questions and even smiled. The content was all about opening his self. He was with affect and the mood is much comfortable. May asawa na po kayo (same as above) Ah, eh, wala pa Sir. Sitting, hands on Since he was already kuya? Meron kayang the table; looking comfortable, I magkakagusto sa akin at me in the continued to asked Sir, pag nalaman na eyes; serious questions with a non may Schizo ako? verbal action that

Ano po ba ang alam looking at him in Di ko na po gagawin Look down at the niyong dapat gawin the eyes; serious yung ginawa ko noon table looking at para may magkagusto sir (pause). his hands sa inyo kuya? Sa tinging niyo?

Ano po yung ginagawa Serious, looking silence niyo noon? at his eyes.

Looking down at the table

Sige

lang

kuya (same as above)

Noon

kasi

Sir Looked

at

me

means I understand his feelings. And it was effective for he was able to raised up his concerned about the topic. His with affect and mood was turned to bit sad, concerned and serious. Because of his previous answer, I used reflecting as a technique. My verbal and non-verbal actions suggest that Im letting the patient explore his own ideas and feelings about the topic. It explains that he have the right to make decisions and think independently. And as his verbal and nonverbal suggests, he was able to reflect on the topic. His mood was bit sad and with affect. The content was all about expressing his opinions. I used exploring as a technique in here to dig more on his situation because any problem or concern can be better understood if explored in depth. My non verbal and verbal action suggests that Im willing to listen to everything he says. As his response, he used silence, maybe because even he was comfortable with me, he was not ready yet to tell the whole truth. And as a nurse, I let him realize that Im not pressuring him to tell them to me. The content was all about his past doings and his mood was sad and with affect. Because of his silence,

pagpatuloy mo lang po.

nanonood po ako bold, nasobrahan po panonood ganun kaya naospital ako.

ng ko ng po

and serious, put his hands on his elbow, slightly leaning forward

Ah, ganun po ba kuya, (same as above) mabuti naman po at di niyo na ginagawa kuya.

Oo sir, ayaw ko na Smiling pong gawin yun. leaning Masama po, pero sir forward normal naman po sa mga lalaki yung panonood ng ganun diba sir? Siguro nasobrahan ko lang. Smiling

while slightly

Ah, opo kuya normal po yun kong paminsan minsan lang at huwag abusuhin.

Nodding and Sige po sir smiling, maintained eye contact

May gusto pa po ba Looking at him, kayong pag-usapan? maintaining eye contact, leaning slightly forward

Naalala ko lang po Serious, moved pala sir, may outing back leaning to po kami bukas, kaya the wall. di po niyo ako makakausap.

Ah, outing po? Saan Confused, naman po Kuya? maintained contact.

Oo Sir, sa antipolo (excited) Smiling eye po. Magswiswiming broadly, leaning po kami, summer na forward kasi.

my non verbal and verbal action suggest that Im listening and following what he was doing without taking away the initiative for the interaction. By using providing general leads as the technique, it encourages him to continue to talk about the situation. My technique was effective for he was able to express up his self indicated by his verbal and nonverbal actions. The content was his past doings and the mood was serious and sad. Passing judgment was used here and I should not used this technique for it was non therapeutic because it imply that he must think as I should think, fostering his dependence. Agreeing was used in this but I should not have used it for it was non therapeutic for it deters him from thinking through his position. Broad openings was used in here to make explicit that he has lead in the interaction. My verbal and non verbal action tells that Im giving him freedom to talk and choose topics and it was effective for he open a new topic and give information about his schedule. The mood was happy and the content was excited about the outing. Exploring was used in here to dig deeper and get information about the clients concern. My

Ah, oo nga po eh, Nodded, put my Hindi po sir, yung Serious looking lahat po kayo hands together may contribution lang at me in the pupunta? po na 1000 eyes. Slightly leaning forward.

non verbal and verbal response tells that Im following what he is saying and accept it. His verbal and non verbal actions suggest that he is open to me and is very cooperative in informing me his activities. The mood is happy and the content is all about sharing his excitement about the upcoming outing. Giving information was used here for the client to know what to expect. Also, giving recognition was used for the client to know that I appreciate his cooperation which can foster his self esteem. The content was all about giving information. My nonverbal and verbal action suggests respect and appreciation to him. And his response - non verbal and verbal suggest that he was also thankful that I was there to talk and listen to him. The mood was happy and broad affect.

Sige po kuya magpapa Smiled at him Sige Sir. Thank you Move back alam po muna ako and standing rin. slightly leaning at pansamantala, slowly. the wall. sasabihin ko muna kay Maam namin na wala po kayo bukas. Salamat po sa kooperasyon. Magkikita na lang po tayo sa Biyernes para sa socialization.