Patients Name: Sta.

Rita, Francisco Age: 29 years old Sex: Male

Diagnosis: Schizophrenia, Undifferentiated Institution: Mindanao Center of Psychiatry and Behavioral Medicine Date & Time: February 19, 2013 @ 2:30 PM INITIAL NURSE- PATIENT INTERACTION

Date and Time February 19, 2013 @ 2:30 PM

Verbal

Nurse Non Verbal Establishes eye contact

Verbal

Patient Non Verbal Cannot maintain eye contact

Nurses Feelings & Thoughts I had already viewed the patients chart before having the interaction with the patient. Having the idea that his diagnosis is Schizophrenia, Undifferentiated, I pity the patient because his knowledge about his condition is wrong. As a

Analysis Illogical Thinking

Interpretation The patient concluded that he has Bipolar Disorder but when asked how he got such idea, he said that he just knows it and just concluded the condition just by himself without any consultation and confirmation from his physician. Such manifestation is called Illogical Thinking. Illogical thinking, according to Kaplan is a form of thinking that contains erroneous

Kabalo gyud ka sa imohang kondisyon?

O uy kabalo kaayo. Bipolar man ang akoang sakit.

student nurse interviewing him, I asked him how did he get such idea and I asked him to elaborate his feelings and thoughts about having Bipolar disorder. Niana man ka na tong ikatulo ninyo na igsuon kay namatay. Unsa iyang gikamatyan? Close mo ato niya? Continues to maintain eye contact Aw sa Looks away tiunod gyud from the wala nako student nurse kahinumdom sa tanan. Lahi nalang atong storyahan. Kadtong sa una ba kabalo naman gyud ko na lahi ko. Kadtong nagadako na ko di guyd nako mafeel na mabelong ko sa is aka I felt sad and at the same time uncomfortable knowing that I have to ask such emotional and sensitive topic to him. I didnt force him to answer my question because Blocking

conclusions.

Patient refused to respond to a sensitive topic because this may bring out emotional memories from the past. He just then asked me if we could just change the topic into what he feels growing up. He said that he feels and he already knows that he doesnt belong to

grupo.

it seems that my question is too sensitive for him. This question may trigger some emotions to him and maybe some of these emotions wont be very pleasing.

a group. According to Kaplan, such manifestation wherein abrupt interruption in train of thinking is evident is called Blocking.

Niana man ka na naa kay madunggan na mga tingog. Makadungog ka nila karon?

Conveys a serious facial expression and maintains eye contact

Oo Looks at an makadungog. empty space Ginatawag ko nila.

I personally pity the patient because of his disturbance in perception. I explored more about his answer and I asked him what they are saying to him.

Auditory Hallucination

Patient verbalized hearing voices calling out his name. Such disturbance in perception wherein there is false perception of sound, usually voices, and also noises is called Auditory Hallucination.

Johnny, tara didto ta oh

With pleasant Ay dili lang tone of voice; ko. Diri lang

Looks away from the

I got very

Negativism

When asked to move on the

kay akoang kuhaon imohang timbang. Kailangan man gud na siya para masiguro na tama imong timbang sa imohang katas-on.

maintains eye contact

ko. Di ko gusto mahibal-an akoang timbang.

student nurse

disappointed on his response. I was assuming that he would follow my instructions but he refused it because he said that he doesnt want to move from his place and that he doesnt want to know his weight. Because, I respect his decision to refuse from having taken his weight, I didnt force him to do so but instead I

allotted place where the weighing scale was located, patient refused to be moved from his place. He said that he doesnt want to know his weight. According to Kaplan, patient exhibits negativism. Negativism is the motiveless resistance to all attempts to be moved or to all instructions.

just continued the interview. Unsa diay imong paborito na subject Johnny? Looks at the patient with eye contact Ako di man With eye gyud ta ko contact to the gusto magstudent nurse theology, gusto man ko magaccountancy. Nindot man ang accountancy kay sigeg solve ba. Nindot man sad hiuon ang theok ay challenging. Mao ganahan ko ug accountancy kay mahilig man kog math gud. As the student nurse tasked to interview the patient, I was pretty confused of his answers. Basically, I thought that he would not get into his point but I still allowed him to continue answering and I waited patiently for him to arrive to the accurate response. So ganahan diay kag math kay magaccountancy gud unta ka? Smiles at patient; maintains eye contact Ang 100- 7 kay 93. Sunod ana 93-7. Ummmm. Di Seems confused; looks at the empty space I really pity the patient because he said that he Poor Concentration Knowing that patient has acquired education until third year college Circumstantiality Patient responded to my question but at first his answers were very confusing and that it didnt answer my question. But at the end, he managed to get to the appropriate answer to the question. The indirect speech that is delayed in reaching to the point, according to Kaplan, is Circumstantiality.

Sige daw testingan daw nato imong skills sa math. Iminus daw ang 7 sa 100. Tapos ang answer ana iminus napud sa 7.

naman ko kabalo uy. Maglibog na ko.

wanted to be an accountant but

when asked to subtract 7 from 93, he could no longer answer it because he was very confused. I

Because

wanted to give him another

chance. I asked him again to

subtract 7 from 93 but still he could not give an answer to my question.

and he said that he wanted to be an accountant, I was assuming that he has broad knowledge on calculations. But when asked to subtract 7 from 93, he could not give an answer to that. According to Kaplan, when a person has difficulty concentrating on mathematical calculations, that person has Poor concentration.

Patients Name: Sta. Rita, Francisco Age: 29 years old Sex: Male

Diagnosis: Schizophrenia, Undifferentiated Institution: Mindanao Center of Psychiatry and Behavioral Medicine Date & Time: February 25 2013 @ 1:30PM FINAL NURSE- PATIENT INTERACTION

Date and Time February 25 2013 @ 1:30PM @ patients residence

Nurse Verbal Non Verbal Unsa tong Looks at the imohang student nurse giingon with eye ganiha na contact mag-ampo ka sa bato nga nay kandila?

Patient Verbal Non Verbal Kuan sa Stands up cave man to and look at nagatoo gyud the student kayo ko ana nurse na inig magampo ko didto gamit ang kandila na nakapatong sa bato. Matinuod man gyud na, tinuod gyud na.

Nurses Feelings & Thoughts I felt upon listening to him because I dont share the same beliefs with him. Right after

Analysis Bizarre Delusion

Interpretation Patient really believes that when he prays in a cave, God would really grant his wish to see things which he did not see before. According to Kaplan, such weird and absurd false belief is called Bizarre Delusion.

saying that to me, I told him to elaborate thoughts beliefs his and about

praying at the cave. Unsa pa imong gihuna- huna karon. Sultihi ko Johnny? Maintains eye contact Kabalo b aka maam na kanang silhig mulupad Patient looks and points at the broom It felt weird and Magical Thinking Patient was thinking that the strange knowing broom would fly. This disturbance that he was in the form of

mana. Nah mulupad gyud na!

thinking that the broom was

flying when I fact it didnt. I told him I didnt see the broom fly. It was just there, placed

thinking according to Kaplan is called Magical thinking. Magical thinking is when a persons thoughts, words, or actions assume power.

still and intact on the floor. Inig kanang sa grupo sa skwelahan or sa dula unsa imong gusto follower ka o leader? Continues to maintain eye contact Syempre leader! Dili man ko gusto magsunudsunod gusto nako leader gyud ko. Usahay gani feel nako Ginoo ko. Looks at the student nurse with eye contact I was pretty Delusion of Grandeur When asked if he is the leader or the follower in a group during class activities and games, patient immediately and proudly said that he is the leader and at times he feels like he is God. Evidently, patient is manifesting Delusion of Grandeur wherein Kaplan had

stunned on how he answered my question with all of confidence arrogance. his and I

asked him more about why he sometimes feels that he is God and why he

always wants to be the leader.

Johnny, diba naa man koy giingon na mga butang na imohang hinumduman kay pagkatiudtiud akoa kang pangutan-on ato? Unsa gani to?

Looks at the patient; maintains eye contact

Kuan. Mao ba tong mga gulay? Hala maam nakalimot naman ko. Naglibog ko kung unsa to.

Seems confused; scratches head

Beforehand,

told the patient to these remember 3 fruits

Immediate Retention

namely, papaya, mango banana. and After

about 3 minutes, he could not

recall them. He seemed confused asked those me to be and if

things

mentioned that it is the exaggerated conception of ones importance, power or identity. When asked to memorize those three fruits, after just 3 minutes he could not remember them all. According to Kaplan, he disturbance of memory manifested by the patient is Immediate Retention. This happens when the patient cannot anymore recall the three things that are similar to each other in a given time.

were vegetables. In that very

instance, I pity him because for just 3 minutes he

could no longer remember them. His inability to recall things is worse than that with my

grandmother so I really pity the patient. Unsa diay imong paborito na subject Johnny? Looks at the patient with eye contact Ako di man With eye gyud ta ko contact to the gusto magstudent nurse theology, gusto man ko magaccountancy. Nindot man ang accountancy kay sigeg solve ba. Nindot man sad hiuon ang theo kay challenging. Mao ganahan ko ug accountancy kay mahilig As the student nurse tasked to interview patient, the I was Circumstantiality Patient responded to my question but at first his answers were very confusing and that it didnt answer my question. But at the end, he managed to get to the appropriate answer to the question. The indirect speech that is delayed in reaching to the point, according to Kaplan, is Circumstantiality.

pretty confused of his answers. Basically, I

thought that he would not get into his point but I still allowed him to continue answering and I

man kog math gud.

waited patiently for him to arrive to the accurate response.

Aw ganahan diay kag math? Dati gipasubtract man tika, karon addition nasad daw. Unsay answer sa 10 plus 10?

Maintains eye contact

Kuan. Wala naman ko kahinumdom. Malibog nako sa una hawud man ko ana.

Maintains eye contact with the student nurse; seems confused

I pity the patient because when he became schizophrenic, he already has difficulty concentrating on things such as calculating numbers. Although he had not answered my question at first, I gave him chance he

Poor Concentration

another but cannot

still

Because of patients mental disorder, he can no longer concentrate on things including calculations of numbers, even the simplest ones like 10 plus 10. Patient manifested Poor concentration. According to Kaplan, when a person has a hard time answering mathematical problems using concentration, that person has poor concentration.

answer

my question.

Isa ka semana ra diay ang pinakadugay nimo nga trabaho? Ngano man?

Maintains eye contact

O isa ka semana ra gyud. Kuan man gud sila man ang naay problema, dili man ako.

Maintains Upon hearing eye contact these reasons, I with the student nurse; was very bothered because hadnt anything he done that

Projection

insisted that he

made him lose his job but rather he blamed the co- workers in his different

jobs. He insisted that it was their fault that he lose his jobs.

Patient insisted and reasoned out that he had done nothing wrong in order for him to quit or lose his job for just a week. He blamed the problem to his co- workers, he was saying that it was their fault not his. Patient exhibits Projection. According to Kaplan, Projection happens when a mentally ill person blames others so that he will be excused the problem he had created.