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Sytrose M.

Tabaco BSN III A Bromeliads WORKING PHASE Patients Profile Name: Age: Sex: Status: Date of Birth: Address: Religion: Nationality: Educational Attainment: Parents: Father: Mother: Admitting Agency: Date of Admission: Diagnosis: According to Chart Elmer Maglente 37 Male Single January 23, 1975 Valenzuela City Baptist Filipino 2nd Year College Efren Maglente Teresita Cosipe National Center for Mental Health September 19, 2006 Undifferentiated Schizophrenia According to Patient Elmer Maglente 37 Male Single January 23, 1975 Masbate Baptist 2nd Year College Efren Maglente Teresita Cosipe 2006, September 19 Schizophrenia

Objectives: During this phase, the student nurse will be able to: To gain the patients trust and cooperation To delve the hidden reason why the patient was admitted in the mental institution. Specifically what happens before the patient was brought to the institution. Also who brought the patient in the hospital, and for what reason. To be able to prepare the patient for the activities. On what will they be expecting during the activity, on how the procedure of the activity is and how will they participate. SETTING The interaction happened in the front yard of pavilion 19, the weather is good. Its sunny. The environment is clean and has a limited noise due to the vehicles passing around the pavilion.

Nurse Good morning Elmer.

NURSE-PATIENT INTERACTION Patient Rationale Magandang umaga Greeting the patient Sytrose. shows respect and addressing him with his name shows that you acknowledge him as a person.

CI Remarks

Kumusta naman ang Maayos naman sir, Using open-ended pagtulog mo Elmer? mahimbing. questions to achieve relevance and depth Hindi ka na nagigising in discussion. ng hating gabi? Nagigising sir. Ano ang ginagawa pag ganung nagigising Nagdadasal ako sir, ka? minsan naiihi lang ako. Alam mo ba kung ano May 10 po sir. Check patients ang petsa ngayon orientation to date. Elmer? Oo. Tama, May 10 (smiled) ngayon. Siya nga pala, Opo sir. magkakaroon tayo ng isang activity ngayon. Guguhit kayo habang nakikinig sa isang tugtugin.

After the therapy Elmer, ano ang nararamdaman mo habang gumuguhit ka? Ano ang dahilan ng mga naramdaman mo?

Ano pa?

Nabanggit mo ang mayon volcano. Ano pa ang masasabi mo ditto? May 14, 2012 Hello Elmer. morning!

Giving ideas to the patient what to expect from the nurse-patient relationship experience will allow the patient what to anticipate from the experience Encouraging the Masaya po na patient to express his malungkot sir. feeling and an approach to begin the communication in a light manner. Habang gumuguhit Exploring the ako sir malungkot ako patients feelngs dahil naiisip ko ang nanay ko at tsaka gusto ko nang makalabas na sana. Masaya naman ako sir Encouraging further dahil dati kapag expression umuuwi ako ng Masbate nadadaanan ko ang magandang tanawin ng mayon volcano. Kahit minsan ito ay Exploring a certain mapanganib sir topic the patient itinuring pa din na isa stated sa mga beautiful spots ng Pilipinas.

Good Good morning din po Greeting the patient sir. shows respect and

addressing him with his name shows that you acknowledge him as a person. Alam mo pa ba kung Oo sir. Sytrose The student nurse sino ako Elmer? Morales Tabaco no? asked if he is still remembered to Tama. Taga saan? UNP. assess the progress of the patient. Saang lugar? Sa Ilocos. Magaling ah. Mabuti naman hindi mo nakalimutan pangalan ko at kung taga saan ako. Ngayong araw ang gagawin natin ay makikinig kayo sa isang tula. Maari niyo ding basahin iyon pagkatapos namin tapos may mga katanungan kami tungkol sa tulang iyon. After the therapy Elmer, isa ka sa bumasa ng tula kanina diba, ano ang naiintidihan mo? (smiled)

Sige po sir.

Giving ideas to the patient what to expect from the nurse-patient relationship experience will allow the patient what to anticipate from the experience.

Bukod sa maganda ang kalikasan, ano pa ang masasabi mo?

Kung ikaw ang tatanungin, sa anong paraan mo mapapanatili ang kagandahan nito?

Tama. Isa yan sa mga pinakamagandang

Na ang kalikasan po Encouraging the ay maganda. patient to express his feelings and evaluate his understanding of the activity and an approach to begin the communication in a light manner. Dapat po nating Encouraging further pangalagaan at expression. panatilihin ang kagandahan nito para na din sa ikabubuti nating mga mamamayan. Sa pamamagitan ng Evaluate the patients pagtatanim ng insight. panibagong puno sir. Karamihan kasi ngayon sir putol lang ng putol gayong hindi naman nila ito pinapalitan ng panibago. (smiled) Giving recognition shows that the

paraan Magaling.

Elmer.

student nurse appreciated the effort made by the patient. Na dapat pong ingatan natin ang kalikasan na ibinigay natin ng puong maykapal. Huwag po nating abusuhin ang mga bagay bagay na kanyang nilikha. Kung makakalabas ako sir, maghahanap ako ng trabaho para makapag-ipon nang maipagpatuloy ko ang aking pag-aaral. Mag-eenrol ako sa isang Theology school sir. The study of word of GOD and religion sir. Binalak ko din po ang maging isang pastor dati sir. Hindi po kasi sapat ang perang pantustos at ayaw ng tito ko ang kurso na gusto kong kunin at sa panahong iyon ay nangasawa na din ang kapatid kong babae. Ganoon nga po sir.

Ano naman ang aral na natutunan mo sa ginawa nating activity ngaun?

Kung ikaw ay mabibigyan ng pagkakataong makalabas dito, ano ang balak mo? Mag-aral kamo diba, ano naman ang kukunin mo?

Encourage expression of feelings about going home and plans thereafter.

Ano ang rason ng pagkakaudlot ng iyong pag-aaral?

Asking question to determine the educational background of the patient that could lead to factors that might have affected her behaviour.

Kung ganoon ang tito mo at ang ate mo ang sumasagot sa iyong pag-aaral ? Oh sige Elmer pasok Sige po sir. Maraming Saying thank you ka na, mag-usap po salamat. shows that the ulit tayo bukas. student nurse is grateful and the effort of the patient is very much appreciated. Evaluation After the nurse patient interaction, the student nurse was able to gain the trust and cooperation of the patient. The student nurse was able to orient the patient about the activities and the patient shows understanding because he was able to do what is being told, and answer what is being asked. The patient was silent sometimes but cooperative in every activity that we had performed. He has great ideas in expressing his thoughts when he is being told to recite or say something about the topic that being discussed.

TERMINATION PHASE Objectives: During this phase, the student nurse will be able to: terminate the relationship in a nice approach and manner Assess the knowledge and learning the patient acquire from the experience of the client during the entire nurse patient relationship experience. SETTING The interaction happened in the front yard of Pavillion 19 where the weather is good. Its a sunny day. The environment is clean but noisy due to the vehicles passing around the pavilion and the students having their tour so patients are easily distracted. NURSE-PATIENT INTERACTION Patient Rationale Good morning sir Addressing him by his Sytrose. name means that I am acknowledging him as an individual; this also means that I am accepting him without any judgement. Mabuti naman sir. Asking closed ended Mahimbing. questions, allows him to answer it easily without stressing him to think too much. (smiled) sige po sir. Telling him about the span of the contract eliminates separation anxiety. Though it has been told to him about the end of the relationship earlier during the first interaction, it is necessary for him to be reminded that the relationship between us will be ending and never going to continue again. Grand socialization po Clarifying that he fully sir. understands that the end of the relationship will end soon. It also tests his orientation to the time that lapsed.

Nurse Good Morning Elmer.

CI Remarks

Kamusta naman po ang pagtulog mo kagabi?

Elmer, ngayon na ang pangatlong huling araw namin dito sa mental. Hindi din pala tayo magkaka-usap at magkikita bukas dahil lilibutin namin lahat ng pavillion dito. Pero pupunta dito kami sa Friday para sa ating grand socialization.

Ano nga po uli ang gagawin natin sa Friday?

May 18, 2012 Sa panahong naririto kami sa mental, sa dalawang linggong nagkasama tayo, ano ang pakiramdam mo? Paano kayo dito kapag walang mga student nurse na pumupunta dito?

Masaya sir kasi may mga activity tayong ginagawa tapos may pagkain pa kami.

Exploring his feelings by asking what he feels about the termination of the relationship.

Malungkot, sa loob lang po kami nakakulong, lumalabas lang kapag kumakain tapos tulog na lang. Bilang isang student Opo sir. Maraming Opening up allows nurse mo ng salamat sir. him to dalawang lingo, may know/understand mga bagay-bagay what the student akong natutunan dito nurse also feels thus sa Mental. showing empathy for Naipatupad na namin him. ang mga dapat naming gampanan Asking him about how bilang isang he perceives the tagapangalaga at activities we bilang isa na ding conducted is a good kaibigan. Sana ay way of evaluating the napasaya at nagevents and activities enjoy ka sa mga that transpired activities na ginawa natin at sana din ay may mga natutunan ka din po sa amin. Ang maihahabilin ko lang Elmer ay lagi ka sanang magpakabait dito, iwasan mo ang makipag-ingkwentro sa mga kasamahan mo para hindi ka masaktan. Ano naman ang Sana po Sir Sytrose Asking questions of masasabi mo sa akin makagraduate at what he feels or Elmer? makapasa ka sa board wants to say to the exam. student nurse for ten days that they were together. Maraming salamat Salamat sir. Ang bait Feedback to give po. Elmer, ito na ang bait nyo po. Sobra impression of the huling araw namin sobra napo itong reactions of the dito, wala na kami binigay biyo sa akin patient by the next week. Ito pala sir. student nurse. ang mga ibibigay ko sayo may radio at bumili na din ako ng

baterya, chocolate (flat tops) paborito mo yan diba?, tapos may nilagay na din akong cup noodles at 2 kopiko. (smiled) Walang Opo sir. Maraming anuman Elmer. salamat. Hindi ko po Binigay ko yan bilang kayo makakalimutan. isang pasasalamat na din sa pagtanggap mo sa akin. Oh, sige po pasok na kayo sa loob. Pakabait po kayo ah.

It is also where the nurse initiates the end of the relationship by reassuring that they will never be acquainted again but the memories will remain

Evaluation
After the nurse patient interaction, the student nurse was able to terminate the relationship nicely and assessed the knowledge and learning the patient had acquired from the experienced the client had during the entire nurse patient relationship experience.