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    Process Recording

    Uploaded by

    Vincent John Faller
    The document provides demographic information about a 13-year-old male patient named Edwin and outlines goals for a nurse-patient interaction with him. During the interaction, the nurse uses communication techniques like giving information, making observations, orienting the patient, and reflecting to understand Edwin's thoughts and feelings about his hospitalization following a head injury from falling onto rocks while swimming with friends. Edwin is cooperative and able to recall details to the nurse.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Process Recording

    Uploaded by

    Vincent John Faller
    439 views3 pages
    The document provides demographic information about a 13-year-old male patient named Edwin and outlines goals for a nurse-patient interaction with him. During the interaction, the nurse uses communication techniques like giving information, making observations, orienting the patient, and reflecting to understand Edwin's thoughts and feelings about his hospitalization following a head injury from falling onto rocks while swimming with friends. Edwin is cooperative and able to recall details to the nurse.

    Original Description:

    hospital process recording sample

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    The document provides demographic information about a 13-year-old male patient named Edwin and outlines goals for a nurse-patient interaction with him. During the interaction, the nurse uses communication techniques like giving information, making observations, orienting the patient, and reflecting to understand Edwin's thoughts and feelings about his hospitalization following a head injury from falling onto rocks while swimming with friends. Edwin is cooperative and able to recall details to the nurse.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    439 views3 pages

    Process Recording

    Uploaded by

    Vincent John Faller
    The document provides demographic information about a 13-year-old male patient named Edwin and outlines goals for a nurse-patient interaction with him. During the interaction, the nurse uses communication techniques like giving information, making observations, orienting the patient, and reflecting to understand Edwin's thoughts and feelings about his hospitalization following a head injury from falling onto rocks while swimming with friends. Edwin is cooperative and able to recall details to the nurse.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    I.

    Demographic Data Name: Edwin Age: 13 y/o Sex: Male

    II.

    Working Phase: A. Statement Of Goals and Objectives By the end of the working phase the patient will: View the student nurse as honest, open and concerned about his welfare View the student nurse as a competent professional capable of helping Maintain a therapeutic relationship with the student nurse Explore his thoughts and feelings

    B. Description of setting The nurse-patient interaction happened around 3pm. The weather was slightly cloudy and a bit humid. Our activity was held at the ward and I was sitting on a chair at the patients bedside. Though it was a bit noisy because we are all talking at the same time, the patient was cooperative and replies in an audible manner. C. Thoughts and feeling of the nurse before Nurse Patient Interaction I was a bit reluctant to converse with the patient at first because he appears to be irritable but when I started to introduce myself and started talking, he was cooperative and responsive to me.

    Nurses Response

    Patients Response

    Inferences

    Communication Technique

    Maayong hapon, aq d.i c The patient smiled Vincent from USC-CN, ok ra nimu kung makig storya ko nimu kadiyot? Mura lagi ka ug gikuyawan ganina pagduol nako? Nahadlok ka? Unsa gani ngalan nimu? kahibaw ka unsa pitsaha karun? kahibaw sad ka kung asa ka? aw maayo kay kahibaw ra man diay ka Unya kumusta na man ka dri? Mahadlok ka sa mga tao diri? Na-unsa man diay ka? Ngano na admit man ka diri? uo, abi nako ug injectionan napud q. Sakit man gud na. Edwin Feb. 24 man daw run ingon si mama uo, naas hospital kai nasamad man ko The patient smiled dili lagi ko ganahan diri, ganahan nako mouli pero dili pa man daw pwede uo nalbayan man ko ug kahoy sa ulo.

    The patients positive response shows that Giving Information and he is willing to cooperate and converse Offering Self with me. The patient feels that his feelings are recognized and understood. Making Observations

    The patient can identify his name during NPI The patient is aware of the date during NPI The patient is aware where he is. Orienting patient to time, place and person

    The patient feels his verbalizations are recognized The patient is able to state his overall feeling. The patient is able to state his overall feeling. The Patient can still recall what happened to him prior to admission.

    Giving Recognition

    Restating

    Kanus.a man ni nahitabo?

    Kadtong nangaligo mi ug dagat sa ako mga amigo sa bato. uo, ambot ngano nanglabay man to siya ug kalit.

    The patient is able remember when the event happened.

    Placing events in time or sequence.

    no? So nangaligo ra mo adto sa bato dayon naay nibadlong ninyo dayon nanglabay ug kahoy nga maoy nakaigo sa imu ulo? sa tan.aw nimo kinsa man kaha ang naay sayop atong panghitabo.a?

    The patient feels that everything he said so far was understood.

    Summarizing

    ang katong tao oy kay dili na man to sakto iya pagbadlong. Pero naa pud mi sayop ato kay wa mi naminaw. dili oe. Dili man na mu silot ang ginoo ug kanang masakitan ko. Ako.a na jud to tinuyo.an The patient smiled and stated kuya, matog sa ko ha? Kay duka kaayo ko ok ra man kuya. Sulti.e nya ko kung naay doctor ha?

    The patient is able to analyze the situation Reflecting and realized that both party are to blame for the incident.

    kay sad.an man sad diay ka ato, sa tan.aw nmu gisilutan ra ba ka adto sa ginoo? Kay nagpabadlong ka? mao, sakto jud ka sir

    The patient realized that God is not to be blamed for the incident.

    Reflecting

    The patient sees our conversation as significant as evidenced by his asking of permission from me to terminate the conversation.

    Recognizing

    cge sir, pero ok ra nimo sir kung diri lang sa ko sa imu kilid? Kuog lang sa ko nimo

    Presencing

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