Process Recording Erickson

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PROCESS RECORDING

Nurse Patient Interaction


Objectives:  Be able to establish rapport and trust with the student nurse,  be able to get the patients initial data, profile and background,  Be able to establish the plan of activities and the contract to the patient.

Nurse-Patient Interaction Nurse: Magandang araw po Sir Patient: Magandang Araw din Nurse: Ako po pala si Erickson Garcia, mula po ako sa Arellano University Legarda, maaari nyo po ako tawagin sa pangalang erick Sir. Ako po ang magiging nurse niyo ngayon pong araw na ito, andito po kami mula 8 ng umaga hanggang alas 12 ng tanghali. Maaari ko po ba malaman ang pangalan nyo Sir? Patient: ako si joel andrada, 57 taong gulang, nakatira sa zambales. Nurse: May asawa pa po kayo? Patient: wala na po. Nurse: ibig nyo po bang sabihin ay patay na sya? Patient: opo patay na sya,

Therapeutic Technique

Inference or Analysis

 Giving Information  Offering self

 Establishes rapport with the client  Assures the client that you are their ready to listen

 Restating

 Stating back the patients statement in order not to give false hopes

Nurse: Ilan naman po ang mga anak nyo? Patient: 2 po Nurse: eh, gaano na po kayo katagal dito Sir? Patient: matagal na.. 3 years na. nung December 8 Nurse: dinadalaw naman po kayo ng mga kapamilya mo? Patient: oo, ung pinsan ko lang. Nurse: talaga ho? Patient: oo, dinalaw nya ako kaso matagal na iyon. Nurse: Alam nyo po ba kung nasaan kayo ngayon? Patient: ako ay nasa pavilion 19, National Center for Mental Health Nurse: ang galing naman Sir. Nurse: kelan po kaya makakauwi? Patient: ewan ko. Nurse: kumusta ka naman dito Sir? Patient: malungkot. Naaalala ko palagi ang mga anak ko lalo na pag may mga student nurse  Identifying themes  identifies the thoughts, feelings and behaviors of the patient  encourages the patient to elaborate or give  Reflecting  Helps him to identify own feelings  Voicing doubt  helps the client to arrange his thoughts  Helps the patient to recognize reality

 Placing the event in time or sequence

 Giving broad openings

dito Nurse: ano po ang ginagawa nyo pag nalulungkot kayo? Patient: nagdadasal po. Nurse: may gusto po ba kayong pag-usapan nating dalawa? Patient: wala na. Nurse: oh sige Sir, ako poy nagpapasalamat sa inyong oras at sa inyong partisipasyon. Patient: salamat.

some ideas or feelings that will help her express her feelings,

Summary: During Nurse patient interaction, the patients grooming was not good prior to morning care he wear dirty ward gown without slippers. But most of the time he exhibited appropriate facial expression and posture during interactions. He also displays and maintains good eye contact and show interest on the topic.

Evaluation:
The goals in this NPI are partially met because i was able to gather some of the informations about the patient. I was able to understand the feelings of the patient. As a nurse, I let my patient feel that he is not alone and I think its one of the most important roles of a nurse. I think my patient trusts me because he followed whatever I say and he started talking to me as if I not new to him. All I can say is that therapeutic communication is very important in establishing rapport to the patient.

REQUIREMENTS IN NCM 105 (NURSE PATIENT INTERACTION)


Prepared by: Garcia, Erickson C. Prepared to: Mrs. Mel Biteng RN, MAN

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