Legarda Street, Sampaloc Manila

PROCESS RECORDING

Submitted by:

Raffy V. Tabalbag., R.N.

Patient’s Profile:
Name: BENBEN
Age: 87 years old
Educational Attainment: COLLEGE GRADUATE

Working Phase:

A.Statement Of Goals and Objectives

By the end of the working phase the patient will:
•View the nurse as honest, open and concerned about his welfare
•View the nurse as a competent professional capable of helping
•Maintain a therapeutic relationship with the nurse
•Explore his thoughts and feelings

B.Description of setting
The nurse patient interaction happened around 8am. The weather was slightly cloudy and a bit humid. Our activity was held at their quadrangle and we
were in what seems like a cat walk. I was sitting on the bench and my patient is in front of me with a space of half a meter. 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 felt slightly nervous even though we already met because we will never know how a mentally ill (bipolar) person will suddenly behave, so therefore
they are very unpredictable. But my nervousness is very minimal because I already had an experience handling a mentally ill (bipolar) patient
Orientation Phase Day 1

Objectives:
At the end of 30 minutes, we would be able to:
1. Develop rapport and establishing a trusting relationship
2. Establish parameters of the nurse patient interaction
3. Establish mutually accepted contract
4. To begin to explore the patient’s feelings

JULY 28, 2019/ 8AM

Setting: CARDINAL SIN WELCOME HOME

THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ANALYSIS
Magandang umaga. Ako si nurse raffy
Introduced self to client to start the
nurse nyo po ako dito sa welcome home Maganda umaga din ako si benben
relationship which is built in rapport.
Ikaw naman, ano ang pangalan mo?
Exploring helps the nurse to know more
Saan ka nakatira? Sa taga bohol pa ako.
about the patient.
Seeking clarification helps the nurse to
May 06 1932 ang birthday mo? At
Ou know more about the patient.
87years old ka na? Tama ba?
Exploring helps the nurse to know more
Anong natapos mo sa Pag-aaral? Dati akong prof. ng philosophy sa UST about the patient

Matanda na ko nakakainip na dito gusto Giving broad opening BENBEN was

May nais kabang bang gusto mong pag-
ko na ngang mamatay pero syempre di able to express her feelings and concern.
usapan?
natin alam kung kailan
THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ANALYSIS
Pwede mo ba ipaliwanag sa akin kung
May edad na din kasi ko at nahihirapan na Using neutral expression to encourage
ano yung dahilan at naiinip kana sa
ko sa sarili ko puro sakit patient to continue talking.
buhay mo po
 Matagal na ko dito halos 10yrs na din
Exploring feelings helps the nurse to
Nakakailan taon na po ba kayo dito? masaya nmn ako dito kaya lang marami
know about the patient.
ng sakit na iniinda
Mukhang wala ka sa mood makipag- Verbalizing what is observed to the
Ou ehh medyo pagud na din kasi ko ok
usap ngayon. Gusto mo ba bukas na lang patient for validation and to encourage
lang ba bukas naman
natin ituloy ito? next discussion.
Sge po benben kita potayo bukas salamat
Salamat din .
po sa binigay nyong oras

Working Phase Day 2

Objective:
At the end of 30 minutes, we would be able to:
1. Provide a realistic expectation, determine immediate concern, problem or situation to a holistic scope of focus.
2. Plan and implement nursing interventions through the nursing process.

JULY 29, 2019/ 8AM

Setting: CARDINAL SIN WELCOME HOME

THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ ANALYSIS
Magandang umaga benben. Kamusta ka
Magandang umaga din naman ou kakaligo Giving recognition by greeting the patient
na? Poging pogi po ha mukang bagong
ko lang din indicates awareness
ligo po kayo
THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ ANALYSIS
Giving broad opening BENBEN was able
May gusto ka bang pag usapan natin Kahit anu naman nurse ok lang to express her feelings and concern.
Paano po kayo na admit dito sa
Dito kasoi dinadala ang mga pari na retired
welcome
To determine the patient’s extent of
May sakit na din kasi ko marami ng knowledge why he was brought to the
Sa anong dahilan at dinala ka dito?
iniindang mga sakit hospital.

benben was encouraged to express her

Sa anong dahilan at sinasabi nila na Madalas sumusumpong ung bipolar ko un feelings. Patient was able to express her
may mood swing daw po kayo ang diagnos sakin ng doctor ko feelings in moderate tone of voice.

Dumating kasi sa buhay ko na depress ako

Pwede mo ba ikwento sa akin yung hind ko kinaya mga ilang araw din ako benben was encouraged to express her
dahilan kung bakit ka may mood swing hirap matulog nun tapus napansin ko feelings. Patient was able to express her
at madaling magalit napapadalas ang pagiging mainitin ang ulo feelings in moderate tone of voice.
ko
Dahil siguro sa paglayo ko sa family ko Exploring. Helps the nurse to know more
Dahilan po ng pag ka depress nyo ?
dahil sa kailangn pumasok sa semenaryo about the patient.
Lagi ko silang naiisip nalulungkot ako
The patient was encouraged to express her
madalas pag naalala ko sila tapus wala na
Tapos ano pang nangyari? feelings. Patient was able to express her
kung gana kumain lagi hnd na din
feelings in moderate tone of voice.
makatulog
Sila ay nasa bohol kaya sobrang layo nila Exploring. Helps the nurse to know more
San po ba ang family nyo ?
sakin about the patient.
Wala akong kamag anak dito kung meron Exploring. Helps the nurse to know more
Wala ka pong kamag anak sa manila
man hnd ko nman sila close about the patient.
THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ ANALYSIS
Kamusta naman po relasyon nyo sa Exploring. Helps the nurse to know more
Ok naman madalas miss kona sila
family nyo po? about the patient.
Ok naman mababait ang mga kapatid ko
Okay. Kamusta naman ang relasyon mo Exploring. Helps the nurse to know more
hind ko lang close ung mga babae
sa mga kapatid mo? about the patient.
Bakit po hindi kayo close ng mga Iba kasi hilig nila masusungit pa. Saka ang Exploring. Helps the nurse to know more
 mga kapatid kung babae malayo samin sa
kapatid nyong babae zampboaga sila nag aaral about the patient.

Hindi masyado dahil magkakaiba kami ng

Nakaka pag bonding naman kayo ng Exploring. Helps the nurse to know more
hilig saka bata palang ako mas gusto ko
mga kapatid mong babae about the patient.
mapag isa
May ginagawa ka po bang paraan para Siguro minsan kinakausap ko naman kaya
Exploring. Helps the nurse to know more
mag kasundo kayo ng mga kapatid lang malayo talaga loob ko sa kanila hindi
about the patient.
mong babae nila ko feel na kausap o kasam
Pantay namn lahat naman kami favorite
Pantay ba ang pag tingin ng magulang kaya lang minsan nag kakasilusan dahil Exploring. Helps the nurse to know more
nyo sa oinyo or may favorite sila ? hindi kami madalas kasama ng magulang about the patient.
ko dahil malayo ako
Bago ako pumasok sa semenaryo dati
Nag inahihiligan po ba kayong bisyo Exploring. Helps the nurse to know more
akong umiinom ng alak dahil sa lugar
tulad ng alak or yosi about the patient.
namin maraming lasenggo
Exploring. Helps the nurse to know more
Anu pong klaseng alak Madalas wine or lambanog
about the patient.
THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ ANALYSIS
Mga kapatid mo din mo din ba nakaka Exploring. Helps the nurse to know more
Ou minsan
sama mo sa inuman about the patient.
Dati madalas ako nainom pero ngayon Exploring. Helps the nurse to know more
Ilang beses ka umiinom?
hindi na po about the patient.
Paanu nyo po naiwasan ang hindi na Bawal kasi to sa pag papari dahil pag nasa Clarification and Exploring. Helps the
mapadalas ang pag inom semenaryo kana maraming bawal. nurse to know more about the patient.
Nung nasa semenaryo na po kayo hindi Hinahanap din minsan nag iinuman kami Exploring. Helps the nurse to know more
hinahanap ng katawan nyo ang alak pero patago bawal may makakita hahaha about the patient.
Magaling kami mag tago. Pero nahuli na Clarification and Exploring. Helps the
Buti po hindi kayo na huhuli ?
din kami one time nurse to know more about the patient.
Exploring. Helps the nurse to know more
Sinu pong nakahuli? ang mga kasama namin about the patient.
 Hindi na din ehh ung kapatid kung isa
Ehh ngayon po kamusta kayo ng mga Clarification and Exploring. Helps the
namantay na tapus mga pamangkin ko
kapatid nyo dumadalaw po ba? nurse to know more about the patient.
halos hindi namn ako na aalala
So ano ang nararamdaman mo ngayon Exploring. Helps the nurse to know more
Minsan malungkot pero ngayon ok naman
at hindi ka nila na bibisita about the patient.
Hind namn po kayo nag tatampu or Rephrasing and Exploring. Helps the
Ok lang naman sakin minsan nakakatampu
may galit sa hindi nila pag alala sayo nurse to know more about the patient.
Okay lang ba pag-usapan natin yan Exploring. Helps the nurse to know more
Ok lang naman
nararamdaman mo? about the patient.
THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ ANALYSIS
Maiba po tayo nag ka girlfriend po Exploring. Helps the nurse to know more
Ou meron isa lang si isabel
kayo bago kayo pumasok sa semenaryo about the patient.
Anu pong dahilan at hindi nyo po siya Clarification and Exploring. Helps the
Mas mahal ko kasi lord
pinili nurse to know more about the patient.
Pero ngayon po nag sisi kayo na wala Clarification and Exploring. Helps the
Hindi namn masaya ko sa buhay ko
kayong sariling pamilya nurse to know more about the patient.
Pero sa tingin nyo pong mas pinili nyo Siguro pero dito ko dinala ng diyos ehh
ang girlfriend nyo masaya po kaya pero hindi madedenay na minsan
Reflecting.
kayo ngyn dahil may anak at mga apo napapaisip ako na masaya din may pamilya
kayo kang inuuwian
Siguro po dinala kayo dyan ni lord Ou ganun na nga saka ang pag seserbisyo
dahil alam niya na mas marami kayong sa panginoon ay habang buhay kung ipag Reflecting.
matutulungang mga tao mamalaki ito ung bagay na mahalga sakin
Mukang pagod na din po kayo bukas po
Sige nurse salamat din
san aulit maraming pong salamat
Termination Phase Day 3

Objectives:
1. To evaluate and summarize the progress of client’s behavior.
2. To synthesize the outcomes of interaction.
3. To impart health teachings and referrals.

JULY 30, 2019/ 8AM

Setting: CARDINAL SIN WELCOME HOME

THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ ANALYSIS
Ito medyo nakatulog naman ng maayos Exploring BENBEN current feelings.
Magandang hapon sa’yo benben. Kamusta
medyo malamig dahil sa madalas na pag BENBEN acknowledge openly with good
ka na? Kamusta na ang tulog mo kagabi?
ulan eye contact.
Muka naman pong maganda ang gising nyo Ou nmn kakatapus ko lang din mag
Giving recognition.
ngayon? rosary
Giving options will allow BENBEN to
May nais po ba kayong pag usapan natin Ok lang naman kahit anu nurse verbalize further and make her more
comfortable with the conversation.
Masaya ko pag dumalaw sila pero sana Giving options will allow BENBEN to
Pag usapan po natin kung panu po kung
nga maalala din nila ko alam ko kasi hnd verbalize further and make her more
dumating mga relatives nyo po
na din ako mag tatagal sa mundo comfortable with the conversation.
Wag nyo po pala kalimutan may check po
Information Giving. Provides the client
kayo ng Friday at laborataory for your Salamat nurse sa pag papaalala
with needed data.
annual exam .
THERAPEUTIC COMMUNICATION
NURSE CLIENT
USED/ANALYSIS
Magpahinga po pala kayo ng maaga sa
Information Giving. Provides the client
Thursday dahil maaga po ang sundo ng van para sige
with needed data.
po sa check up nyo
Alam mo na ba yung mga bawal na pagkain Nalimutan ko na din nurse Information Giving. Provides the client
sa’yo? Yung mga dapat mong tanggalin sa
with needed data.
kinakain mo?
Ang huling kain nyo po ay 6pm after po nun Information Giving. Provides the client
Ayy ganun ba buti at naipaalala mo
bawal na lahatkahit po tubig with needed data.
Bawal din po ang mga softdrinks kahit Yun na nga eh mahilig pa namn ako sa Information Giving. Provides the client
napakasarap nun matamis. with the needed data.
At higit sa lahat huwag na huwag mong Information Giving. Provides the client
Ou salamat Tatandaan ko yan.
kakalimutan inumin ang mga gamot mo. with the needed data.
Marami naman una sa lahat kung panu
Sa pag stay po ninyo dito ng mahabang ang buhay ng matatandang pari ay hindi
Reflecting.
panahon marami namn po kayong natutunan madali pero masaya kami na naglilingkod
sa diyos
Nais ko pong magpasalamat sa inyo ng
Maraming salamat din sayo naway pag
maraming maraming dahil po sa oras na
palain kapa ng may kapal
nilaan nyo sa sakin