Name of Patient: Medallo, Danilo Age: 30 Diagnosis:

Student Nurse: Escalona Dino V. Date: September 29, 2012

PROCESS RECORDING #1

I.

Objectives:

General Objectives: After 8 days of student-nurse client interaction, the client will be able to develop a trusting relationship, acquire knowledge about current health condition and promote independence in activities of daily living

Specific Objectives: After 45 minutes of SN client interaction, the client will be able to: 1. state the student-nurses name 2. acquire a sense of reality, restating the correct time, date and place 3. show willingness to communicate openly 4. generate w/ the SN the rules of interaction 5. site the purpose and expectation of the interaction 6. agree as to the time, date and place of next interaction

II.

Setting of Interaction Time: 3pm 3:30pm Date: September 29, 2012 Place: Guizo, Mandaue

III.

Appearance, Behavior, Communication and Implication Appearance Danilo, a 30 year old male, local resident of Guizo, Mandaue was wearing a dirtywhite shirt and black shorts. He has brown complexion with a medium built body. When I first met him, he was standing at a barbeque stall, as observed, he had not taken a bath as he was wearing sort of soiled clothing and his hair was not combed. Behavior During our conversation, Danilo was standing upright with his hands at his side. He maintained good eye contact throughout the conversation and made appropriate facial expressions to emphasize a point. I did not have any difficulty in approaching him and I was responded accordingly. Communication He was alert when it comes to answering my questions. He would sometimes pause for a while and think of what to say. He also asked me some questions in which I answered appropriately.

Implication Danilo was able to verbalize his feelings freely and spoke fluently. Also, he was able to establish good eye contact which is a positive characteristic that he was listening attentively and was more than ready to answer questions.

IV.

Evaluation The objectives set by the student-nurse were executed well and effectively. Attempts to establish rapport with the client was accomplished. The patient was responsive in all the questions of the SN

V.

Communication
STUDENT NURSES COMMUNICATION Maayong hapon dira nimo. Ako si Dino Escalona, isa ka student nurse sa Cebu Doctors University. Unsay pangan nimu? (approaches client by the barbeque stall) Salamat Dan. Kamusta na man ka? Maayo ra imong pamati? PATIENTS COMMUNICATION Hi Dino, Ako si Danilo Medallo (smiles) COMMUNICATIO N TECHNIQUES Giving Information DEFENSE MECANISM ANALYSIS Infroming the client of facts allows patient to be more cooperative because the nurse builds trust wi th client and functions as a resource person Asking the client how he feels makes him feel that he is cared for and is important Asking questions which the client interests can promote a bond between SN and client

Encouraging Expression Maayo ra man kayo. Naa lang ko diri sa gawas tanaw sa mga tao para malingaw (smiles) Kung di ko mutanaw ug TV, mutabang ko sa mga buhatunon diri o mutanaw sa magduwa ug basket, niya storya2x Uhmm, Ambot unsa rason ganahan lang gyud ko(laughs) Exploring

Maayo kay nalingaw ka, Sa pa man imong hilig buhaton Dan?

Giving recognition

Kamatinabangon nimu Dan, mayo na da. Unsa diay ang rason ngano ganahan ka motabang?

Exploring Noting the clients efforts shows nurse recognizes client as a person, as an individual w/c encourages him to continue doing the good deed Examining the situation in depth allows the SN to understand it more Shows that the SN is listening and following what the client is saying and encourages client

General leads

Sa imong pagingon na naayo na ka, nganu dili pa man ka mugawas?

Nabuang ra gud sa shatong (laughs)

Exploring

Aw, mayo kay gilihok sa imong mama. Unsa man diay na imung pending nga kaso Reg? Unsa pa man imong gusto nga sturyaan nato?(smiles at client

Mga shabu, marijuana. Pero wa na ko ana run, ayo na man ko. Naa paman gudkoy pending na kso p

Restating

Exploring