B & I

Analysis and Interpretation:

Day 1:

Day 2:

Day 3: Our client didn’t display any of the above disorders in behaving
and identification.

Day 4: Our client still doesn’t manifest any difficulty in behaving and
interacting.

Day 5: On this day, we noticed that our client has a poor personal
hygiene. And we also observe that during our play therapy our client
has a motor hypo activity.
According to Virginia Henderson, one of the components of
basic nursing care is to help client keep their bodies clean and well
groomed. But since Mr. J.B showed poor personal hygiene this
component is not achieved and must be a nursing priority.

Day 6: We noticed that our client poses signs of avolition. This proven
by the following exerts:

SN: “Mang J.B, ano pong karaniwan niyong ginagawa pag nasa loob
kayo?”
Ct: “Wala naman..”
SN: “Ahhh…magkwento naman po kayo”..
Ct: “Hehe…ala naman akong ikukwento…”

According to Dorothy Johnson on her theory of behavioral

system, individual has seven subsystems and one of them is the
achievement subsystem… and theses subsystems contains behaviors
that attempt to control the environment.
With regards to Mang J.B’s case, he do not has the motivation
to share what was going on to his life, maybe because there is one
 thing that he wants to achieve but unfortunately ha can’t achieve it
because of his conditions.
Aside from avolition, we also noticed that our client has still
poor personal hygiene like on the previous day.
This finding can be supported.. again..by the theory of Virginia
Henderson, on her theory she stated that “one of the component of
basic nursing care is to help client to keep their bodies clean and well
groomed.”
In relation to Mang J.B, one of the nursing care to be prioritize
is to promote good hygiene not only to Mang J.B, but to all clients in
the MMW.

F & I

Analysis and Interpretation:

Day 1:

Day 2:

Day 3: Our client didn’t manifest any of the above feeling and affect.
Our client has an appropriate mood and affect.

Day 4: On this day, due noticed that our client has a blunted affect.
He actually represents a reduction of the intensity of his emotional
expression.

Day 5: We noticed that our client has a blunted affect. It is blunted

because we noticed that his facial expression seems slow. When he
says he’s happy…his affect follows very slow… Neuman’s system model
proposes that people maintain harmony and balance with the
environment by a process of inter action and adjustment. Man
continuously interact with others and through this, they establish a
relationship with each other. Mr. J.B demonstrates emotional
 instability and blunted affect which hinders the interaction between
the environments.

Day 6: We noticed that Mang J.B portrays a congruent mood and

affect. We say that it is congruent because we see that his facial
expression seems appropriate to his mood. For example when he says
his happy, his expressions follow congruently.
Today we will connect his findings to a theory by Charles
Truchan called the affect perseverance theory. Truchan started on
his theory that “affect is a state of mind when emotional preference
for a particular person or object continues even though the emotional
and thoughts are invalid”.
With regards to Mang J.B, he maybe trusts his student nurses,
that why his mood or emotional preference is appropriate to what he
is displaying through his facial expression.

EPS

Analysis and Interpretation:

Day 1:

Day 2:

Day 3: We observe these extra pyramidal symptoms on our client

during our interview as a side effect of our client psycho
pharmacotherapy.

Day 4: On this day, we observe the same EPS to our client except
drooling. Our client has a shuffling gate because when we our walking
he seems drunk.

Day 5: During our interaction, we noticed that our client is

experiencing adverse effects of the drugs that our client is taking.
Some of these adverse effects are EPS…such as pseudo parkinsonism,
 particularly decreased muscle strength that the client manifested on
the previous days…the only difference is today our client manifest fine
intention tremors and like I have stated above these is may be due to
the drugs that our client is talking such as haloperidol and fluphenazine
decanoate.
We also noticed that our client manifest signs of akathisia like on the
previous days the only difference is, on the day 5, our client manifest
crossing leg frequently. Our client also manifests signs of Tardive
dyskinesia.
These EPS are the common side effects of antipsychotic drugs. So, it
is normal to Mang Jun-jun, whose taking thi king of medications to
manifest such symptoms.

Day 6: On the sixth day of our duty on MMW –and on our interaction
to Mang J.B, we noticed that he manifests some whjat much more extra
pyramidal symptoms than on the previous day.
On this day he manifests decreased muscle strength that he
doesn’t manifest on the previous days. We also noticed during our
conversation, Mang J.B always rocks his feet as well as his body back
and front.
Like on the day 5, this EPS are the side effects of the
antipsychotic drugs that are taken by Mang J.B like haloperidol and
fluphenazine decanoate.

OTHERS

Analysis and Interpretation:

Day 1:

Day 2:

Day 3: Our client portrays a good memory, because when we asked him
about his long term, early am, current events and short term, he was
able to answer it right.
Day 4: We noticed that our client can’t remember the short term
memory. When we asked him what the therapy we had previously is, he
can’t remember it.

Day 5: During our conversation with Mang Jun-jun, we can say that he
has a good memory.. He can remember his remote (long term memory)
this can be proven by the following exerts:

SN: “Mang Jun-jun, ano po bang naaalala nyo nung bata pa kayo..?”
Ct: “ Naliligo sa ilog at nanunuod ng sine”
SN: “Eh naaalala nyo po ba kung sino ang nagpadala sa inyo dito?”
Ct: “Yung WD (DSWD)”
SN: “Ano pong ginagawa ninyo nung kinuha nila kayo?”
Ct: “Nag-tatabas sa gilid”

This conversation is true as evidenced by the history of the

client based on the chart. The patient’s recent memory is also good as
evidenced by the following exerts:

SN: “Mang Jun-jun ano pong therapy yung ginawa nyo kaninang
umaga?”
Ct: “Ah…newspaper therapy”
SN: “Ano naman po yung natatandaan niyo tungkol sa newspaper
therapy?”
Ct: “Babasahin…”

Our client memory about the current events is also good. This is
based on the following exerts:

SN: “Mang Jun-jun sino po ba ang Presidente natin ngayon..?”

Ct: “silence….ah… si noynoy.. Noynoy Aquino..”
SN: “Eh sino naman po yung nauna sa kanya..?”
Ct: silence…
SN: “yung babae po..”
Ct: “Ah…si Arroyo.. Gloria Arroyo..”
 Mang Jun-jun’s memory about short term events is also good
during our interaction. This is also proven by the following exerts:

SN: “Mang Jun-jun natatandaan niyo po ba kung anong ginawa natin

kahapon..?”
Ct: “Ano? Yung sina Pipit?”
SN: “Opo”
Ct: “Ano po yung tungkol kina Pipit?”
SN: “Tinirador sila…at nawala ang kanilang tirahan.”

The following exerts also proves that Mang Jun-jun’s immediate

recall about things is also good…

SN: “Mang Jun-jun ang gagawin po natin ngayon ay tinatawag na puzzle

therapy.”
Ct: “Ahhh..”
SN: “Ano po ulit yung therapy natin ngayon?”
Ct: “Puzzle therapy”

All this exerts are taken on our conversations. This only proves
that our client’s memory is good.
According to Jean Piaget’s Theory of Cognition, “individual is
thinking being, born with the tendency to organize and adapt to their
environment.”
Thinking has been defined as the organization of ideas
medicated by symbols, language and observation of events. An individual
maybe thought of as thinking when presented by a stimulus. He
manifests signs and reactions such as body movements and body
language. Thinking as a process may be triggered internally or
externally in the human kind. Internal triggers are person’s wishes,
feelings and concerns. External triggers maybe the perception of
things, events and peoples.
Almost all behavior being shown by the patient was related to
Sigmund Freud’s Theory regarding awareness. This therapy that mind
of three overlapping division; the conscious, unconscious and
subconscious. It was related in the sense that there are circumstances
that are very easy for him to recall and this is called conscious mind.
Day 6: The following exerts will only prove that Mang J.B still has good
memory.

SN: “Mang Jun-jun nasaan po kayo nung makalipas na 15 taon?

Ahm..simula po nung 1995?”
Ct; “Ah..nasa Cabanatuan po ako nun, nagtatrabaho…”
SN: “Ano po bang trabaho niyo nun”
Ct: “Ahh..naglalabor ako nun…”
SN: “Kalian po ba kayo pinadala dito?”
Ct: “Nung 2004”

According to Atkinson and Shiffrin(1968) on their theory

entitled “The Stage Model of Memory”. This theory outlines three
separate stages of memory and one of this stage is the long term
memory.
Long term memory refers to continuing storage of information
in Freudian psychology, long term memory would be call the preconscious
and unconscious. This information is largely outside of our awareness,
but can be called into working memory to be used when needed. Some of
this information is fairly easy to recall, while other is much more
difficult to access.
Another exert only prove the goodness of Mang J.B’s immediate
recall.

SN: “Mang Jun-jun ano po pala yung therapy na gagawin natin ngayon?”
Ct: “Yung television”
SN: “Bibliotherapy po”
Ct: “(silence)”
SN: “Ano po ulit?”
Ct: “Bibliotherapy”

Another separate stage on Atkinson and Shiffrin’s theory is the

sensory memory stage.
They stated that sensory memory stage is the earliest stage of
memory. During this stage, sensory information from the environment is
stored for a brief period of time. We attend to only certain aspects of
this sensory memory, allowing some of this information to pass into the
next stage short term memory.
 With regards to Mang J.B, if he can’t remember his immediate
recall he will not be able to pass on the short term memories.
And the last exert to prove that our client has a good memory
is the following:

SN: “Mang Jun-jun ano pong kinain niyo kaninang umaga?”

Ct: “Lugaw…lugaw”
SN: “Mang Jun-jun sino po ulit yung presidente natin?”
Ct: ”Si Noynoy Aquino”

And the second stage of memory on the model made by

Atkinson and Shiffrin is the short term memory or the working memory.
Short term (Working) memory is the information we are
currently aware of or thinking about. In Freudian psychology this
memory would be referred as the conscious mind. Paying attention to
sensory memories generates the information in short term memory.
Most of the information stored for approximately 20 to 30 seconds.
While many of our short term memories are quickly forgotten,
attending to this information allows it to continue on the next stage the
long-term memory

Sensory memory

Short term memory

Long term memory

If Mang Jun-jun can’t remember the immediate events that

happens, he will not even remember the things happens in the early am
or even in the last 15 year..