NURSING CARE MANAGEMENT 0117 RLE

2nd Semester, Academic Year 2020-2021

NURSING PROCESS APPROACH TO MOVIE ANALYSIS

NAME OF STUDENT: KIMBERLY C. BINDER NAME OF CLIENT: BURN TOLEDO

DATE: APRIL 14, 2021 TITLE OF THE MOVIE: MY PERFECT YOU (2018)

ASSESSMENT NURSING PLANNING NURSING INTERVENTIONS EVALUATION

DIAGNOSIS

(What are the manifestations (Identify one nursing Short term (Outline your plan of care with (Enumerate five (5) desired
presented by the character in the diagnosis for that five (5) nursing interventions) outcomes for the
After 1-2 days of nursing
movie?) character) character’s case)
interventions, the client
1. Promoting safety of
Subjective: will be able to: Short term
Disturbed Sensory client and others and
Patient verbalized, “Totoo si ● Maintain After 1-2 days of nursing
Perception: Auditory right to privacy and
Abi. Nasa resort lng ako orientation to interventions, the client
and Visual related to dignity.
kanina. Sa resort ni Abi”, time, place and shall have been able to:
psychological stress
despite the fact that the patient circumstances for
as evidenced by 2. Establishing therapeutic
was staying at home the whole a specified period ● Maintain
hallucinations and relationship by
time. of time. orientation to
auditory distortions. establishing trust
● Divert attention time, place and
Objective: away from circumstances for
3. Using therapeutic
● Visual hallucinations hallucinations. a specified period
communication
● Auditory distortions ● Identify and of time.
(clarifying feelings and
modify external

NCM 0117 RLE A.Y. 2020-2021

● Disorientation to place factors that statements when ● Divert attention
● Poor concentration contribute to speech and thoughts away from
● Aggressive behavior alterations in are disorganized or hallucinations.
due to agitation sensory or confused) ● Identify and
perceptual modify external
abilities. 4. Help present and factors that
● Be free of injury. maintain reality by contribute to
frequent contact and alterations in
Long term communication with sensory or
After 2-3 weeks of clients. perceptual
nursing intervention, the abilities.
client will be able to: 5. Elicit description of ● Be free of injury.
hallucination to protect
● Regain or the client and others. Long term
maintain usual After 2-3 weeks of
level of cognition. 6. The nurse’s nursing intervention, the
understanding of the client shall have:
● Recognize and hallucination helps him
correct or or her know how to ● Regain or
compensate for calm or reassure the maintain usual
sensory client. level of cognition.
impairments.
7. Engage clients in ● Recognize and
● Verbalize reality-based activities, correct or
awareness of such as card playing, compensate for
sensory needs occupational therapy, or sensory
and presence of listening to music. impairments.
overload and/or
deprivation. 8. Decrease ● Verbalize

NCM 0117 RLE A.Y. 2020-2021

 environmental stimuli awareness of
when possible (low sensory needs
noise, minimal activity). and presence of
overload and/or
9. Do not make the client deprivation.
feel punished or
shunned for
inappropriate behaviors.

10. Try to reintegrate the

client into the treatment
milieu as soon as
possible.

11. Counseling and

educating
family/significant others
about the biologic
causes and clinical
course of schizophrenia
and the need for
ongoing support.

NCM 0117 RLE A.Y. 2020-2021

 NURSING CARE MANAGEMENT 0117 RLE
2nd Semester, Academic Year 2020-2021

PROCESS RECORDING

NAME OF STUDENT: KIMBERLY C. BINDER NAME OF CLIENT: BURN TOLEDO

DATE: APRIL 13, 2021 TITLE OF THE MOVIE: MY PERFECT YOU (2018)
(Document the process recording that took place between the character and psychotherapist)
THERAPIST PATIENT

VERBAL NON-VERBAL ANALYSIS / VERBAL NON-VERBAL ANALYSIS

USE OF
THERAPEUTIC THEMES / DEFENSE
COMMUNICATION MANIFESTATION(S) MECHANISM

1. Aris: “Burn do Stands by the Exploring- allows Burn:“Nasa Looks at Confused and Distortion- Burn
you know me? door of the room the therapist to bahay. Pano surroundings and Perplexed- Burn believes in
Anong oras na? and faces Burn, thoroughly explore nangyari to. Bat gets up from his wonders where Abi something to be
Do you know establishing eye the problem and to ako nandito. chair. Hurriedly is because he true when it is not.
where you are?” contact. know where to Nasan si Abi?” goes outside the thought he was with He believes that
begin the house looking for her just a few Abi is real and
discussion. This Abi. Appears moments ago (during looks for her.
creates the first agitated. his hallucinations).
bond. He has no idea why
he appears to be at
home.

NCM 0117 RLE A.Y. 2020-2021

2. Aris: “Anong Asks Burn while Exploring- to know Burn:“Nasa resort Answers and Feels lost and Distortion- Burn
resort?” maintaining eye more about the lng ako kanina.”- looks at Aris with Tense- Burn doesn't believes in
contact. Speaks in hallucinations of ”Resort ni Abi” confidence. seem to remember something to be
a calm tone. Burn and get a how he got from the true when it is not.
Establishes a grasp on what Burn resort to his home. He believes that
personal zone of is seeing. he was at the
proxemics. resort with Abi.

3. Aris:( stays Stands quietly Active Listening Burn: “Aris I’ll Burn grabs his Desperate and Rationalization:
silent) with eye contact. and Observation- prove to you na phone and tries to anxious- Burn Burn tries to
He observes and encourages Burn to totoo si Iris. May show Aris the frantically snatched create false
listens to Burn talk more about Abi mga pictures nonexistent up his phone, excuses such as
explaining that Abi until the main focus kami.--Nag photos of Abi in desperate to prove showing his
is real by showing on issues that are swimming kasi his phone. Burns his point. non-existent
the pictures. most important are kami ni Abi baka breathes heavily pictures of Abi.
revealed. Through nabasa lang--Aris and shows
this, Aris can be hindi ka anxiety.
aware of Burn’s naniniwala sakin
nonverbal behavior. no.”

Sits down and Offering General Burn: “Oo naman. Described the Tense- Burn exhibits Dissociation:
4. Aris: “Burn do faces Burn, and Leads- indicated Yun yung araw ng sequence of tension whilst Due to the
you remember makes eye that Aris is listening na accidente ako. events hurriedly recalling the events hallucinations,
that last time na contact. to Burn and is Yun din yung araw and slightly that happened. Burn becomes
nag usap encouraging Burn to nakilala ko si agitated. separated or

NCM 0117 RLE A.Y. 2020-2021

tayo?--Paano?--O describe more Abi--pagkatapos removed from
kay--stop right about his natin mag usap one's experience.
there.” hallucinations. may tumawid ng He believes that
kalsada bigla. he stepped out of
Nahulog yung his car despite the
kotse ko sa fact he just stayed
bangin. Lumabas inside his car.
ako ng kotse kasi
inisip ko baka
sumabog yung
kotse.--naghahan
ap ako ng signal.”

5. Aris: Remains to keep Restating- Aris Burn: “Yes” Nods at Aris. Strong emotion of Distortion- Burn
“Backtrack lang eye contact and repeats Burn’s certainty- Defending believes in
tayo. Okay. After exhibit hand words to clarify what that Burn went out of something to be
mo mabangga, gestures to the client’s view is. the car. true when it is not.
bumaba ka sa explain. This also gives Aris He still believes
kotse. Is that the opportunity to that he stepped
right?” correct Burn’s out of the car
statement. where in fact he
did not.

6. Aris: “Burn Provided Presenting reality- Burn: “Aris, one Burn appears Agitated, Confused, Distortion- Burn
hindi ka bumaba consistent eye since it has been week? Anong perplexed. With and Panic- Burn believes in
ng kotse. We contact. Pauses in obvious that Burn is sinasabi mo? Aris frequent hand can’t fully something to be
could not find you. between misinterpreting lumabas nga ako gestures and a comprehend that Abi true when it is not.
Three days later sentences. And reality, Aris can ng kotse. higher voice tone, is just a part of his He still believes

NCM 0117 RLE A.Y. 2020-2021

may speaks in a short indicate what is Naglakad ako, he tries to hallucinations. that the resort and
tumawag..nakita and simple real, in a calm way. pumunta ako sa convince Aris. Abi is real.
kanila sa loob ng manner. resort. Doon ko
kotse. Pero nakita si
tulalang-tulala ka. Abi.--Aris, ang
They could not tagal tagal ko
understand what doon. Aris
you were saying. naniniwala ka
You were just sakin diba?”
mumbling the
whole time. They
brought you to the
hospital.. And you
have not said one
word since that
day, until now. ”

7. Aris: “Saan Remains seated. Presenting reality- Burn: “Aris hindi Burn stands up Anger and Blocking: Burn
yung resort ni Kept eye contact. Aris presents the ko nga alam eh.” from his chair in Confusion- Burn is says he doesn't
Abi?” Burn you Remained calm. reality to Burn by frustration. Walks frustrated because know or
had a bout of stating the facts but around the room he doesn't know remember where
hallucinations. not by way of away from Aris. where the resort is. the resortis. He
Walang Abi.” arguing with the Minimal eye He becomes irritated uses this defense
Burn or belittling his contact. because he is unable mechanism to
or her experience. to prove his point. mask the truth that
He's also perplexed it does not exist.
by his family's and
Aris' assertions that

NCM 0117 RLE A.Y. 2020-2021

 Abi isn't real.

8. Aris: “Burn Remains seated. Giving Information Burn: Memory Burns yells and Anger- Burn Denial: Burn lies
what you need is Kept eye contact - Informing the nino? Memory aggressively pulls expresses his anger that he is okay so
medication and and some hand client of facts nino? Memory ni Aris out to leave because he can’t that he won’t go
therapy. It will gestures. increases his or her Abi? --Hindi the room. Burn accept the fact that into therapy.
clear your mind Remained calm. knowledge about a pwede yun. Okay sits and places his his hallucinations Displacement:
but in the process, topic or lets the na ko. Okay na hands on his head were not real. Since Burn
some of your client know what to ko. in frustration. cannot express a
memories will expect. Giving negative emotion
disappear. information also toward himself, he
builds trust with the directs those
client. negative emotions
toward Aris.

9. Doctor: “How Social zone of Encouraging Burn: Natatakot Sits on the bed Fear- of the process No defense
do you feel proxemics. Expression- this ako. and holds hands of healing. Fear of mechanism
now?”--”This won’t Maintains eye allows Burn to togethers. Shows medication and noted.
hurt, you won’t contact with Burn. express his feelings anxiety. therapy. Burn also
feel anything.” and encourages the fears the outcome of
Burn to make his the therapy.
own appraisal
rather than to
accept the opinion
of others.

NCM 0117 RLE A.Y. 2020-2021