School of Nursing

PROCESS RECORDING #1
(Orientation Phase)

Name_____________________________________Age________________________
Address______________________________________________________________
Dateof Birth_____________________Date of Admission_______________________
Educational Attainment__________________________________________________
Diagnosis_____________________________________________________________
Setting_______________________________________________________________
Date/Time of Interaction_________________________________________________

DESCRIPTION OF THE PATIENT

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LRA/FEU-NRMF
DESCRIPTION OF ENVIRONMENT
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OBJECTIVES
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NURSE THERAPEUTIC TECHNIQUE PATIENT ANALYSIS & INTERPRETATION

LRA/FEU-NRMF
LRA/FEU-NRMF
 NURSE THERAPEUTIC TECHNIQUE PATIENT ANALYSIS & INTERPRETATION

LRA/FEU-NRMF
LRA/FEU-NRMF
 NURSE THERAPEUTIC TECHNIQUE PATIENT ANALYSIS

LRA/FEU-NRMF
LRA/FEU-NRMF
 NURSE THERAPEUTIC TECHNIQUE PATIENT ANALYSIS & INTERPRETATION

LRA/FEU-NRMF
EVALUATION

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LRA/FEU-NRMF
 SCHOOL OF NURSING

PROCESS RECORDING #2
(WORKING PHASE)

Name_____________________________________Age________________________
Address______________________________________________________________
Dateof Birth_____________________Date of Admission_______________________
Educational Attainment__________________________________________________
Diagnosis_____________________________________________________________
Setting_______________________________________________________________
Date/Time of Interaction_________________________________________________

DESCRIPTION OF THE PATIENT

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LRA/FEU-NRMF
DESCRIPTION OF ENVIRONMENT
________________________________________________________________________________________________________________________________________________
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OBJECTIVES
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LRA/FEU-NRMF
 SCHOOL OF NURSING

PROCESS RECORDING #3
(TERMINATION PHASE)

Name_____________________________________Age________________________
Address______________________________________________________________
Dateof Birth_____________________Date of Admission_______________________
Educational Attainment__________________________________________________
Diagnosis_____________________________________________________________
Setting_______________________________________________________________
Date/Time of Interaction_________________________________________________

DESCRIPTION OF THE PATIENT

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________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________

LRA/FEU-NRMF
________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________

DESCRIPTION OF ENVIRONMENT
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________

OBJECTIVES
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________

LRA/FEU-NRMF
 NURSE THERAPEUTIC TECHNIQUE PATIENT ANALYSIS & INTERPRETATION

LRA/FEU-NRMF
EVALUATION

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LRA/FEU-NRMF