Name: Asuncion, Jerome M.

Client Initial: Ms. S.C. Date: September 23, 2011 Time: 10am PROCESS RECORDING Introduction: I was looking for my patient; I called her by her name. At first I was hardly looking for her, she is deeply asleep. She heard her name and stood up and walked to reach me out. She grabbed the nameplate I provided for her. Patient is oriented towards date, time, place and people. Overall appearance is neat with smile on her face as I approached her. She requested for a minute to fix herself. She combs her long hair with brown highlights, and tied it. Reminded me of the slipper she wants. What nurse said or did Open-ended: Kamusta ang tulog mo? Focusing/Openended:Ano iyon? Anong nakita mo kagabi? Pwede mo bang i-share sa kin? Focusing: Ano tinitignan mo dyan sa ibaba? Open-ended: Ahh, ano palagi mong ginagawa dyan? Focusing: ah, bakit naman? Edi nakalataas yan palagi, saying wala kang slipper. Empathy: Focusing: eh ano naman yung nasa kamay mo? What client said or did Nice. (smiled) I slept very well, walang nangistorbo, pero kadiri yung nakita ko! May tumae nanaman kagabi, at may kasama pang bulate. Color white pa nga eh. Kadiri diba! (patient was looking on her feet) yung sugat ko lang. Di ko nga alam kung pano ako nagkaganyan eh. Basta bigla na lang lumitaw. palagi naman ako naliligo at nililinis ko yan, bihira ko ngang ilapag yung pa ako sa sahig eh. madumi kasi, oo nga eh, wala ako slipper, pero minsan nilalapag ko din naman, pero di mo maiiwasan na hindi mandiri kasi syempre yung iba kung saan-saan lang dumudi at umiihi.. Yeah, thankful ako na nasaakin siya. Sana nga Makita ko na sila (parents and son). When I was young, natapunan ako nang mainit na rice bowl. So ayan na burn then nag pa skin graft ako. Analysis of nurse-client interaction

Questioning: What age did it happened? Focusing: Yung family mo kamusta naman sila before ka na admit?

I was 1 year old during that time Theyre ok. Two of them are psychologists. Sila lang yung may alam about sa condition ko. Even my friends dont know about this. Nag voluntary admission lang ako. May stepfather din akong hapon. wala. Before pa naman na diagnosed na ako ng Bipolar disorder, I was 18 or 19 that time. And may mania din ako. Sometimes hyper then biglang bababa yung energy level ko (demonstrated energy level with her hands) after ako ma diagnosed with bipolar and Mania, nag start na ako mag take ng medicines. And when in public naman, Im can still manage to be professional or may time na take agad ng gamot. Im taking mood stabilizers, then lifetime kong itatake yun. Then ngayon same pa rin, mood stabilizers in the morning, afternoon and evening. Patients relationship with her family is very ok. She is treated by her stepfather as if she is her real daughter. Patient denies traumatic experiences with her stepfather or being abused. Patient did not deny of her condition. She knows her condition very well. She coped with it effectively.

Open-ended: so you mean, ikaw lang nagkusa na mag-admit?walang kumimbinsa or whatsoever? Questioning: Bipolar then Mania? Really, ano yung naramdaman niyo about dun? Clarification: what are the medicication you are actually taking before the admission and todays prescription? Voicing doubt: Ahhmm, so now what are you expecting? May mga symptoms ka pa bang nararamdaman or napapansin? What did you actually felt when you found out of your condition.

She is taking mood stabilizers and knows what theses are for. She still working until such time her business started to fail. Patient is highly compliant to meds prescribed by her physician.

Ayun, take lang talaga ng medicines, pasok Expresses willingness to be home. She is parin ng work, kailangan professional pa din. ready for her discharge. Miss her son Miss ko na yung son ko and sana makalabas very much. na ako(smiled). Now i dont have any hallucinations, visual, auditory or anything. Hanggat maari talagang iwas ako sa gulo, kasi mahirap nang mapunta ulit doon sa taas. Unahan na lang talaga sa paglabas.

Rehearsing: what if syempre mag-eexplain ako sa anak ko kung nakalabas ka na dito, ano bakit ako nawala (teary-eyed). Sobrang miss un among gagawin? ko na siya, lalo na pagtinuturaan ko siya after his school. Minsan nag-checheck ako ng performance niya. And everytime na maganda yung performance niya, ina-Acknowledge ko yun. Placing an event in madami, gusto ko na nga talaga lumabas sequence or time: nung kasi nung una, nasa private ako. Kinausap na-admit ka, ano yung ko yung doctor na kung pwede iseparate ako mga experiences mo dito kasi alam mo naman yung way of living nila. sa loob? May time na nakahiga ako sa taas, may isa na inihiaan ako twice. Nung una di ko pinansin, the second time, nagalit ako then sumigaw. Then one time pa, may tumae then nilamutak nia yung tae niya then biglang sinubo, kadiri. Open-ended: how about yun dito kasi sa baba medyo ok na. Unless dito sa baba, kamusta na lang talaga pag susumpong ulit, kailangan naman yung mga kasama ibalik sa taas,mas ok sila kesa sa itaas. mo? Open-ended: na try niyo YES! And feeling ko parang mas tumalino nap o ba ma-ECT?. ako, kasi dahil sa mga neurotransmitters natin. Nung second ECT ko na, nag-refuse n ako kasi Im not feeling well. May stomach pain na ako, and then nabasa ko, nakakaliit yun ng utak. Clarification: saan nio wala naman, pero yung ngang dalawa kong naman po yan nalaman, kapatid is psychologists. So to gain more may background ba kayo knowledge binasa ko yung mga books nila, sa medical field? kasi hilig ko yun eh. Then may internet na

Tells her plans after her stay here. She wants to see her son immediately and be away of this traumatic environment.

Patient is alert, and can remember things happened in their area. Emotions are intact and responds to environmental dangers

Feels happy because after 4 days in the acutely ill area she was sent down and the way she treats by other patients are very different. Patient expresses worries about her usual ECT treatment. She refused the second time around because of her idea that ECT causes the brain to shrink. Thus, it will result to loss of knowledge. She is afraid of it. Patient is intelligent and knows enough more than others. She finds reading as a good habit to gain more knowledge.

din naman.