PROCESS RECORDING: NURSE-PATIENT INTERACTION
ORIENTATION PHASE (November 24, 2010; 6:00 PM)
Nurse
Verbal Non - Verbal
“Hello! Good Afternoon - Waves hand
po Sir R.C.” - Smiles
- Maintains moderate eye
contact
- Good and open posture
- In face to face position
to the client.
“Ako po si Marianne, - Moderate eye contact
3rd year nursing student - In face to face position “Ako naman si R.C. -
po ng Manila Doctors to the client
College. Ako po ang - Good and open posture makilala”
magiging student nurse - Leans forward
niyo simula po ngayon - Smiles
hanggang December - Movement of hands
14.” - Shake hands
“Tuwing Monday to - Moderate eye contact
Wednesday nyo po - In face to face position
kami makakasama to the client
simula ng 12 PM - Good and open posture
hanggang 8 PM” - Smiles
- Moderate eye contact
“Sir R.C. gusto ko pong - In face to face position
malaman niyo na yung to the client
mga information pong - Good and open posture
makukuha ko galing sa - Smiles
PATIENT Therapeutic
Communication Rationale
Verbal Non - Verbal Technique
“Hello! Good - Waves hand  Giving recognition It shows that the nurse
Afternoon din.” - Smiles recognizes the client as a
- Maintains moderate eye person, an individual that gives
contact the client fulfillment of his
- Good and open posture worthiness. In addition, it does
- In face to face position not imply and hold the notion
to the nurse. of value that is of being “good
or bad”.
Maintains moderate eye  Giving information Informing the client of the
Nagagalak kitang contact facts increases his knowledge
- Good and open posture about the topic and what to
- In face to face position expect on the interaction. It
to the nurse. also builds trust with the client.
No response - Maintains moderate eye  Establishing specifics Setting up the lucid boundaries
contact of the relationship of relationship time, date,
- Good and open posture time, date, place and place and duration of meetings
- In face to face position duration of meetings clearly orients the patient
to the nurse. when, where, and how will
begin, go on and finally end.
No response - Maintains moderate eye  Establishing To set up a means of
contact confidentiality respecting the patient’s right to
- Good and open posture keep private any information
- In face to face position about his mental and physical
to the nurse. health and related care. This
inyo ay wala na po also means allowing only those
akong ibang dealing with patient’s care to
pagsasabihan hangga’t have access to the information
wala pong permiso that the patient divulges.
niyo.”
- Moderate eye contact “Ok yun. Para naman - Maintains moderate eye  Establishing trust Building a trusting relationship
“Makikinig po ako sa - In face to face position maaliw kami.” contact with the patient facilitates a
mga sasabihin ninyo to the client - Good and open posture more reliable data collection
tsaka magbibigay din po - Good and open posture - In face to face position because of the easier
kame ng mga activities - Smiles to the nurse. disclosure of information by
na makakatulong sa the patient.
inyo at makakapagbigay
din ng kasiyahan”
- Moderate eye contact “Ayos lang naman - Maintains moderate eye  Broad openings
“Kamusta naman po - In face to face position ako.” contact It allows the patient to take the
kayo dito? to the client - Good and open posture initiative to introduce the
- Good and open posture - In face to face position
topic. It also simplifies that the
- Nodding to the nurse.
- Increased tone of voice patient has the lead in the
interaction and to think of an
interesting topic for them.
- Moderate eye contact “Actually nandito lang - Maintains moderate eye  General leads
“Maari mo po bang - In face to face position ako for safe keeping. contact This gives the patient an
itanong kung ano po ba to the client Ang case ko kasi love - Good and open posture encouragement to continue on
ang dahilan ng - Good and open posture depression tapos - In face to face position what he is saying. It also
pamamalagi nyo dito?” - Slightly leaning gumamit din ako ng to the nurse. indicates that the nurse is
forward drugs e gusto ko agad listening and following what
maagapan kaya the patient is talking about
voluntary ako pumunta without taking away the
dito. Akala nga nila initiative for the interaction.
yung kapatid kong
special yung papasok
dito kasi nakaporma pa
ako nun.”

“Ano pong dahilan ng - Moderate eye contact
love depression nyo?” - In face to face position
to the client
- Good and open posture
“Nagkaroon kasi kami - Maintains moderate eye  Exploring
ng problema ng contact
girlfriend ko. Ang - Good and open posture This means delving further
daming lies. Una, sabi - In face to face position into a subject or an idea. This
nya single siya e to the nurse. also explores the patient to
hanggang sa naging help them examine the issue
close kami sinabi rin more fully, not only
nya na may asawa siya superficially.
for 2 years pero
hiwalay na sila tapos
may anak. E umuwi
yung asawa galing
Taiwan.”

“Nakakatawa pa nga e. - Maintains moderate eye  Silence

No response - Moderate eye contact Kasi bumili ako sa contact Provides limit to put clients
- In face to face position tindahan tapos ako pa - Good and open posture actions, thoughts or feeling
to the client yung pinagtanungan - In face to face position into words and shows place of
- Good and open posture nung lalaki kung saan to the nurse. interaction gives time to
- Nods nakatira si R. Tapos
develop inside.
tinuro ko pa tapos yun
pala yung asawa.”

“Galit pero hindi ko - Maintains moderate eye  Encouraging Helps the client appraise his
“Ano na po ang - Moderate eye contact yun masabi sa harap contact expression
own rather than accept the
nararamdaman nyo kay - In face to face position niya.” - Good and open posture
R ngayon?” to the client - In face to face position opinion of others.
- Good and open posture to the nurse.
 “Nasa Bulacan na - Maintains moderate eye  Exploring
“Nasaan po ba siya?” - Moderate eye contact sila.” contact
- In face to face position - Good and open posture This means delving further
to the client - In face to face position into a subject or an idea. This
- Good and open posture to the nurse. also explores the patient to
- Slightly leaning help them examine the issue
forward
more fully, not only
- Maintains moderate eye  Focusing
“Pwede ko po bang “Si R at ang anak contact superficially.
malaman sino po yung - Moderate eye contact namin.” - Good and open posture
sila na tinutukoy nyo?” - In face to face position - In face to face position This means concentrates on a
to the client to the nurse. single important point.
- Good and open posture
- Movement of hands - Maintains moderate eye  Restating
“Ah may anak po pala “Oo. Mag 1 year old contact
kayo?” - Moderate eye contact na nga siya e. Baby - Good and open posture
- In face to face position girl.” - In face to face position This means repeating the main
to the client to the nurse. idea expressed by the client.
- Good and open posture This lets the client know that
- Movement of hands he communicated the idea
effectively. This also
encourages the client to
continue. In addition, if the
- Maintains moderate eye  Formulating a plan client has been misunderstood,
“Ano po yung ginagawa contact of action he can clarify his thoughts.
niyong paraan para - Moderate eye contact “Hinahayaan ko na - Good and open posture
mawala yung galit niyo - In face to face position lang. Lilipas din - In face to face position This means planning in
kay R?” to the client naman kasi yun. to the nurse. advance what he might do in
- Good and open posture Ginagawa ko na lang certain situations. Making
ito para sa anak definite plans increases the
namin.” likelihood that the client will
cope more effectively in a
similar situation.
WORKING PHASE ( November 30, 2010; 6:00 PM)

Nurse PATIENT Therapeutic Communication

Rationale
Verbal Non - Verbal Verbal Non - Verbal Technique

“Hello po Sir R.C. - Waves hand “Okay lang ako.” - Waves hand  Giving recognition It shows that the nurse
Kamusta naman po - Smiles - Smiles recognizes the client as a
kayo?” - Maintains moderate - Maintains moderate person, an individual that
eye contact eye contact gives the client
- Good and open - Good and open fulfillment of her
posture posture worthiness. In addition, it
- In face to face position - In face to face position does not imply and hold
to the client. to the nurse. the notion of value that is
of being “good or bad”.

“Napansin ko pong “Medyo depressed kasi  Making observations This is verbalizing what
medyo matamlay po kayo - Moderate eye contact dinalaw ako ni R kasama - Maintains moderate the nurse perceives that
ngayon.” - Good and open yung anak naming pati eye contact sometimes patient cannot
posture parents ko. Hindi naging - Good and open verbalize or make
- In face to face position maganda yung usapan posture themselves understood or
to the client. namin” - In face to face position the patient may not be
- Slightly leaning to the nurse. ready to talk.
forward
“Paano niyo po nasabi na “Masyado pong mabilis  General leads This gives the patient an
hindi naging maganda yung pagbisita nila kaya encouragement to
yung usapan niyo?” - Moderate eye contact uminit yung ulo ko. Tapos - Maintains moderate continue on what he is
- Good and open hindi pa kami eye contact saying. It also indicates
posture makapagusap ng maayos - Good and open that the nurse is listening
- In face to face position kasi nandyan parents ko.” posture and following what the
to the client. - In face to face position patient is talking about
to the nurse. without taking away the
initiative for the
 interaction.

“Kumpara niyo po sa “Actually first dalaw nga  Encouraging Looking at similarities

nakaraang dalaw nila sa nila yun e. 15 minutes nga comparison and differences.
inyo, gaano po katagal lang sila.”
yung pinakamatagal - Moderate eye contact - Maintains moderate
nilang dalaw?” - Good and open eye contact
posture - Good and open
“Ano pong dahilan at - In face to face position “May aasikasikasuhin pa posture  Exploring It explores the patient to
saglit lang sila bumisita to the client. daw kasi si R. Ewan ko ba - In face to face position help them examine the
sa inyo?” kung ano yun. Sa liga to the nurse. issue more fully, not only
daw! Ang babaw noh?
superficially.
- Moderate eye contact Halatang may kasalanan.” - Maintains moderate
- Good and open eye contact
This is expressing
“Ah ganun po ba?” posture “Oo. Tapos yung baby ko - Good and open  Voicing doubt
- In face to face position pa parang nagkatinginan posture uncertainty about the
to the client. pa kami tapos binuhat ko - In face to face position reality of the patient’s
maya maya umiyak.” to the nurse. perceptions which
permits the patient to
- Moderate eye contact - Maintains moderate become aware that others
- Good and open eye contact do not necessarily
posture - Good and open
perceive events in the
- In face to face position posture
to the client. - In face to face position same way like others or
to the nurse. draw the same
conclusion. The nurse
will encourage the patient
to re-evaluate what has
happened.
“Ano po yung “Medyo kinabahan kasi  Encouraging
naramdaman niyo nung first time kong nabuhat evaluation Helps the client appraise
umiyak yung anak niyo?” yung bata pero masarap
his own rather than
yung feeling.”
accept the opinion of
others.
- Moderate eye contact - Maintains moderate
 - Good and open eye contact
posture - Good and open
- In face to face position posture
to the client. - In face to face position
“Natatandaan niyo po ba “Nung Sunday. November to the nurse.
kailan nyo po binuhat 28.”  Placing time or event
yung anak niyo?” in sequence Assessing time frame and
sequence of an event
overtime.

“Sa tingin niyo po ano po “Paglabas ko dito aayusin

yung pwede niyong - Moderate eye contact ko buhay ko para sa baby - Maintains moderate  Formulating a plan of
magawa pag labas niyo - Good and open ko. Mag-tatayo ako ng eye contact action This means planning in
dito para mapalapit yung posture business tska aayusin ko - Good and open advance what he might
loob ng anak niyo sa - In face to face position yung relationship namin posture do in certain situations.
inyo?” to the client. ni R in a casual way.” - In face to face position Making definite plans
to the nurse. increases the likelihood
that the client will cope
- Moderate eye contact - Maintains moderate more effectively in a
- Good and open eye contact similar situation.
posture - Good and open
- In face to face position posture
to the client. - In face to face position
to the nurse.
WORKING PHASE (December 1, 2010; 6:00 PM)

Nurse PATIENT Therapeutic Communication

Rationale
Technique
Verbal Non - Verbal Verbal Non - Verbal

“Good afternoon po Sir - Moderate eye contact “Good Morning din.” - Maintains moderate  Giving recognition It shows that the nurse
R.C.” - Good and open eye contact recognizes the client as a
posture - Good and open person, an individual that
- In face to face posture gives the client fulfillment
position to the client. - In face to face of his worthiness. In
- Smiles position to the nurse. addition, it does not imply
- Waves - Smiles and hold the notion of
- Nods value that is of being
“good or bad”.

“Kamusta na po kayo?” - Moderate eye contact “Medyo okay na ako. - Maintains moderate  Broad openings It allows the patient to
- Good and open Kelangan ko na mag eye contact take the initiative to
posture move on basta para sa - Good and open introduce the topic. It also
- In face to face baby ko ito.” posture
simplifies that the patient
position to the client. - In face to face
- Slightly leaning position to the nurse. has the lead in the
forward interaction and to think of
an interesting topic.

“Ah ganun po ba?” - Moderate eye contact “Oo. Mas okay na siguro - Maintains moderate  Accepting This gives the patient an
- Good and open ng ganun.” eye contact encouragement to
posture - Good and open continue on what he is
- In face to face posture saying. It also indicates
position to the client. - In face to face that the nurse is listening
position to the nurse. and following what the
patient is talking about
without taking away the
initiative for the

“Maiba naman po tayo. - Moderate eye contact “Dala ng curiosity nung -
Nasabi nyo po nung 1st - Good and open kabataan at impluwensya
day natin na drug user po posture nang mga kabarkada.”
kayo. Sa papanong paraan - In face to face
niyo po natutunan mag position to the client.
drugs?”
“Kailan niyo po ba unang - Moderate eye contact
natikman yung drugs?” - Good and open
posture
- In face to face
position to the client.
“Saan niyo po ba unang - Moderate eye contact
nakuha iyon?” - Good and open
posture
- In face to face
position to the client.
“Tapos po?” - Moderate eye contact
- Good and open
posture
- In face to face
position to the client.
interaction.
Maintains moderate  General leads This gives the patient an
eye contact encouragement to
- Good and open continue on what he is
posture saying. It also indicates
- In face to face that the nurse is listening
position to the nurse. and following what the
patient is talking about
without taking away the
initiative for the
interaction.
“15 yrs old pa lang ako - Maintains moderate  Placing event in time It helps both the nurse and
nun. Hindi ko na eye contact and sequence the client to see
natatandaan yung exact - Good and open relationship of events in
date.” posture
perspective.
- In face to face
position to the nurse. It explores the patient to
help them examine the
“Sa tito ko nakuha. Akala - Maintains moderate  Exploring
ko lang pagkain yun ng eye contact issue more fully, not only
butete tapos bigla akong - Good and open superficially.
nilapitan ng barkada ko. posture
Tinikman niya at sinabi - In face to face
niya na shabu nga daw position to the nurse.
yun. Tinikman ko din at
dun na nagsimula.”
“Ilang buwan lang, pina - Maintains moderate  General leads This gives the patient an
rehab na ako ng parents eye contact encouragement to
ko. Pag labas ko, - Good and open continue on what he is
nagshabu pa din ako. posture saying. It also indicates
Pero on and off naman.” - In face to face that the nurse is listening
position to the nurse. and following what the
patient is talking about
without taking away the
 initiative for the
interaction.

“Bukod po sa shabu, ano - Moderate eye contact “Nagtry din ako ng - Maintains moderate  Exploring It explores the patient to
pa po yung ibang drugs - Good and open marijuana pero alternate eye contact help them examine the
na ginamit nyo?” posture sila ng shabu.” - Good and open issue more fully, not only
- In face to face posture
superficially.
position to the client - In face to face
position to the nurse.
This directs the patient’s
“Ano pong pakiramdam - Moderate eye contact “Paiba iba e. Madalas - Maintains moderate  Reflecting actions, thoughts and
pag gumagamit ng - Good and open masaya na walang eye contact feelings back to the
drugs?” posture dahilan. Feeling ko nga - Good and open patient and encourage
- In face to face para akong si James posture patient to recognize and
position to the client Bond laging tumitingin - In face to face accept his own feelings.
sa salamin. Minsan din position to the nurse.
malungkot.”
This means planning in
“Ano pong balak niyong - Moderate eye contact “Gusto kong magaral - Maintains moderate  Formulating a plan of advance what he might do
pagka abalahan kapag - Good and open kahit vocational lang kasi eye contact action in certain situations.
kayo po ay pinagbigyan posture ayoko na maging - Good and open Making definite plans
na makabalik sa inyo?” - In face to face dependent sa parents ko posture increases the likelihood
position to the client at maranasan ulit yung - In face to face that the client will cope
mga nangyari sa buhay position to the nurse. more effectively in a
ko. Gagawa din ako ng similar situation.
business at aayusin ko
ang pamilya ko.”
TERMINATION PHASE (December 13-14, 2010; 6 PM)
Nurse
Verbal Non - Verbal
“Good Afternoon Sir - Moderate eye contact
R.C.” - Good and open posture
- In face to face position
to the client.
- Smiles
- Waves
“Kamusta po kayo?” - Moderate eye contact
- Good and open posture
- In face to face position
to the client.
- Slightly leaning
forward
“Tulad po nang aming - Moderate eye contact
binanggit nung unang - Good and open posture
araw ng nakasalamuha - In face to face position
namin kayo, ang ating to the client.
huling araw ay December
14 which is today.”
PATIENT
Verbal Non - Verbal
“Good Afternoon din.” - Moderate eye contact
- Good and open posture
- In face to face position
to the nurse.
- Smiles
- Nods
“Ok lang naman.” - Moderate eye contact
- Good and open posture
- In face to face position
to the nurse.
- Smiles
“Ah oo nga pala.” - Moderate eye contact
- Good and open posture
- In face to face position
to the nurse.
- Decreased tone of
voice
Therapeutic Communication
Rationale
Technique
 Giving recognition It shows that the nurse
recognizes the client as a
person, an individual that
gives the client
fulfillment of her
worthiness. In addition, it
does not imply and hold
the notion of value that is
of being “good or bad”.
 Broad openings It allows the patient to
take the initiative to
introduce the topic. It also
simplifies that the patient
has the lead in the
interaction and to think of
an interesting topic for
them.
 Giving information Informing the client of
the facts increases her
knowledge about the
topic and what to expect
on the interaction. It also
builds trust with the
client.
“Sa nakalipas na apat na - Moderate eye contact No response - Moderate eye contact  Summarizing
linggo heto na po yung - Good and open posture - Good and open posture This is organizing and
nagawa natin: naglaro, - In face to face position - In face to face position summing up which has
nagexercise, to the client. to the nurse. gone before and seeks to
nagkakwentuhan, - Nods
bring out the important
nagdrawing, nagtahi ng
wallet, gumawa ng picture points of discussion and
frame, kumain, at iba pa.” to increase awareness and
understanding of both
participants. It omits
irrelevant and organizes
the pertinent aspects of
interaction. It allows both
patient and the nurse to
depart with the same
ideas and provide a sense
of closure at the
completion of each
discussion. This is more
effective with movements
of hands, moderate eye
contact and good and
“At sa mga nakaraan po - Moderate eye contact No response - Moderate eye contact  Summarizing open posture.
nating pag-uusap, - Good and open posture - Good and open posture
napag-usapan po natin - In face to face position - In face to face position This is organizing and
ang ilang mga bagay to the client to the nurse. summing up which has
- Nods gone before and seeks to
tungkol sa inyong
nakaraan.” bring out the important
points of discussion and
to increase awareness and
understanding of both
participants. It omits
 irrelevant and organizes
the pertinent aspects of
interaction. It allows both
patient and the nurse to
depart with the same
ideas and provide a sense
of closure at the
completion of each
discussion. This is more
effective with movements
of hands, moderate eye
contact and good and
“Nasabi po ninyo sa - Moderate eye contact “Oo. Iyon nga ang mga - Moderate eye contact  Summarizing open posture.
mga pag-uusap natin na - Good and open posture napag-usapan natin.” - Good and open
- In face to face position This is organizing and
talagang nalulungkot posture summing up which has
kayo at naguguluhan to the client - In face to face
- Movement of the gone before and seeks to
kayo sa sitwasyon niyo position to the nurse bring out the important
hands
ni R. Nabanggit niyo rin - Nods points of discussion and
na nabitin kayo sa bisita to increase awareness and
nila dito nung understanding of both
nakaraang linggo. participants. It omits
Nasabi niyo rin po na irrelevant and organizes
namimis niyo na po ang the pertinent aspects of
anak niyo kaya gusto interaction. It allows both
patient and the nurse to
niyo na makalabas.
depart with the same
Naikwento niyo rin po ideas and provide a sense
sa akin paano niyo po of closure at the
nakuha yung drugs. completion of each
Nai-share niyo din po sa discussion. This is more
akin yung mga plano effective with movements
niyong gawin sa oras na of hands, moderate eye
makalabas po kayo.” contact and good and
open posture.
“May iba pa po ba “Wala na Marianne.” - Moderate eye contact  Encouraging
kayong gusting - Moderate eye contact - Good and open description of
sabihin?” - Good and open posture posture perception
- In face to face position - In face to face Asking for patient to
to the client describe feelings,
position to the nurse
- Smiles perceptions, and views of
their situations. To
understand the client, the
- Moderate eye contact nurse must see things
“Kung ganun po, “Merry Christmas din.  Giving recognition
- Good and open posture from her perspective.
maraming salamat po Sir - Moderate eye Salamat sayo Marianne
- In face to face position
R.C. sa tiwala pong contact at sa mga kaklase mo.
to the nurse. It shows that the nurse
ibinigay ninyo sa amin, sa - Good and open Mag ingat rin kayo.
- Smiles recognizes the client as a
cooperation at sa maganda posture Bye.”
- Waves person, an individual that
po ninyong pagtanggap. - In face to face gives the client
Merry Christmas. Good position to the client fulfillment of her
bye po. Ingat po kayo - Smiles worthiness.
parati.”
- Waves