Process recording: I.Demographic Data Name: Virgilio Extra Age: 28 y/o Sex: MaleImpression: Schizophrenia UndifferentiatedII. Working Phase:A.

Statement Of Goals and Objectives By the end of the working phase the patient will: View the student nurse as honest, open and concerned about his welfare View the student nurse as a competent professional capable of helping Maintain a therapeutic relationship with the student nurse Explore his thoughts and feelings B.Description of setting The nurse patient interaction happened around 9am. The weather was slightly cloudy and a bit humid. Our activity was held at their quadrangle and we were in what seems like a cat walk. I was sitting on the bench and my patientis in front of me with a space of half a meter. Though it was a bit noisy because we are all talking at the same time, the patient was cooperative and replies in an audible manner. C.Thoughts and feeling of the nurse before Nurse Patient Interaction I felt slightly nervous even though we already met because we will never know how a mentally ill person willsuddenly behave, so therefore they are very unpredictable. But my nervousness is very minimal because I alreadyhad an experience handling a mentally ill patient. I was more of excited because of the activities that we will do. We prepared games and therapies that they will definitely enjoy.

Hello po! Naalala nyo pa po ba ako?

Oo, ikaw si Gladys

The patient is able to recall my name and is able to retrieve recent memories.

The patient smiles tama po! (claps) Miyerkules na ngayon Anong araw na pongayon? September, mali, october na pala Anong buwan na po? nayon2009 na Anong taon? Nasaan po kayo? Ako ay nasa Mandaluyong sa Pavilion 11 The patient is aware of the year during NPI Restating the patient smiles again The patient is aware where he is. The patient is aware of the day during NPI The patient is aware of the month during NPI Giving recognition Orienting patient to time, place and person The patient feels his verbalizations arerecognized Giving recognition

Galing naman ni Kuya Extra, nasagot lahat(claps) Kamusta naman po kayo? Ok lang naman ako May naririnig pa po ba kayong mga boses ngayon? The patient feels his verbalizations arerecognized

Consensual Validation

Wala na naman.

The patient is able to state his

overallfeeling Ilang taon na po ba kayo dito? Datimeron pag nakakalabas akodito. The patient verbalizes that he does notexperience any auditory hallucinations

Punta po tayo dyan sadrawing nyo, ano po yang

na-drawing nyo?

13 years na akong pabalik- balik dito.Kapag nasa labasna kasi ako hindi na ako umiinom ng gamot tapos gumagamit na ulit ako ngshabu.

Ano po naalala nyo saniyog?

Puno ng niyog ang iginuhit ko

The patient can still recall the past events that took place in his life and the reason that he comes and go in the institution

Malaki po pala ang lupanyo, sampung ektarya po ba?

Naalala ko ang Cebu.

The patient is able to describe what he drew

Kasimalaki ang lupain namindun. Tama ba ang pagkakarinig ko? May sampung ektaryang puno ng niyog kamidun.

The patient was able to recall where hegrew up. But he is showing grandiosity inhis response.

Sino po sa magulang nyoang taga-Cebu?

The patient firmly believes that his familyowns 10 hectares of land Maliit lang yun.

Namimiss nyo na po bang umuwi ng Cebu? Kasinaghihirap na kami kayanaibenta na na yung ibanaming lupainYung nanay ko.

The patient was able to recall that hismother was the one who came fromCebu.

Kailan po ba kayo huling umuwi ng Cebu?

Sa kanila po ba kayonatutong gumamit ngipinagbabawal na gamot?

Mayamankasi yung lolo ko dun dunsa sampung ektaryang lupanamin may bundok padoon.

His grandiose delusions are stilldemonstrating.

Oo, matagal na kasi akonghindi umuuwi dun eh. Matagal na eh, di na kasiako pinabalik dun kasiyung mga kaibigan ko dindoon adik.Oo.

The patient misses the place where hegrew up

Sila nagtro sa akin namag-marijuana muna tapo gumamit na rin kami ngshabu.

The patient verbalizes that it has been along time since he came home to Cebu,he was not allowed by his parents because his friends there are drug addicts.

The patient remembers that his friendsfrom Cebu are the ones who taught him touse illicit drugs

Process Recording: Example Introduction: Describe your feelings as you proceeded with this assignment. Describe

the environment. Was this a semi-private room? What were the distractions? Format for recording: Patient/Client This column is for recording verbatim (word for word) what the patient says. Indicate nonverbal cues in parentheses. Nurse This column is for recording verbatim (word for word) what the nurse says. Indicate nonverbal cues in parentheses. Techniques/Analyses This column includes: -the name of each of the communication skills used. -an analysis of whether the interaction was therapeutic or nontherapeutic. -insight into another approach which might be more effective. Examples: Patient/Client "Oh, I'm OK, I guess. R. and I just got into one of our little fights about his smoking." (Voice shaky. Poor eye contact. Mrs. B's statement, "I'm OK," did not "You say you're OK but you seem upset." (Lightly touching her arm.) match her nonverbal behavior. I shared my observation with Mrs. B to determine if I have interpreted her nonverbal message accurately. I also used touch because I wanted to convey empathy and depth of feeling. Nurse "Hello, Mrs. B. How are you and the family doing today?" (Sitting in Mrs. B's kitchen. "Open" posture.) Techniques/Analyses Use of an open-ended question allowed the opportunity for Mrs. B. to tell me in her own words what was upsetting her.

Patient/Client "No." (Looks fatigued, sad, and tearyeyed.)

Nurse "Hello, Mrs. B. I'm here for your home visit. Have you been sick since I was here last?

Techniques/Analyses Closed-ended question used. It was not therapeutic and elicited only a "No" response. I should have said, ". . ."

"Well, that's good . . ."

therapeutic. There is no sense of observation or follow-up on nonverbal behavior. I should have responded, ". . ."