PR2

Nurses Verbal and Non-verbal
Cues
Clients Verbal and Non-verbal
Cues
Therapeutic Communication
Techniques
Analysis
Althea and Krisha: Maayon
bunta manan!" #smiles$
Althea: Asa man %a anahan
ma storyahanay ta maam&"
Althea: Kahinomdom pa%a namo
manan&"
Althea: Ahh ce manan! A%o di
ay si Althea!"
Krisha: A%o pod si Krisha!"
Maayon bunta pod!" #smiles$
'inhi ra!"
Kahinomdom pa%o sa inyon
na(on pero nalimot na%o sa
inyon panalan!" #loo%in at us
very eaerly$
Ahh!" #sits do(n$
)ivin reconition
*ee%in in+ormation
)ivin ,n+ormation
)reetin the client by name-
indicatin a(areness o+ chane-
or notin e.orts the client has
made all sho( that the nurse
reconi/es the client as a person-
as an individual! *uch reconition
does not carry the notion o+ value-
that is- o+ bein ood" or bad"!
0)reetin the client sho(s
respect and courtesy! ,t is also a
sin o+ (elcomin the patient
(ith (armth! 0
01ettin the patient choose the
area +or the nurse-patient
interaction allo(s the patient
to be independent and has the
+reedom to decide on her
o(n!0
02hen the patient smiled it
conveys that the patient (as
delihted to see the student
nurses and sho(s acceptance!0
As%in clari3cation ma%es the
4o( o+ the interaction clear! 2ith
this- the student nurse avoids
ma%in assumptions that
understandin has occurred (hen
it has not! This also helps the
client to e5press her thouhts-
+eelins and ideas clearly!
0eaerly loo%in means that she
Krisha: Kumusta man %a
maam&" #sits do(n$
Krisha: 'uay na na siya
maam&"
Krisha: Kanan ma%a%ita %a u
dots dots&"
Althea: 6nsa diay nan i in7ect
sa imoha maam&"
Althea: Ahh!"
Krisha: Kanus-a ane %a nadala
dinhi maam&"
Naa %oy na%it-an na dots dots!"
#dra(s dots on air$
An unsa&"
8eaction daay na sa tambal
maam %ay %un in7ectionan %o
ma%a%ita %o ana!"
9luphena/ine 'ecanoate!"
Kuan ma :;;< daay to
=road openin
*ee%in in+ormation
9ocusin
Acceptin
*ee%in ,n+ormation
is concentratin to remember our
names0
,n+ormin the client o+ +acts
increases his %no(lede about a
topic!
0patient accepts the student
nurses to have the nurse-patient
interaction0
This ma%es sure that the client
has the +reedom on (hat he or
she (anted to discuss or topic to
share about! This also stimulates
him or her to ta%e the initiative to
start tal%in!
0patient is tryin to sho( or help
us visuali/e ho( she see the dots0
0student nurses as%in ho( lon
the patient e5periences the
symptom to identi+y trace (here
it has started0
The patient is encouraed to
+ocus his enery to a sinle point
Althea: Ahh! :;;<&"
Krisha: Kinsa di ay adala nimo
dinhi
maam&"
Krisha: Asa ane %a dapit apuyo
maam aton panahona&"
maam! Ma %uan na :;;<- :;>;-
:;>>- :;>: #countin her 3ners$!
Mu%uan na :;;<- :;>;- :;>>-
:;>: #countin her 3ners
aain$!"
?h!"
Kanan %uan@!!idala ra%o dinhi
sa a%on pamilya sauna! *unod
ato ipadala na%o dinhi sa a%on
maulan %ay i%an man %o sa
Manila! Kanan %uan mura dili
man sila anahan na mapapuyo
na%o %uan man ud %anan
distorbo nila %ay %uan %ay %anan
man%uan %uan %o! Mu (ild %o
maam ba didto sa ilaha! Nya
%uan %anan mahadlo% sila
mapapuyo na%o maam ba %ay
%uan man ud mutu%ar n sa
amon sa%it maam ba!"
*ee%in ,n+ormation
A5plorin
and preventin the client +om
becomin over(helmed +rom
di.erent problems!
0patient %no(s the cause o+ the
symptom0
This response implies that the
nurse understood the client and
+ollo(ed the 4o( o+ the
conversation
0student nurses aree (ith (hat
the patient0
+eelins and ideas clearly! To
e5plore ho( she (as brouht to
the health +acility!
0as%in (hen she (as brouht in
the +acility determines the time
(hen her symptoms started and
the lenth o+ time she stayed in
the +acility0
0Countin her 3ners ives the
impression that the patient is
thin%in deeply so that she can
ive the proper and accurate
in+ormation to the student nurses!
,t also re4ects that she has
decreased intellectual
+unctionin!0
Althea: Asa di ay siya ron
maam&"
Althea: Asa siya %aron %aton a
adopt nimo&"
Krisha: Kabalo %a sa imon
tinuod na parents maam&"
Krisha: *u%ad 7ud pa%abata
nimo naa na7ud %a nila&"
Aton panahona& Naa man miy
%uan! *a Babana *ubdivision
sauna nay balay a%on %uan
dinha %aton a adopt na%o
maam nya %ay i%uha man sa
%uan sa iyahan! Naa man ud
siyay live in! Nya i%uha %ay %uan
man naa man silay pinirmahan na
contrata na %un mamatay ton
a adopt na%o maam! Katon
mama mama na%o! Kun
mamatay %(aon na!"
Ba&"
An papa papa na%o u mama
mama na%o patay na!"
2ala %o %abalo 7ud maam!"
9ocusin
*ee%in in+ormation
Close-ended question #non-
therapeutic$
e5plore ho( she (as brouht to
the health +acility!
0patient is a(are ho( she (as
brouht in the +acility! This
question is tryin to identi+y
(hether +orce admission (as
done to her0
2hen client deal (ith topics
super3cially- e5plorin can help
them e5amine the issue more
+ully! Any problem or concern can
be better understood i+ e5plored
in depth! ,+ the client e5presses
an un(illinness to e5plore a
sub7ect- ho(ever- the nurse must
respect his or her (ishes!
0identi+yin present available
support system and ho( she (as
treated0
Althea: ,mon ma isuon
maam& #moves closer$"
Krisha: 2ala %a niya pasudla
maam&"
Althea: Nanutana %a niya
maam %un nanon i serad-an
%a niya&"
?o naa na! C months old pa%o
maam!"
*a baya(an naa! *a %uan sa
Manila naa pud! Dero one time ni
uli %o! Ni uli %o sa =aya(an
maam! Bopin ba nanuan %o
%ay basi papuy-on %o sa ilaha!
Nya pa %uan na%o maam
pa%uan! Nihila% raman siya
iyan i serad-an an purtahan
ba!"
)ipasulod ra%o maam aton i%a
duha na%on adto!"
A5plorin
therapeutic$
A5plorin
di.erent problems!
0To assess the deree o+ support
system or emotional support
iven to the patient on the
current situation! Bavin a
support system is a (ay o+ copin
to a stress+ul event in li+e! 0
identi+y patients %no(lede
about her real +amily!
0identi+y (hether patient has
plans to3nd her bioloical
parents0
'oes not +acilitate thorouh and
productive interaction!
Euestions should be stated in a
(ay that the client can e5press
sel+ and +or him to ans(er
thorouhly- not merely yes or
no"!
0better question (ould be: unsa
imo ibati anan ibilin %a sa imo
tinuod na +amily&0
Krisha: Maam sa imon
panlanta( nano %ahan (la %a
niya da(ata maam& *a imon
ma isuon!"
Krisha: 6nsa pud an ipa
trabaho nila nimo maam&"
Althea: Karon maam %umusta
imon relasyon nila&"
Althea: ?o %aron!"
2la raman! Mahadlo% pud %o ma
hurt ba! Dero hope+ully %un
maayo ayo na7ud %o maam
bason laman da(aton %o nila!"
Kay usahay maam %uan man
ud! Kana ban@!!'ili sila
anahan duay %o mutulo! Ana
ba dili sila %abalo unsa an e.ect
sa drus! *a %uan namo maam
ba sa tambal! 2ala sila %asabot
sa amon sa%it! Kuan man
%anan %inanlan pamathon 7ud
%o u sayo nya patrabahoon 7ud
%o ana ba!"
Kanan silhi- laba %anan %uan
silhi- huas plato!"
9ocusin
*ee%in ,n+ormation
Ancourain e5pression
A5plorin
0To assess the deree o+ support
system or emotional support
iven to the patient on the
current situation! Bavin a
support system is a (ay o+ copin
to a stress+ul event in li+e! 0
no"!
0=etter question: unsa imo ibati
aton i serad-an %a sa purtahan&
0
Althea: Kay nano man %uno
maam&"
Althea: Kanan maam unsa
imon ma buhaton %un (ala
%ay lina(&"
Althea: 6nsa an ma butan
maam na dili na nimo nabuhat
%aron na inabuhat nimo sauna&
Katon (ala pa%a dinhi!"
Althea: 'uay duay na di ay
nan imon sa%it maam&"
Karon&"
Kuan %anan! A%on relasyon
nila ron& Ma communicate
raman nuan maam pero an
problema at times mu support 7ud
sila na%o! A%on maulan na
babaye dili na mustorya na%o!"
Kay %uan man maam %anan!
2ala pud %o nanutana niya
maam! Dero %uan mura %ulitan
na daay siya usahay! Kay %anan
dili siya anahan na sie te5t!"
Kanan (alay buhaton& Na
bantay mi dinhi u pasyente!
Kanan %uan sa %usina
mataban taban %o! Kanan
ma mop pud sa oFce dayon
ma mop pud dnha sa (ard!"
*ee%in ,n+ormation
Ancourain comparison
therapeutic$
Consensual Validation
0appropriate question: unsa rason
nila na i serad-an %a u
purtahan!0
0to assess patients deree o+
(areness reardin the situation0
di.erent problems!
0encourain to e5press more on
the topic to sho( clarity o+ the
messae0
0%no(in her current daily
routine in the +acility to %no( ho(
it (ill a.ect her habits0
To encourae the client to ma%e
her o(n appraisal rather than
acceptin the opinion o+ others!
0lettin the patient e5press her
real +eelins to(ards her +amily to
%no( the deree o+
communication bet(een them
Krisha: G years na%a a inom
anan imon tambal maam&"
Althea: 6nsa di ay rason maam
na nihunon %a&"
Krisha: 6nsa ane imon
trabaho sauna maam&"
Krisha: Dila %a %atui a trabaho
didto sa 1ee maam&"
Krisha: Nano pud %a ni undan
maam&"
Krisha: ,%a( ra 7ud an ni
paha(a or ipa paha(a %a&"
Kuan %anan %apoy bita( n
in7ection maam! Dero sauna na
(ala pa%o a tumar u tambal
maam +or G years (ala ni bali%
maam!"
Kuan %anan 3rst %o nasulod
dinhi :> pa %o!"
Kuan man maam ti%dol ti%dol!
6sahay dili %o mu inom maam ba
%ay na ayo naman %o ato sauna!"
Kuan %anan mura %uan
anahan man ud %o na (ala nay
medication ba!"
)a trabaho %o sauna sa 1ee
*uper Dla/a!"
A5plorin
*ee%in ,n+ormation
A5plorin
*ee%in in+ormation
Consensual Validation
*ee%in in+ormation
and i+ there are chanes +rom
their past relationship0
0better question: unsa rason
anan dili na sila mustorya&0
0to %no( the cause o+ their
miscommunication and correlate
it (ith the patient past use o+
substance0
0identi+yin other thins she
enaed to that miht cause
harm to her0
Comparin ideas or e5periences
brins out many recurrin
themes! ,t helps the client to
recall past copin strateies that
(ere e.ective or remember that
Althea: 6nsa ane ton rason
maam nanon naa %a dinhi&"
Krisha: , unsa nimo an imon
pamilya na nay poy in ana na
sa%it&"
Althea: Katon last time na na
storyahanay ta maam! Ni inon
%a namo na na drus %a& Mu
clari+y ta mi maam!"
Althea: Manutana ta mi maam
%un unsay rason nano %an a
drus&"
Krisha: Dero %aton (ala pamo
abula sa imon bana maam a
amit na%a u drus or (ala pa&"
Krisha: Kinsay na%a in4uence
nimo maam&"
Althea: =ar%ada nimo maam&"
Althea: Dila pud %a tui or pila %a
*a 1ee %uan mura (ala %o %a
abti u tui maam! Mura H
months ra!"
Kay %uan man tu%aron man %o
maam!"
2ala %o ipa paha(a aq an ni
paha(a!"
Tunod %ay naa miy sa%it!
Mentally ill mi!"
Mao lae a%o lain mama!
Katon a adopt na%o i sulti-an
%o u in-ana!"
?o!"
Kanan identity crisis da(ay
maam %ay a problema man ud
%o ato maam! )anahan %o
ma%a%ita sa a%on inahan-
anahan %o ma%a%ita sa a%on
parente! Mura in ana! A%o rapud
A5plorin
9ocusin
Ancourain A5pression
Ancourain description o+
perceptions #therapeutic$
therapeutic$
*ee%in ,n+ormation
she has survived a similar
situation!
0
no"!
9or verbal communication to be
meanin+ul- ,t is essential that the
(ords bein used have the same
meanin +or both participants
bulan a amit u drus maam&
Althea: Kun ma hih %a sa
drus maam unsa pod imon
buhaton&"
Krisha: Naa %ay madunan
anan muhonhon nimo maam&
Krisha: 6nsa pod an i-inon
maam&"
Krisha: 2ala nay lain maam&"
Althea: Naa %ay ma%it-an maam
na dili Ma%ita sa uban&"
Althea: Mu inom %a maam&"
Krisha: Katon naa na%a dinhi
maam na%a inom %a&"
Krisha: Kinsa pod an madala
maam&"
siya i amit maam aton
abula mi sa a%on bana!
)aamit % o%ay sa%it man ud
%aayo!"
#*ilence$ )aamit na maam!"
A%on bar%ada!"
=ar%ada" #noddin$
'uay maam! Dasalamat ra
ane %o maam na (ala ra %aayo
%o na %uan! Dero %aron naa ra7oy
times maam na anahan %o mu
siyait! Kay dahan %aayo %on
problema sa a%on ana%! A%o
ran ina control maam ba!"
Kuan %anan anahan %a ma%i
suroy sa ma bar%ada ma in-
ana! 6sahay pod anahan %o mu
inom %a %ay anahan %a malimot!
Dero %uan 7ud siya maam lain 7ud
siya u e.ect %ay ma%abuan 7ud
an drus maam!"
Ma%aduno %o %anan nay mo
ta(a na%o maam ba! 2ala di ay
to!"
Kanan Mary Ann! A%o rapon
panalan a%on madunan!"
,ntroducin an unrelated topic
*ee%in ,n+ormation
Acceptin
*ee%in ,n+ormation
9or verbal communication to be
meanin+ul- ,t is essential that the
(ords bein used have the same
meanin +or both participants!
Krisha: Kanan pa siarilyo
nimo maam- pila pod %a stic%s
imon mahurot sa usa %a adla(&"
Krisha: Na s%(ela man %a
maam noh&"
Krisha: 6nsa ane imon
nahuman maam&"
Krisha: 2hat year %a taman
maam&"
Krisha: 6nsa imon course&"
Krisha: *a asa %a a es%(ela
maam&"
Krisha: 6nsay rason nanon ni
hunon %a maam&
Krisha: Mao n imon bana
maam or dili&"
Althea: Kinsa di ay ton apa
es%(ela nimo maam&"
Althea and Krisha: Ahh!"
2ala na!" #movin her head le+t
to riht$
2la ra!"
?o!"
#lauhs$ ?o!"
Kuan- amay raman pod maam
usa ra %abaso #hesitant$!"
#silence$ 6sa %a pac% pod lae
maam!"
#nods$
2ala %o %ahuman!"
>
st
year!"
Dsycholoy"
*a *illiman!"
Kay abula man ud mi! Naa
man oy apa es%(ela na%o
8estatin
*ee%in ,n+ormation
A5plorin
8estatin
A5plorin
*ee%in in+ormation
A5plorin
di.erent problems!
To understand the client- the
nurse must see thins +rom his or
her perspective! Ancourain the
client to describe ideas +ully may
relieve the tension the client is
+eelin- and he or she miht be
less li%ely to ta%e action on ideas
that are harm+ul or +rihtenin!
Althea: Nya asa mo na%aila ana
niya maam&"
Krisha: Na adto pud di ay %a u
Manila maam&"
Krisha: Na unsa pud %a didto
maam&"
Krisha: Ma pila %a %atui didto
sa Manila maam&"
Althea: H years&"
Krisha: As a%a apuyo didto&"
Krisha: Naa %ay pamilya didto
maam&"
Althea: Na%a mention man %a
maam na naa %ay ana% na naa
sa Manila! *o a%ita mo didto&"
Althea: ?o!"
Krisha: ,mon ma ana% maam-
mubisita pod dinhi&"
Krisha: Katon una nimon pa
ari&"
sauna maam! Nya human
abula mi %ay pasulod na%o
dinhi dili naman siya anahan!
Mao to (ala na laman %o!"
'ili!"
*i =enito Catindi man to
maam! Kuan ba Assistant
*ecretary sa ',1)!"
A%o ra man siyan ibulaan %ay
%uan man! Naa man ud to siyay
asa(a ud! Naa siyay asa(a pero
bula sila! Na%a %uan %o na
bulaan siya %ay %uan man na
consensya rapud %o ba!"
*a %uan sa Manila!"
?o!"
Natrabaho pud %o didto sa
'un%in 'onuts!"
Kuan ma H years daay!"
?o!"
*a Dasi!"
Naa"
Acceptin
*ee%in ,n+ormation
A5plorin
=road ?penin
no"!
The nurse ta%es the initiative +or
the interaction a(ay +rom the
client! This usually happens
because the nurse is
uncom+ortable- doesnt %no( ho(
to respond- or has a topic he or
she (ould rather discuss!
Althea: Asa di ay apuyo imon
ana% ron maam&"
Althea: Kinsa an %uyo sa
imon ana% maam&"
Althea: Kumusta man imon
ana% u imon maulan
maam&"
Althea: Ahh! Dalana!"
Althea: Naa poy bana imon
maulan or pamilya&"
Krisha: Kabalo %a %un asa na
imon bana %aron maam&"
Althea: Na%a bisita siya nimo
su%ad naa %a dinhi&"
Althea: Katon pa%uha niya
nimo dinhi maam- asa mo
nidritso&"
Althea: *a =aya(an&"
Althea: Naa namoy balay didto
maam&"
Krisha: Maam su%ad pa%a
admit nimo dinhi na%a a(as
a(as %a&"
Krisha: Asa pod %a mu adto
*a a%on ana%&"
?o! 'a%o na a%on ana%a! >G
years old na siya! Mu >I na siya!"
?ne time idala %o sa a%on
ana% dinhi! )i hatod %o nila!"
?h pero (ala na siya ni bisita
%ay dili na siya pa anhion sa
a%on pamilya %ay %uan %uno
basi ma trauma ba!"
*a ,mus!"
A%on maulan!"
Kuan palana man na %aayo
niya!"
?h!"
?o!"
?h! Tua sa =aya(an!"
?o! Na%abisita sad siya na%o! ,ya
9ormulatin a plan o+ action
Close-ended question
A5plorin
9ocusin
conversation
9or the client to %no( that she
communicated the idea
e.ectively and encouraes the
client to continue!
maam&"
Althea: Ahh! Maniane&"
Krisha: #*miles$ Ahh!2ala %a
%asulay anan mu adto u lain
luar pa a(as nimo dinhi&"
Althea: Kanan dinhi maam-
unsa pod imon sa%yan padulon
sa tiane&"
Althea: Manan- musuot rapod
sila dinhi na mua(as mo&"
Krisha: *utan rapod %a nila
maam&"
Krisha: 6nsa nan imon i inom
maam&"
Krisha: Ahh! #nods$ *ie r a%a
inom u %ape&"
Althea: Kapila %a mu inom u
%ape sa us a%a adla( maam&"
Althea: Ahh! Katulo!"
Krisha: Kun dili %a mu inom u
man %on i%uha sa una nya
human! =asta i%uha %o niya!"
*a =aya(an!"
#Nods$
#*ilence$ An iyan mama nay
balay!"
?o!"
Adto u tiane!"
Kuan ra manayo u mana
sinsilyo #lauhs$!"
Adto u =aya(an!"
Naa ramay ma pedicab
musa%ay raman pod %o u
pedicab!"
'li 7ud unta ma allo(ed maam
%anan a(as a(as pero usahay
%anan mu adto ra 7ud mi u
tiane %ay (ala man 7ud dinhi!"
*utan raman!" #'rin%s
somethin on the cup beside her$
Acceptin
*ee%in in+ormation
=road openin
9or the client to %no( that she
communicated the idea
e.ectively and encouraes the
client to continue!
%ape maam unsa imon i-bati&"
Krisha: Kun ma%a inom na%a u
%ape&"
Krisha and Althea: Ahh!" #nods$
Krisha: Dero ma%a tulo rapod %a
u maabie maam&"
Althea: Dila %a tambal an ilan
inahata sa imo maam %ada
adla(&"
Krisha: Kabalo %a unsan
tambala maam&"
Althea: 6nsa pa imon anahan
naton storyahan maam&"
Althea: Ahh! Naa %ay inahimo
maam para mausob imon
attitude&"
Kape #in a lo( voice$!"
?o! #smiles$ Adi% naman %o ani!"
Katulo ra yud!"
#continues to drin% the co.ee$
Kapoy %aayo!"
Mura %o u ma abti% ba!"
Ma%a tulo ra %ay na man poy
tambal!"
Kuan %anan ma #loo%s at the
s%y$ %ausa ra usa %ada abie ra!"
9luphena/ine 'ecanoate!"
Kuan %anan #loo%in up$ mao
)eneral leads
*ee%in ,n+ormation
*ee%in ,n+ormation
A5plorin
perceptions
Krisha: Dero nay usahay maam
na ma(ala pod imon sali sa
imon %aualinon %anan
musu%o na%a maam ba!"
Krisha: Nya unsa pod imon
buhaton maam&"
Krisha: 6nsa pod na tuia to
maam&"
Krisha: 6nsa pod imon ibuhat
maam&"
Althea: Asa pod %a i%an ana na
tambala maam&"
lae na maam dahan %on
problema %anan emotional! Kuan
%anan attitude na%o na dili %o
anahan! Kay a%on sel+-control
lo( %aayo ba!"
Kuan mu%uan ra%o %anan (ill
7ud na%o ba!"
?o! Naay times!"
Naa man %oy suicidal tendency
maam %ay %uan man %anan %a
try na%o u suicide nya nabuhi
raman pod %o ihapon!"
Ma #loo%s do(n$ duay na!"
Kuan inom %o u dahan
9ocusin
,ndicatin the e5istence o+ an
e5ternal source #non-therapeutic$
A5plorin
,ndicatin the e5istence o+ an
e5ternal source #non-therapeutic$
conversation
start tal%in!
Dlannin in advance (hat she
miht do in +uture (ith sililar
situations may be help+ul! ,t also
increases the li%elihood o+ the
Althea: Karon maam naa 7apon
%ay suicidal tendency&"
Althea: ?o! Karon maam!"
Althea: 6nsay na%a pa usob ana
sa imo maam&"
Althea: 'inhi ra%a mu simba
maam or mu adto %a@"
Althea: Ahh"
Althea: Ahh! 6nsa pod inyon
buhaton ana maam&"
Krisha: Naa pa %ay lain na
storyahan nato maam& Kabahin
sa imon pamilya!"
Althea: =asin anahan %a ma
tambal! )ihurot na%o ton tambal
nya na slash pod %o!"
#silence and loo%s at us$ 'iri!
Dero %uan man ud maam sa%it
man ud %aayo n mamatay ta
ba! Kuan pod maam %anan unsa
ni %anan #silence and loo%s
do(n$ sala pod sa )inoo n
mapa%amatay! 2hat i+ tinuod n
hell diba& lisod %aayo pait %aayo!
Kuan man didto ma su.er ta idto
in the end!"
*uicidal tendency&" #loo%s at us$
Ahh! 2ala na!" #mo(in her
head as a sin o+ sayin no$
Kanan musimba %o!"
Naa ramay simba dinhi! 2ala
simbahan dinhi %anan naa ray
pari na mu anhi dnhi %ay ma
misa every *unday nya an pari!
Kuan once dili %anan J times a
(ee% ay dili %uan d ay %anan
t(ice every month!"
*ee%in ,n+ormation
*ee%in ,nn+ormation
A5plorin
*ee%in ,n+ormation
*ee%in ,n+ormation
client to cope more e.ectively in
sililar situation!
no"!
di.erent problems!
storyahanay ta %abahin sa imon
pamilya!"
Althea: dayon maam" #nods$
Krisha: Katon batan-on pa %a
maam sie %a nila u %asab-an&
Kanan naa %ay lain himuon ana
dili sila anahan!"
Krisha: unsa pod imo ibati
%abahin ani maam&"
Althea: Kanan a adopt nimo
maam i unsa nimo sila&"
Althea: Ahh! Nanon na abot %a
nila maam&"
Kuan! 6hmmmm@!#loo%in up$
bible study dili %o mu apil ana
maam samba ra a%oa maam!"
Kuan man pod a%on pamilya
maam %anan #silence and loo%s
up and do(n$ %anan stricto sila
maam! Kay ma %atchila man
ud sila maam!"
Kasabot rapod %o sa ilan pa%a
istricto!"
=unalan bunalan!"
2ala raman pod- %asabot ra!
*ayop man pod na%o maam!"
A5plorin
A5plorin
Acceptin
*ee%in ,n+ormation
Acceptin
Acceptin
that are harm+ul or +rihtenin! To
%no( i+ she still has tendency to
harm hersel+
conversation
Althea: Nano man %an na%a
huna huna ana maam&"
Althea: unsa rapod an
treatment sa imo ma isuon
nimo maam&"
Althea: Nano man da( na
maam&"
Krisha: 6nsa pod imon ibati
ato maam&"
Althea: 6nsa di ay iyan ina
sulti sa imoha maam&"
Kuan %anan %anan a adopt
na%o (ala mi relasyon!"
Kay %uan man a%o %unon mama
sauna %ay helper %uno nila! A%o
anen %uan maam na basi
abasol na sila %a na%a adopt sila
na%o ba!"
Kuan man %anan basi abasol
sila maam ba %ay %uan man ud
%o %anan a%on mama naa man
oy sa%it then a%o na in ani
pa%o!"
?% raman maam! Dalana man
%o ato nila! Naay time na a%on
sister %uan dali ra %aayo
maniso na%o!"
Kuan %ana man ud a%on sister
perceptions
*ee%in ,n+ormation
A5plorin
start tal%in!
This therapeutic communication
indicates that the nurse has been
attentive and has been listenin
to the clients statements! This
encouraes the client to continue
(ith the sharin and even provide
more relevant in+ormation!
+eelins and ideas clearly! To %no(
her past behaviours (ith her
+amily!
Althea: *a imon huna huna
maam nano siya in ana sa
imoha&"
Krisha: 6nsa imon ibati para
niya maam&"
Althea: Dila di ay mo %abuo%
masuon maam&"
Althea: Asa man imon ma
isuon maam&"
Althea: Katon pa%amatay sa
imo isuon maam nay impact sa
imoha&"
Krisha: 6nsa imon ibati aton
panahona&
usa istrectahon ba nya sie %o u
a(ayon sie %o u panisan an
aba!"
*a%it %aau maam %ay alan
alan panisan %a na (ala ra
%ay ibuhat na sayop !"
#silence$ Kuan %anan maniso
ra siya! 'istant ra %aayo siya
na%o! Dero %asabot raman pod %o
at o%ay menopausal man pod ud
to niya! Ana man pod to siya na%o
na pasensya na%a Ann ha %ay sa
menopausal na%o!"
2ala %o %abalo maam #sad
+acial e5pression$ tunod pod
daay sa a%on sa%it pod ba! Nya
apa buya %o in-ana ani!"
Dalana ra 7apon na%o siya!"
Kuan ma unom sila dayon i%a
pito %o! Kina manhuran!"
Tua sa Manila an duha ay tulo
then #moves a little bit at the
sides$ naa sa 'umauete nan
usa %ay namatyan man mi u us
*ee%in ,nn+ormation
Acceptin
*ee%in ,nn+ormation
A5plorin
A5plorin
9ocusin
di.erent problems!
The client (as made or compelled
to thin% in a certain (ay!
Krisha: Close %aayo mo
maam&"
Althea: *a tanan nimon
masuon maam %insa imon
pina%a close&"
Althea: Asa man siya ron
maam&"
Althea: Mubisita ra 7apon siya
nimo dinhi&"
Krisha: Dero mu support ra 7apon
siya nimo maam or (ala na&"
Althea: Kinsay a support sa
imoha %aron dinhi maam&"
Krisha: 6nsa pod ilan ipadala
maam&"
Krisha: Dero %aron maam (ala
na sila apa dala&"
Krisha and Althea: Ahh!"
a%a isuon!"
?o! Katon sa a%o pon mama
u papa pa%amatay!"
Nauol 7ud %o maam! Nauol 7ud
%o pa ayo maam!"
?o! *a%it %aayo ba %uan bita(
maam mao ra biya nan a%on
sandalan sauna a%on mama
mama!"
*i manan *heila!"
Manila!"
Kuan %anan (ala pa siya
%abisita dnhi na%o!"
Mu support ra!" #noddin$
*ee%in ,n+ormation
*ee%in ,n+ormation
A5plorin
Acceptin
*ee%in ,n+ormation
*ee%in ,n+ormation
A5plorin
To %no( ho( the patients +eel to
her +amily durin this stress+ul
situation!
The client (as made or compelled
to thin% in a certain (ay!
Althea: 6nsa di ay iyan trabaho
maam&"
Althea: Ahh! *te(ardess&"
Althea: Kinsay apa es%(ela sa
imon ma ana% ron maam&"
Althea: Ahh!"
Krisha: A5ample maam i+ ma%a
a(as %a dinhi! 6nsa imon
buhaton maam&"
Krisha: Asa pod %a mu adto
maam& Naa %ay %a adtoan&"
Kanan a%on sister pero dili pod
siya %aayo ma%apadala maam
%ay na%alisod pod sila sa
Manila!"
6sahay %(arta u sinina usahay
%(arta!"
)apadal ra 7apon pdili na once
every month %ay (ala naman ud
a 4y ba %aton a%on
pauman%on!"
Nya %uan man siya man ton
ahata na%o every month
sauna!"
*te(ardess maam!"
#nods$
A%on maulan!"
#silence$ Nya dili pod %aayo %o
sie u panayo maam ba %ay
apa es%(ela pa ud siya unya
%anan maula( %o maam ba %ay
%anana (ala od nila i %uan n
*ee%in ,n+ormation
*ee%in ,n+ormation
A5plorin
9ocusin
,ntroduction o+ unrelated topic
(hether i+ the patient has
someone (ho supports her
Althea: ,-dischare na unta %a
maam or dili pa&"
Krisha: Mana %a sa imon ma
alam-onon dinhi maam&"
Krisha: 'iba an a%a na naa %ay
i bantayan!"
Althea: Asa siya ti lio maam&"
Althea: 6nsa pa imon inahimo
para sa iyaha maam&"
Althea: Ahh!" #nods$
Krisha: asa %a ti tambayan
maam&"
%(arta ba #sad +ace (hile her
both hands are holdin the
blechers$ i %uan ud i %uan ila
ud n i pinan%amotan ba!"
,+ ma%aa(as %o dinhi&"
Dananlitan ma%aa(as %o ma
binot-an %o maam!"
Mao pud lae na maam mao
nay da%on question mar%
maam!"
,-dischare naman unta %o nya
%ay a%o man i innan si doctor
na doc maramin salamat sa
papapatira mo sa%in #movin
her head side(ays$ (a %an
ma alala ma tatrabaho a%o
susu%lian %o an papapatira mo
sa a%in %asabot raman pod si
doctor!"
6sahay sa %usina mataban
A5plorin
A5plorin
*ee%in in+ormation
A5plorin
3nancially and emotionally!
conversation
conversation
Krisha: Kinsa pod imon pina%a
close dnhi maam&"
Althea: Ahh! Asay Aster ato
maam&"
Althea: Ma storyahanay mo
maam&"
Althea: 6nsa pod inyon
storyahan maam&"
Krisha: Naa siyay lain na i
buhat sa imo maam&"
Althea: #smiles$ 6nsa pod inyon
a(ayan maam&"
Krisha: Ahh! #smiles$ Kinsay
unan mu duol ninyo maam&"
taban man pod %o maam!"
Mana naman siya u %alio
maam!"
'inha rapod sa sulod yab-an ra
siya u tubi ba!"
1io- laba dayon pa inom u
tambal!"
#smiles$
'iri usahay didto sa paya!"
*i Aster %ay pareho man ud mi
u ibantayan ni Aster!"
Katon medyo intsi% intsi%on
#touches her eyes$ bita( u mata
dayon %aton %uan u buho% ani
#touches her hair$ %anan lala%i
iyan buho%!"
?h!" #nods$
)eneral leads
*ee%in ,n+ormation
A5plorin
A5plorin
9ocusin
9ocusin
conversation
respect his or her (ishes! To
e5plore the status o+ her current
condition!
Althea: =ita(!" #smiles$
Althea: Naa na%ay na%a a(ay
dinhi maam&"
Althea: 'iba maam an a%a na
naa %ay bana! Dila pod mo %atui
ato maam&"
Krisha: Na%a problema mo
maam&"
Althea: Na%asal mo maam&"
Althea: Kabalo siya maam na
na drus %a maam&"
Kuan %anan dili man ud %aayo
ma istorya si Aster maam %ay
%anan dili ra 7ud na%o siya ma
istorya pero ma storyahanay
ra7ud mi!"
(ala- buotan ra man siya na%o
maam pero naa ra 7uy times na
ma a(ay lae mi #lauhs$ pero
ma bali%anay raman pod mi!"
#continues lauhin$ Kanan naa
7uy times na ma a(ay mi pero
%uan ra ma%a sundo rapod mi!"
a%o- %uan a%o rapod siyan alam
alaman!"
Normal raman pod ud nan
ma a(ay a(ay maam pero i-
patch up ra7ud nato maam para
maayo rapod ba %ay %uan %apoy
n nay %aa(ay maam!"
Ahh! 2ala yud maam!"
Kuan %anan #loo%s at the le+t
side$ %uan %anan ma C years!"
9ocusin
*ee%in ,n+ormation
A5plorin
Acceptin
,ntroduction o+ unrelated topic
conversation
Krisha: 6nsa pod iyan i inon
maam pa%abalo niya!"
Krisha: )i in4uence %a niya
maam na ma drus %a&"
Althea: Kuan maam unsa iyan
trabaho&"
Althea: 6nsa pod di ay buhaton
sa iyan mama maam&"
Althea: Mu unsa ra siya nimo
maam&"
Na%aproblema mi maam
nanita siya u lain! *auna man
ud bula bali% man ud mi! 9or C
years na pa puyo namo bula
bali% pahuman mura na%uan
daay to siya nanita siya u lain
%ay dili ra7ud to siya anahan
na%o ana!"
2ala mi na%asal!" #moves her
head to the sides$
Kabalo siya!"
)a drus man pod to siya
maam!"
#silence$
)ivin ,n+ormation
perceptions
*ee%in ,n+ormation
*ee%in ,n+ormation
Ancourain comparison
di.erent problems!
Althea: Nya unsa pod imon
bation maam&"
Krisha: Ni unsa pod siya
maam&"
Krisha: 2ala rapod %a nila
ipasa%itan or idapatan&"
Krisha: Naa pa %ay lain i-inon
maam&"
Althea: Kapila pod na niya
*a 8obinhood man na siya a
trabaho sauna maam u sa
Calte5 nya ni undan apod siya
u trabaho pod nya a%o pod ba ni
undan u trabaho human ato
a+ter ato %uan didto mi sa
=aya(an an a buhi namo iya
rapon mama dayon human %uan
pait %aayo maam ba %ay %uan
man ud %anan lain u batasan
iyan mama!"
Mu %uan man ud n iyan
mama maam ba %anan ma
maoy %ada dli nimo hataan u
%(arta ma maoy nya %uan
%anin dili %o %asabot sa iyan
batasan maam #rimacin +ace$!"
*yaitan %anan in ana %anan
%uan siya ba %anan mu maoy
sie %uan %un dili taaan u
%(arta dayon %uan (alay
mahimo (alay pa%aon ma
maoy nan a siya!"
Kuan yud a%on 7uy ni %uan sa
=aya(an maam %anan unsa ni
nasobraan na maam ban a sie
a%o niya u dao dao a%on
*ee%in ,n+ormation
A5plorin
A5plorin
*ee%in in+ormation
conversation
i+ she has current problems
reardin the people around her!
ibuhat maam&"
Althea: 6nsa di ay an rason ato
maam&"
Althea: *a unsa maam&"
Krisha: Ma pila pod %a %atui a
trabaho as a )8? maam&"
Krisha: 2ala na nada(at sa
imon bana maam&"
Krisha: Mao na an rason nano
%an ni sulod maam&"
Althea: Kabalo imon ma ana%
ana maam&"
ipan labay ton ma plato niya
#raisin her hand and moves it
side(ays as i+ thro(in
somethin$ nya bun%a 7ud n
iyan balay!"
Naniso nasu%o hasta pod
a%on bana maam nasu%o na%o!"
2ala raman!"
Katon sauna i dapatan %o sa
a%on bana i sumba %o niya
#holdin her 3st$!"
Kausa raman pod to niya i
buhat maam!"
Kuan lae dili siya anahan %ay
natrabaho man ud %o sa %uan
*ee%in ,n+ormation
)ivin ,n+ormation
)ivin ,n+ormation
*ee%in ,n+ormation
*ee%in ,n+ormation
A5lorin
respect his or her (ishes! To %no(
ho( her husband +eels about her
vices!
di.erent problems! To %no( (hy
did she enter in this situation!
Althea: Ni unsa rapod sila nimo
maam&"
Althea: Na )8? na%a maam
be+ore %a na trabaho sa 1ee&"
Althea: ?o maam!" #smiles$
Althea: Naa poy lain student
nurse na assin nimo maam&"
Althea: ?o!"
Althea: Katon last (ee% maam
aton *abado!"
Althea: ?o!" #smiles$
Krisha: 'ili maam amon i
inon maam na mubali% mi
%aron *aturday!"
Althea: 1ast *aturday namo ron
sa una maam sa #spea%s in a vey
lo( voice$!"
Na )8? man ud %o sauna then
every time mo trabaho %o u in
ana iya %on dapatan so pasabot
ana mura dili daay siya
anahan ma trabaho %o u in
ana maam! Naa %oy ma +aults
naa pod siyay ma +aults mura
%uan dili rapod a%on sayop
tanan!"
C years!"
Mu tolerate raman pod siya
usahay na%o maam %ay %anan
(al miy ma%aon ba nya alan
alan %un dili %a mu trabaho u
manita dili 7ud %a %a%aon!"
?h! Kay lisod man %aayo nya
crisis man ud %aayo nya lisod
%aayo ba! A%on napasalamatan
nilan maam dinha %ay nausob
%o diri maam (ala na%o na sie
u %uan ba %anan sie u nay
se5ual %uan ma in ana ba!
Nausob %o!"
Kabalo!"
2ala ra!"
A5plorin
A5plorin
)ivin ,n+ormation
)ivin ,n+ormation
)ivin ,n+ormation
To %no( patients +eelin
reardin her e5perience (ith her
husband!
This therapeutic communication
indicates that the nurse has been
attentive and has been listenin
to the clients statements! This
encouraes the client to continue
(ith the sharin and even provide
more relevant in+ormation!
tuia then mubali% mi sunod tui
%uan pahuman sa amon
Christmas brea%!"
Krisha: Bapit naman ud pas%o
maam"
Krisha: #lauhs$ 6nsa imon
plano %aron pas%o maam&
Krisha: Nahulbotanay namo
maam&"
Althea: Taboon 7ud ninyo n
Christmas maam %anan >:
7ud&!"
Krisha: Katon last Christmas
maam na unsa ramo diri&"
?o na )8? na #loo%s up$ ay
(ala pa di ay %ay earlier paman
to! Maam Althea to imon
panalan maam noh& #loo%in
closely at the nameplate$"
*iya maam Krisha #loo%in
closely at the nameplate and
smiles$ ahh sie ra maam a%o
ran i memori/e inyon
panalan #lauhs$ %ay malimot
man ud %o!"
Assin na%o&"
Naa %uan *aturday daay to
maam! Ay %amo ton sa
*aturday maam&"
Ahh! Kamo di ay to maam
#smiles$!"
Ahh! *orry #lauhs$ inon man
ud mo na dili mo %abali% diba
na%a inon mo ato maam&"
Ahh!"
Acceptin
*ee%in ,n+ormation
*ee%in ,n+ormation
)ivin ,n+ormation
di.erent problems!
di.erent problems!
Althea: 6nsa inyon ibuhat
aton a Christmas %aton atol
7ud na Christmas&"
Althea: 6nsa man an rason
anan ma (ild maam&"
Krisha: Kun naa %ay ma%it-an
na a (ild maam unsa pod
imon bation maam&"
Krisha: ,mo silan tabanan
maam na pa%almahon&"
=ita( hapit na #lauhs$!"
Karon pas%o a%on plani ma
e5chane i+t ta mi diri #loo%in
at the (ide space on her le+t side$
%ay para malina( mi ba! ?%ay
raman pod C; pesos ra ba mas%i
C; pesos ra para ma sad7a pud
mi!"
2ala paman namo na %laro %un
ma e5chane i+t na(ala rapod
bas a amon huna huna amon
plano!"
Chada pud lae n in ana maam
%anan nay Noche =uena ba nya
%ay matulo nalan man mi
maam! Dero lami 7ud n mu mat
a%a dayon mutabo 7ud %a chada
%aayo #lauhs$!"
Na%uan na Christmas party
dayon na Christmas paty dayon
na #silence and loo% up and
do(n$ dayon an ma *illimanian
naa poy i %uan namo i prepare
namo na %uan i prepare namo
na party %ay na atoll man ud to
na culmination ato earlier pa sila
*ummari/in
)ivin reconition
)ivin reconition
+eelins and ideas clearly
conversation
Althea: Naa rapod moy ma%it-an
na 3re(or%s dinhi maam&"
Krisha: 6nsa pod inyon buhaton
ma Ne( Kear maam&"
Althea: 'inhi rapod maam&"
Althea: Ma%adaot pud siya sa
aton la(as!"
Althea: 'ili 7ud siya maayo %un
siehon o%ay ra nan occasional r
aba dili ra ma sie!"
Krisha: Ma%a control ra%a anan
pa inom nimo maam&"
Krisha: Kanan pa siarilyo
nimo maam #points at the
ciarette on the 4oor she has
been smo%in be+ore our
ni anhi dinhi ba %aron %ay mura
later part naman ud mo maam!
Kato sila %ay nauna then human
ma %uan daay to #loo%s up$
ma >I daay ton amon
Christmas party! Kay na atol man
na culmination #lauhs$ nya %aron
%ay naulahi man ud mo!"
'ahan mapa%aon dinhi maam
ma %uan %anan ma dato ba
pa%aon sila dinhi maam! *ad7a
%aayo! Naa poy times na %uan
lae pod %anan samo% %aayo
dahan %aayon ma (ild!"
Kuan tunod rapod sa amon
%uan maam sa amon sa%it %ana
ba nya nay masulod napod ma
in ana mahadlo% pod lae %a
mapalayo 7ud %a ba!"
Maluoy %o maam!"
'ili rapod maam %ay naa raman
pod si 1oloy maam na mu %uan
increases his or her %no(lede
about a topic or lets the client
%no( (hat to e5pect! The nurse is
+unctionin as a resource person!
)ivin in+ormation also builds
trust (ith the client!
Comparin ideas or e5periences
brins out many recurrin
themes! ,t helps the client to
recall past copin strateies that
conversation$ ma control ra nimo
maam&"
Krisha: 2alay adla( na (ala %a
%asiarilyo&"
Althea: Karon maam pila %a
stic% imon mahurot&"
Althea: Mao 7ud na an dili nimo
ma control maam&"
Krisha: =ayhon maam"
Althea: Kuan maam para ma
control nato an pa siarilyo
p(ede rapod diba one pac% man
%a %ada adla(&"
Althea: Kanan %ada adla( nimo
li%e %aron usa%a pac% pa%a
sunod adla( %(aan n apod nimo
u usa then pa%asunod %(aan
anan sa selda! Dero %anan
ma%inahanlan sila u tubi
dinha usahay mu hata %o!"
9ire(or%s& ?o ma%it-an namo
dinha #poits at the s%y$ ma buto
buto nay 3re(or%s dinha dapit
#points at the s%y aain$ u
%anan ma Ne( Kear ba!"
Ma Ne( Kear one time a
shottin mi ato maam #lauhs$!"
*a a(as! Dero %uan lae dili
pod lae maayo %ay ma%adaot
man pod ud sa uto% maam!
=a(al man ud mi ana maam!"
=ita(!" #nods$
#nods$
Ma control raman pod siya
maam! Naay times na dili 7ud %o
mu inom %ay %uan man lisod
%aayo na ma dischare %a
maam! 2ala 7ud %oy %apoy-an na
ma dischare %o pait %aayo!"
(ere e.ective or remember that
she has survived a similar
situation!
+eelins and ideas clearly! 2e
(ant to %no( (hat is her
perception about Christmas and
the thins they do durin this
time
napod nnimo u usa para hinay
hinay nata na mu undan para
mu amay na an stic% sa
siarilyo para dili nata ma sie
u siarilyo ba! Ma%a amay
siya %ada adla( para ma control
nato!"
Krisha: Mu %aon ra%a u candy
instead na siarilyo!"
Althea: Kanan menthol maam
%anan halan halan na candy ,
replace nato sa siarilyo!"
Althea and Krisha: ?o!"
Althea: Maam&"
Althea: Kanus-a %a a suod u
paniarilyo maam&"
Althea: Kinsa pod an a tudlo
Kanan pa siarilyo dili 7ud
na%o ma control maam dili %o
%abiya!"
2ala maam! Dero sauna %aton
%a trabaho %o sa 1ee *uper Dla/a
(ala man %o a siarilyo ma
abie ra%o ma siarilyo one stic%
per day ra7ud %o na control na%o
to!"
Kada adla( %uan #loo%s up$@!
#silence$ ma one pac% a day
pero usahay pod maam %un
(alay %(arta may n mu amay
amay #lauhs$ %uan %un ma
(alay %(ata mu amay amay
a%on siarolyo ma lima nalan
usahay!"
?o! #loo%s at Krisha closely$ Kuan
unsa imon apelyido maam&"
=ayhon& #lauhs$"
?o!"
acceptin the opinion o+ others
nimo na maniarilyo maam&"
Althea: Ahh! #nods$ 'iba aton
nasabotan maam na LC minutes
ratan ma storyahanay nya
mana naman aton oras maam!"
Althea: An aton na storyahan
#loo%s up$ %ay %abahinsa imon
pamilya u %abahinsa imon
trabaho #stands up$ so mubali%
rami sunod tui napo maam!"
Althea and Krisha: #lauhs$ ?o
maam mina(on pod mi nimo
maam ma %uan raman na ma
duha %a semana raman mi (ala
dinhi maam nay ayo ayo dinhi
maam!"
Althea: Merry Christmas maam
ayo ayo maam ha!"
Krisha and Althea: Than% you
maam!"
Althea: *ie maam salamat
%aayoM" #smiled and (aved$
#listens attentively$
=ita( %anan che(in ums
sa&"
#silence$ *ulayan ra na%o maam
ha& Kay %anan a%on pamilya
dili pod na sila anahn na
maniarilyo %o maam! #in a lo(
voice$"
'ili sila anahan na maniarilyo
%o! Naa toy one time na na%a
storyahanay mi sa a%on
maulan maam! Naa man ud
%oy maulan na buta maam nya
close %aayo mi permi ato!
Nita(a man a%on anan% so
na%a storyahany mi sa a%on
maulan nya ni inon siya na ni
inon siya maam na o%ay raman
n siarilyo basta talasa ra nya
na %onsensya pod %o ba sie %o
u panaba%o diri unya na%a inon
sila didto sa amay ra!"
Kuan ma >> years na daay
duay na maam >H pa%o!"
A%on amia tudloan %o niya
maypa lae (ala %o %asuod u
siarilyo %ay %anan lain sie
ra%o u paniarilyo ba!"
*ie maam!" #stands up$
#*its do(n$ Ay sunod tui napod
mi mubali% maam& Mina(on %o
ninyo maam #lauhs$"
*ie maam Merry Christmas
raba daan maam!"
Bappy Ne( Kear pod di ay
maam!"
conversation
acceptin the opinion o+ others
*ie maam aya( raba mo
pabuya sa inyon ma %uan ha
sa inyon ma %uan ini%anan!
Dabinuotan mo! #smiled and
(aved at us$"
*ummari/ation see%s to brin out
the important points o+ the
discussion and to increase the
a(areness and understandin o+
both participants! ,t omits the
irrelevant and orani/es the
pertinent aspects o+ the
interaction! ,t allo(s both client
and provides a sense o+ closure at
the completion o+ each
discussion!
)reetin the client by name-
indicatin a(areness o+ chane-
or notin e.orts the client has
made all sho( that the nurse
reconi/es the client as a person-
as an individual! *uch reconition
does not carry the notion o+ value-
that is- o+ bein ood" or bad"!
COLLEGE OF NURSING
SILLIMAN UNIVERSITY
'umauete City
D8?CA** 8AC?8',N)
2or%in Dhase
*ubmitted =y:
=ayhon- Krisha Nustine
1imbaa- Althea Marie
*ubmitted To:
Asst! Dro+! Marne Kristina Catarata
Dsychiatric 8otation
Nanuary J- :;>:
Objectives
1earnin ?b7ectives:
At the end o+ the nurse-patient interaction- the student nurses shall satis+actorily:
Mani+est a positive attitude to(ards the nurse-patient interaction!
Create an environment conducive +or therapeutic communication!
6se therapeutic communication techniques
)ather +urther necessary data +rom a primary source and in observation o+ his environment
?bserves the patients verbal and nonverbal actions
,denti+y the physical- emotional and mental needs o+ the patient!
Mutually set purpose+ul oals (ith the client
Dromotin independence and providin opportunities +or the client to practice ne( behaviors
Client-centered ?b7ectives:
At the end o+ the nurse-patient interaction- the patient (ill be able to:
Maintain trust and con3dence to(ards the student nurses
Com+ortably communicates (ith the student nurses!
*hares to the student nurses appropriate in+ormation about sel+ and environment!
Verbali/e any concerns to the student nurses!
A5press any +eelin and emotions
'evelop s%ills in interpersonal relationships and problem solvin
Nurses thoughts and feelings
, +eel quite con3dent and less an5ious compared to the 3rst interaction (ith our patient! At this time- , already %ne( that our
patient is manaeable and able to cooperate! *he is very accommodatin and responded to our questions and this time she (as
able to e5press her +eelins and thouhts! 2e are able to et in+ormation about her health history- her +amily and the cause o+ her
current illness! , al(ays thin% (hat (ill be my (ords- actions to her to remain therapeutic and to avoid chane o+ her behaviour!
?ur interaction (ith our patient (as lenthier compared last time- (e consumed LCminutes tal%in (ith our patient! , have a
diFculty in choosin (hat (ill be our ne5t question to her! ?ur interaction (as quite not orani/ed- (e 7umped +rom one topic to
another! =ut (e (ill try our best to orani/e our question and topics in our ne5t interaction! KRISHA JUSTINE BAYHON
Seating Arrangement
*eatin arranement durin nurse-patient interaction is important and a.ects the e.ectiveness the process! The
therapeutic communication interaction is most com+ortable (hen the nurse and client are J to H +eet apart #Videbec%- :;;I$! ,n
addition- the nurse must be anled appropriately in +ront o+ the client in a non-threatenin position! ,+ the patient stands up- the
nurse should also stand upO i+ the patient sits do(n- then the nurse should also do so!
As sho(n on the illustration- the patient (as sittin on a chair- +acin the student nurses! The student nurses- on the other
hand- (ere seated on the bench appro5imately L +eet a(ay +rom the patient and (ere +acin him at LCP anles !Accordin to
Videbec% #:;;I$- this distance is acceptable +or communication in social- (or%- and business settins and is termed as the social
/one" o+ pro5emics! 2e are able to clearly hear his verbal messaes and at the same time able to observe his nonverbal cues! The
seatin arranement promotes e.ectiveness o+ the nurse-patient interaction because it does not invade one anothers personal
/one and ives the patient com+ort! =oth the client and the nurse can +eel threatened i+ one invades the others personal or
intimate /one- (hich can result in tension- irritability- 3detin- or even 4iht!
2
A
1
1
DAT,AN
T M
Althe
a
Krish
a
'urin our interaction the student nurses observes an open posture- leans to(ards the patient (hen the patient spea%s in a
so+t voice to sho( interest in the interaction bet(een the student nurses and the patient! The arms and les remain uncrossed!
'irect eye contact (as also maintained to convey (illinness to listen to (hat the patients say! The student nurses must
appeared rela5 and com+ortable!
Synthesis
Bibliography
*tuart- )! Q 1araia- M! #:;;G$! Principles and practice of psychiatric nursing! I
th
ed! *!t 1ouis:Mosby!
To(nsend- M! #:;;I$! Essentials of psychiatric-mental health nursing. 6*A: 9!A! 'avis Company
Videbec%- *! 1! #:;;I$! Psychiatric-mental health nursing (4
th
ed.). 6*A: 1ipincott 2illiams Q 2il%ins!
Clients Demographic Prole
Patients Name Datient M A!e J: years old Se" 9emale
Ci#i$ Stat%s Married Nati&na$it' 9ilipino
A(()ess Doblacion =aya(an City
Re$i!i&n 8oman Catholic
*ate &+ A(missi&n: Nune :G- :;>; Time &+ A(missi&n: >;:;;am
,a)(: 9emale (ard
Gene)a$ im-)essi&n ?ur patient (as (al%in around! *he (as appropriately roomed- (earin clean clothes appropriate to the
(eather and environment and her (as tied!! 2hen (e approached her- she smiled and reeted us- and told us (here to have our
conversation! *he maintained eye contact durin the nurse-patient interaction!

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Nurses Verbal and Non-verbal

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