Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES

www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

\
ORIENTATION
PHASE

Submitted by:
Czarina Isabela P.
Tuazon
Submitted to:
Ms. Bernadette
Ilagan
 Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

PATIENTS PROFILE
Patients Name: Patient E.G
Date of birth: March 03,1982
Age: 34 years old
Gender: Female
Civil Status: Single
Nationality: Filipino
Religion: Roman Catholic
Date of Admission: October 21 2012 - 6:27 pm
Admitting Diagnosis: F 31.2 Bipolar Affective Disorder current Episode Manic with Psychotic
Symptoms
History: As per record, the patient had been having consult since 2010 and was admitted in
NCMH in July 2012. She was discharged improved with uncontrolled medication. A few minutes
prior to admission she was seen from the Emergency Room roaming around topless, crying with
hand shaking spells and filthy. Hence this she was admitted.
Student Nurse Objective:
After 3 hours of nurse-patient interaction, the student nurse will be able to:
Introduce self to the patient, set boundaries and limitations of the Nurse-Patient
Relationship
Interact with the patient for the first time
Explore own feelings towards patient
Set parameters and goals for each phase
Patient Objectives:
At the end of the interaction with the student nurse, the patient will be able to:
Interact and build rapport with the student nurse
Follow instructions and do what is asked of the student nurse
Express and verbalize concerns to the student nurse
 Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

Understand the set parameters, goals, boundaries and limitations of the Nurse-
Patient Relationship
Date of Interaction: February 14, 2017
Student Nurse Residents Inference Therapeutic Rationale
Response Communication
Used
Hi! Hi Mam Cha The client shows Giving Introducing
Magandang Magandang readiness and Information yourself to the
Umaga Ako si umaga, Ako si willingness of patient and
Czarina pero E. Tawag nila nurse-client informing them
pwede mo ako sakin G. interaction. about the length
tawagin sa and time and the
pangalan na schedule youre
Cha, ako ang going to handle
Nurse mo her will orient the
simula ngayon patient to the
hanggang sa reality that you
ikawalo ng will not be at the
Marso. Tuwing hospital every day.
lunes, martes at This will also
miyerkulesat help the
nandito ako occurrence of
simula 6 ng separation
umaga anxiety;
hanggang 11:30 which is fairly
lamang common in
psychiatric
patients
May gusto ka Mam gusto ko The client is Broad Broad openings
ba ishare o po pagusapan focused and Openings make explicit that
pagusapan? paano magtayo shows the client has the
ng business willingness to lead in the
para paglabas start an interaction.
ko gusto ko interaction with
magtinda the nurse

Anong gusto Gusto ko Exploring Exploring topics

 Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

mo naming sana Mam helps the client to

gawing business yung examine the it
nagmamasahe more fully and
o kaya help the client to
magtinda ng any concern or
isa kasi pag sa problem
isda Malaki
kikitaain ko
kahit di ko
maubos yung
paninda pwede
kong ulamin
ede hindi ako
magugutom.
Sa anong Pumunta ako Patient responds Gathering data Patient is asked of
dahilan na dito magisa straightforwardl and Exploring the same question
napunta ka kasi y and gives the to gather data and
dito? sinusumpong same to explore her
ako. Wala na information thought process.
kasi Tatay ko repeatedly when
na nagaalaga sa asked multiple
akin times.
Kaylan ka Noong 2012, The patients Placing the Putting events in
dinala dito? Magisa lang shows oriented event in time or time or sequence
ako pumunta to the reality sequence will help the
dito. Dati na patient and the
akong dinadala student nurse see
dito pero things in
noong 2012 perspective.
ako pumasok
dito.
Sinusumpong
kasi ako eh
Saan Ka Sa Sitio The patient Acceptance Acknowledgemen
Nakatira? Tuklas, alam responds quickly t of Verbalization
mo yun Mam? and corresponds
Doon sa with the data
Cupang sa from the chart.
Muntinlupa
 Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

Nakapagtapos Hindi eh, The client shows Broad Broad openings

ka ba ng hanggang willingness to Openings make explicit that
pagaaral? grade 6 lang share the clients has the
ako experiences lead in the
interaction.

Sa anong Kulang kasi Any problem or

dahilan na di ka yung Tatay ko Exploring concern can be
nakapagtapos? sa pera kaya di better understood
ako if explored in
nakapagtapos depth.

Tapos? Kasi Mam General leads

dalawang beses General Leads indicate that the
na ako bumalik nurse is listening
sa Grade 2 pero and it encourages
alam mo mam the client to
dahil sa medal continue.
naegganyo ulit
ako magaral!
Halika Patient nodded The patient Offering self The nurse can
samahan kita Tara Mam shows willing offer his or her
maghugas ng ness to be presence to help
kamay assisted the client finish
the task properly
and immediately.
Kwentuhan mo Mahilig akong Patient responds Gathering data Patient is asked of
pa ako tungkol sumayaw at straightforwardl and Exploring the same question
sayo. gusto ko din ng y and gives the to gather data and
math, gusto ko same to explore her
times at plus, information thought process
pero mas gusto repeatedly when
kong asked multiple
matutunan mag times.
divide at mag
minuse di pa
ako kasi
marunond mag
 Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

carry down,
nakakalimutan
ko kung paano
eh.

Anong ginawa Ano mam The client shows Formulating a Making definite
mo kapag nililibang ko ability to Plan plans increases the
nalulungkot saril ko sa properly divert likelihood that the
ka? paglilinis para her attention to client will cope
di ko na isipin stressful more effectively
yon. Ano pa ba stimulus in a similar
dapat gawin? situation.

Tama ginawa Kaso pag

mo kapag ganun naman
nalulungkot ka mam
nilibang mo napapagod ako
sarili mo ng sobra

Wag naman Oo nga mam

sobra sobra eh kasi diba
magpahinga mam ang
kadin o di kaya pagkakaalam
kapag ko kasi sa
malungkot ka kaibigan
huwag mo itong nandiyaan yan
sarilihin, diba parati di ka
may mga iiwanan kahit
kaibigan ka anong
naman ditto o mangyari kaya
kaya gaya ko na talagang
student nurse mahala ang
mo pwede mo kaibigan
sakin sabihin
yung mga
problema mo, o
kaya kapag
nalulungkot ka
 Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

COLLEGE OF NURSING

libangin mo
saril mo tulad
ng paglilinis
ganon

Evaluation:
The first and most important phase of a nurse-patient interaction is the Orientation
Phase. The goals of this phase are to establish a nurse-patient relationship, build trust and
rapport, and set parameters and goals for the student nurse and patient, and also to set
limitations and boundaries in the relationship. It was very challenging to talk and interact
with a psychiatric patient, as there are limitations to what you can say and do. My patient
is already a functional so I dont have any hard time to talk with her because shes
usually the one that initiates a topic. She has a lot of question and really shows
willingness to learn. Based on what I have observed sometimes she just blankly stares at
one place but can be able to get her attention quickly. I am very fortunate to have a
patient like her because she really does want to learn new things and she is very
cooperative.