UNIVERSITY OF SANTO TOMAS – COLLEGE OF NURSING

Espana Boulevard, Sampaloc, Manila, Philippines 1015

Tel. No. 406-1611 loc.8241 | Telefax: 731-5738 | Website: www.ust.edu.ph

Interaction Process Analysis

I. Patient’s Personal Data and MSE

Name: L.V Age: 58 Marital Status: Married

Address: Valenzuela city-- but originally from Leyte

Date of Admission: 2012 Gender: Female
Birthday: July 15, 1964

II. General Appearance:

Patient is wearing clean NCMH uniform, looks clean in appearance and manifests no
physical symptoms. Patient stands straight; has normal gait. Facial expression is appropriate,
maintains eye contact but sometimes look elsewhere. Patient looks healthy.

III. Behavior during the initial interview:

Patient is very cooperative during the interview. She responds when asked. She seems a little
awkward during the initial interaction but is responsive when being asked

IV. Short Term and Long-Term Objectives

Short-term: At the end of the 30-minute interaction, patient should be able to:

• Be oriented on the interactions about to take place during the period of stay at NCMH.

• Establish trust with the nurse.

• Verbalize basic information and feelings about self

Long-term: By the end of the 4-hour shift, the patient will:

• Manifest progress with self and have improved relationship with other people.

• Be able to verbalize hidden feelings about self and others.

V. Venue, Date and Time of Interaction

Venue: National Center for Mental Health – Pavilion 10

Date: April 16, 2018- May 15, 2018

Time: 7:00AM-11:00AM/12:00 nn

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
APRIL 24, 2018

Verbatim Accounts Client Analysis

Student nurse
April 16, 2018 “oo” Greeted the patient and ask how
Student Nurse: “Magandang umaga po! she is doing. The patient
Naalala nyo pa ho ba ako? Pasensya na pow ala “Ayos naman.” responded that she remembers
ako nung isang lingo nagkasakit po kasi ako the student nurse. The
eh”
SN: “kamusta po kayo rito?”

SN: “alam nyo po ba kung anong petsa, araw, opo. Ngayon ay araw Helps the client to be attached
buwan at taon ngayon? ng martes, 24 po
to reality
April 2018.

SN: “tama po. Eh nasaan po kayo ngayon “sa mental”

nay?”

SN: “kumusta naman ang araw mo nay?” “ayos naman” So that she can use her
knowledge to recall what
she has done for the whole
day

SN: “nay, paano po kayo napunta dito sa “hindi ko nga alam The nurse asked the patient on
NCMH?” eh. May nagdala
how she came to the
sakin dito. Mga
pulis, dinampot ako” institution.
SN: “Gaano na po kayo katagal ditto?” “Mga 10 years na”
SN: “Dinampot po?” “dinampot ako ng mga The student nurse clarifies the
pulis” patient statement.
SN: “ah dinampot po kayo ng mga pulis. Saan “sa Valenzuela” The patient only answers only
po?” when she is being asked and only
SN: “ngayon po, kamusta naman po kayo dito sa “ayos naman” answers 1-2 words.
ncmh?”
SN: “ma’am napansin ko po medyo matamlay po “wala naman ganon
kayo kanina sa exercise, may sakit po ba lang talaga ako
kayo” sumayaw” The nurse asked the patient if
SN: “ah Ma’am mamaya po may dalawa tayong “ah sige” she is sick.
activity po ngayon. Ang gagawin natin ay
Dance therapy and Remotivational therapy.
Alam niyo po ba kung anong gagawin sa dance
and remotivational therapy po?”

SN: “sige po ma’am, mamaya po galingan po “oo sige.”

natin yung sayaw natin ah?”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 SN: “sa ngayon po, kwentuhan nyo ako tungkol *smiles* The student nurse asked the
po sa inyo” patient about her family. The
SN: “kamusta naman po yung relasyon nyo sa “ayos naman” patient told the student nurse
mga kapamilya nyo or kapatid nyo” about her family and how she
SN: “namimi-miss nyo na po ba sila?” “oo” missed them and also, the nurse
SN: “ano mga pinagkakaabalahan nyo ditto “nakikipagusap. asked the patient on how she
kapag po nalulungkot kayo?” Nanonood ng tv” handles her sadness and
SN: “ah. Ano po mga pinapanood nyo sa tv?” “eat bulaga” longing.

SN: “masaya po kayo pag nakakapanood po kayo “oo. Nakakatawa sina

ng eat bulaga?” jose at wally”
SN: “yung mga activities nyo po dito, ano- “gumagawa kami ng The nurse asked the patient on
ano po yun?” tissue pouch tsaka the things that make the patient
keychain tapos busy.
binebenta namin”
SN: “ah sige po ma’am, puputulin po muna “sige. Salamat din!” The student nurse thanked the
natin yung kwentuhan natin ngayon..para po patient for the simple
bigyang daan yung mga therapy po natin conversation and Oriented the
ngayong araw. May 7 na po ang susunod na patient on what is
pagkikita natin kasi pow ala po kaming pasok going to happen next.
sa isang lingo gawa po ng holiday at may
program ang mga professors sa school.
Maraming Salamat po!”

MAY 7, 2018

Verbatim Accounts Client Analysis

Student nurse
Student Nurse: “Magandang umaga po! “oo” Greeted the patient and ask how she
Naalala nyo pa ho ba ako?” is doing. The patient responded
SN: “kamusta po kayo rito?” “Ayos naman.” that she remembers the student
nurse. The

SN: “alam nyo po ba kung anong opo. Ngayon ay araw ng Helps the client to be attached to
petsa, araw, buwan at taon ngayon? lunes. May 7”
reality and see if the client is
“2018”
oriented.
SN: “tama po. Eh nasaan po kayo “sa mental”
ngayon nay?”

SN: “kumusta naman ang araw mo “ayos naman” So that she can use her
nay?” knowledge to recall what she
has done for the whole day

SN: “ah mamaya po mag the-therapy “ah ganon ba, sige. The nurse briefs the client about
po ako kasama ko po si deus. Sana Goodluck ah!”
the activities of the day.
po mag enjoy kayo”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 SN: “may idea na po ba kayo kung ano “wala pa”
gagawin natin?”
SN: “ah mamaya po magtuturo po ako “ah sige” The student nurse orients the
sa mga dapat gawin tuwing botohan at client about the details of the
kung ano ang mga gagawin tuwing activities
nagtatae”
SN: “ah kayo ano ano po yung mga “ano.. uminom ng gamot” The nurse asks the patient about
ginagawa nyo pag nagkakasakit kayo?” the health practices of the patient
SN: “bukod po sa paginom ng gamut “wala na.. inom lang ng through introducing the activities
may iba pa po ba kayong ginagawa?” gamot talaga” for the day
SN: “ah ganon po ba. Mamaya din po “halo-halo? Nagtinda din
gagawa po tayo ng halo-halo sa ako nun dati”
tulong po ni student nurse deus.” The nurse asked the patient about
SN: “ah talaga po? Bukod po sa “tinda ako ng ano…. Sari- her previous jobs
pagtitinda ng halo-halo at
sari”
paglalaba, ano pa po ang mga nagging
trabaho nyo”

SN: “ang dami nyo po pala nagging “oo” *smiles*

trabaho.”
SN: “pag labas niyo po dito ano po “maglaba” The nurse asked the patient about
her plans when she gets out of the
yung mga plano nyong gawin?”
institution. Making plans
SN: “saan po kayo unang pupunta? Sa “sa Isabela sa kuya ko. increases the likelihood that the
client will cope more effectively
leyte o sa Isabela?” Andun kasi yung anak ko eh”
in a similar situation.
SN: “ano ano po yung mga plano nyong “magbakasyon ganun. Sa Makes her realize the value of
life, hope and love
gawin pag labas nyo dito?” beach”
SN: “ah. Kung sakali po na magka “hanap ako ng solusyon”
problema kayo sa labas paano nyo poi *smiles*
to haharapin?”
SN: “tama po! Dapat magahanp ng “oo. Dapat masaya”
solusyon at hindi dapat sobrang
malungkot! Dapat lagging masaya”
SN: “sa ngayon po, puputulin po muna *smiles* “Salamat din!” The student nurse thanked the
natin ang kwentuhan natin para po patient and told the patient when
mag handa sa ating mga activities. she will meet the patient again
Salamat po sa pakikinig bukas po
ulit!”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
MAY 8, 2015

Verbatim Accounts Client Analysis

Student nurse
Student Nurse: “Magandang umaga po! “oo” Greeted the patient and ask how she
Naalala nyo pa ho ba ako? is doing. The patient responded
SN: “kamusta po kayo rito?” “Ayos naman.” that she remembers the student
nurse. The
SN: “alam nyo po ba kung anong opo. Ngayon ay araw ng Helps the client to be attached to
petsa, araw, buwan at taon ngayon? martes, 8 po ng May 2018.
reality

SN: “tama po. Eh nasaan po kayo “sa mental”

ngayon nay?”

SN: “kumusta naman ang araw mo “ayos naman” So that she can use her knowledge
nay?” to recall what she has done for
the whole day

SN: “nag-enjoy po ba kayo sa mga “oo” The nurse asked the patient about
therapy natin kahapon?”
the activity therapies they did
before to measure if the patient
SN: “saang part po kayo natuwa or “sa paggawa ng halo-halo” is able to recall things and if the
mas nag-enjoy?” patient was conscious.
SN: “ano-ano po yung mga natutunan “natuto ako sa pano pag-
nyo kahapon?” alaga ng katawan. Kung ano
mga dapat kainin,
kailangan malinis tsaka
kung pano gumawa ng halo-
halo”
SN: “ngayon po kamusta naman kayo?” “maayos naman” The nurse asked and clarify the
SN: “tanong ko lang po ulit, ilang “6 na taon na” hallucinations that the patient
taon na po kayo dito sa ncmh? experiences. Helps the client to
SN: “tanong ko lang po paano po kayo “naglayas ako samin” talk more that can help her express
napunta ulit dito?” her feelings and emotions
SN: “maari ko po bang malaman ano po “may bumubulong sakin”
dahilan kung bakit po kayo naglayas”

SN: “ano po yung sinasabi nung “wala naman sabi lang

bulong po?” maglayas ako”
SN: “pwede kop o ba malaman kung “di ko alam eh” The student nurse clarified and
babae po ba o lalaki yung went into details on how and when
bumubulong?” the client experienced the
SN: “bukod pa sa sinsasabing “wala naman. Yun lang. hallucinations. encourages the
maglayas kayo, ano pa po ang maglayas lang” patient to elaborate or give some
sinasabi nung bulong?” ideas or feelings that will help
SN: “tuwing kelan nyo po naririnig “tuwing hapon o gabi” her express her
yung bulong po?”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 SN: “ano po ginagawa nyo pag “oo”
naririnig nyo po yung mga bulong?
Sinusunod nyo po ba?”
SN: “kelan nyo pa po naririrnig yung “matagal na. mga 6 na taon
mga bulong?” na ata”
SN: “kelan nyo po huling narinig “nung isang lingo”
yung bulong po?”
SN: “ano po gingawa nyo pag narirnig “wala” The nurse asked the patient about
nyo po yung mga bulong ngayon?” the coping mechanism of the client
SN: “ah hindi nyo na lang po *nods* when she experiences the
pinapansin” hallucinations.
SN: “kalian nyo nga po ulit huling “kahapon”
narinig yung mga bulong?”
SN: “ah ma’am kanina po sinabi nyo “oo nung isang linggo”
po nung isang linggo..”
SN: “ah mam ngayon naman po ang “oo” The student nurse briefed the
gagawin natin ay music therapy at patient about the activities of the
bibliotherapy. Ang music therapy po day.
magkakantahan po tayo sa
bibliotherapy naman po, magbaasa po
tayo ng kwento po. Handa na po ba
kayo?”
SN: “ah sige po ma’am puputulin kop “nica, birthday ko na. The nurse thanked the patient for
o muna ang kwentuhan natin dito. Sa regaluhan mo ko ng fudge the conversation. The patient asked
isang lingo po, may socialization po bar at energen ah” for a gift but the nurse told the
tayo. Magsasaya po tayong lahat patient that she cannot promise
dun.” anything.
SN: “ah ma’am di kop o maipapangako “sige”
pero titignan po natin”
SN: “sige po ma’am. Salamat po sa
pakikipagkwentuhan nyo sakin! Sana
po marami kayo natutunan”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
MAY 15, 2018

Verbatim Accounts Client Analysis

Student nurse
April 16, 2018 “oo” Greeted the patient and ask how she
Student Nurse: “Magandang umaga po! is doing. The patient responded
Naalala nyo pa ho ba ako? Pasensya “Ayos naman.” that she remembers the student
na pow ala ako nung isang lingo nurse. The
nagkasakit po kasi ako eh”
SN: “kamusta po kayo rito?”

SN: “alam nyo po ba kung anong opo. Ngayon ay araw ng Helps the client to be attached to
petsa, araw, buwan at taon ngayon? martes, May 15, 2018”
reality

SN: “tama po. Eh nasaan po kayo “sa mental”

ngayon nay?”

SN: “kumusta po kayo ma’am, “oo” *smiles* So that she can use her knowledge
nagenjoy po ba kayo sa to recall what she has done for
socialization natin?” the whole day

SN: “kanina po Nakita ko kayo ang *laughs* The nurse asked the patient about
galling nyo po sa mga games ah”
her experience with the
socialization. The patient seem to
SN: “masaya po ba kayo ngayon” “oo sobra” have enjoyed the socialization.
SN: “Marami po ba kayo nakain “oo”
kanina?” The student nurse thanked the
patient for the whole experience
SN: “masarap po ba ang spaghetti? At “oo”
and hoped that the patient learned
ang melon juice?” from you and from the experience
with the group. Appreciation is
SN: “Ma’am, eto po yung regalo “okay lang. Salamat,
the best thing that can help the
naming sa inyo. Hindi ko po nabili nica!” client to have a presence of
recognition and will increase her
yung fudge bar at energen pero eto
self-esteem.
pong regalo naming makakatulong poi
to sa inyo lalo na po sa personal
hygiene nyo”
SN: “Salamat din po ma’am, sa mga “nica, Salamat. Pagdadasal
binahagi nyo po sakin. Kahit sandal ko n asana makapasa kayo
lang po tayo nagkasama. Sana po sa board exam nyo”
marami kayong natutunan ako din
naman po marami po akong natutunan”
SN: “nako ma’am maraming Salamat “oo. salamat”
po!! Kayo din po ipagdadasal ko na
tuluyan na po kayong gumaling at
makalabas. Basta wag nyo po
kalimutan magdasal at alagaan nyo po
Prepared by: Nica Sharmaine C. Salazar, UST-SN
3NUR-8
 ang sarili nyo dito at ipagpatuloy
nyo lang po ang pag-inom ng gamot.”
SN: “sige po ma’am, mauna na po kami. “sige. Ba-bye”
Salamat po!”
SN: “ba-bye po” *smiles* *waves hand*

SUMMARY OF INTERACTION:

The interaction with client L.V was indeed meaningful and full of knowledge.
Both the patient and the nurse gained knowledge throughout the interaction. I learned
that therapeutic communication is genuinely helpful to the patient, but that it is
difficult to practice. Paying attention to someone’s non-verbal cues helps you to
read between the lines and understand what is really being said. Also using open
ended questions/statements and silence can really help with having a productive
conversation instead of yes and no repetition. I do feel that using silence might be
a little awkward and is something I will have to get used to, but I do see the
benefits of this technique. I’ve also realized the importance of using the
communication technique of offering of self. If you don’t offer something in return
the patient won’t connect with you and won’t trust you. If your patient doesn’t trust
you, you have no relationship to build on. I was much more aware of myself and how
I am speaking during this conversation. It seemed awkward to keep direct eye contact
continually and to make sure I had a smile on my face. I feel that I had a decent
conversation and that it was helpful to LV, but I do realize that there are areas in
which I can improve to make my verbal and nonverbal communication more congruent and
consistent.

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 Assessment Diagnosis Analysis Objective Intervention Rationale Evaluation
Subjective Sensory Change in the After 5 hours -Observe for signs -Hallucinations can After 5 hours
data: perceptual amount or of nursing of anxiety and cause fear and of nursing
“Verbalize alteration patterning of intervention: fear. anxiety to the intervention:
s someone due to incoming patient and can
is hallucinati stimuli Short Term: cause harm to the -The patient
whispering ons accompanied by -The patient patient. was able to
to her a diminished, will be able identify her
saying exaggerated, to identify -Accept that the -The voices heard triggering
‘lumayas distorted or the triggering voices the client can sometimes factors and is
ka’” impaired factors that is hearing are true command the patient able to
response to a can cause her and asking them to kill or harm recognize them
Objective stimulus. hallucinations what the voices others or herself.
Data: and delusions are. -The patient
(+) -To help give the was able to
Hallucinat Long Term: -Help the patient patient the power to find ways to
ions -Patient will identify what overcome or manage keep herself
be educated causes or triggers her hallucinations. distracted
about the many her hallucinations. during her
ways she can -To help decrease episodes and
refrain from -Engage client in the occurrence of avoided
interacting non-stressful, hallucinations or to interacting
with her reality-based serve as distraction with the
hallucinations activities such as from the voices.
playing, writing, hallucinations. To
-Patient can drawing, or help decrease the -The patient’s
affirm that listening to music. triggers of her hallucinations
the “voices” hallucinations. are well
are no longer controlled and
threatening or -For easy are not
doesn’t -Use anti-psychotic restraining of out- interfering
interfere with drugs as ordered. of-control patients with her daily
daily living. living.

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8