NURSE PATIENT INTERACTION NPI Therapeutic Action & Defense Mechanism Rationale Observation

Orientation Phase N: Good morning po. Ako po si Kim Rabe, student nurse po ng FEU. Ako po ang makakasama mo habang nandito po kami. Kayo naman po si? P: Ako si Aurora. N: Nanay Aurora, nandito po kami ngayong araw mula 8 ng umaga hanggang tanghali po. Ganun din po bukas at sa susunod na linggo ng martes ang huling araw at ang ating socialization day. P: Sige. N: Nanay Aurora, may gagawin po tayong mga activities ngayon ha? Una po ay exercise at ang susunod ay music and art therapy. P: Sige. N: Nanay, ngayon po ay mag-doGiving information Giving information Giving information Giving information Informing the client of facts increases his or her knowledge about a topic or lets the client know what to expect. The nurse is functioning as a resource person. Giving information also builds trust with the client. Throughout the interaction, the client does not maintain eyeto-eye contact. The client wasnt able to express her thoughts because she wasnt able to remember things due to her condition. But she is cooperative and joins in every activity.

drawing tayo. Habang pinapakinggan po natin ang musika ay i-do-drawing po natin ang ating mga naiisip. P: Sige. N: Nanay Aurora, ano po ang dahilan at drinawing niyo ang inyong sarili, anak, at asawa. P: Hindi ko kasi masyado naalagaan yung anak at asawa ko. N: Sa kadahilanang ano po? P: Iba kasi yung anak ko, masyadong tahimik. Exploring N: E yung inyo pong asawa? P: Hindi ko na maalala. N: Kamusta naman po kayo? Nakatulog po ba kayo ng maayos kagabi? P: Okay naman. Oo, syempre. Broad Opening Broad openings make explicit that the client has the lead in the interaction. For the client who is hesitant about talking, broad openings may stimulate him or her to take the initiative. Exploring Exploring When clients deal with topics superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth.

N: Sino nga po ulit ako?

Exploring

When clients deal with topics

P: Hindi ko na maalala. N: Ako po ulit si Kim. Huwag niyo po kalimutan ha? P: Sige. N: Ilang taon na po kayo, Nanay Aurora? At kailan po ang birthday niyo? P: Hindi ko na maalala. N: Ano po madalas niyong ginagawa dito? P: Nakikipagkwentuhan lang sa kanila. Broad Opening Exploring

superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth.

Broad openings make explicit that the client has the lead in the interaction. For the client who is hesitant about talking, broad openings may stimulate him or her to take the initiative. When clients deal with topics superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth. Broad openings make explicit that the client has the lead in the interaction. For the client who is hesitant about talking, broad

N: Sino po madalas niyong kasama dito? P: Silang lahat.

Exploring

N: Nanay Aurora, saan po ang inyong probinsya? P: Wala, dito lang.

Broad Opening

openings may stimulate him or her to take the initiative. N: Nasaan po ang inyong pamilya? P: Sa bahay. N: Saan po ang inyong bahay? P: Sa bahay. N: Sino po ang dumadalaw sa inyo dito? P: Hindi ko maalala. N: Sige Nanay Aurora, ako po ay magpapaalam na. Aalis na po kami. Bukas na lang po ulit ha? May mga activities po ulit tayo. Bye Nanay Aurora. P: Sige. Formulating a plan of action It may be helpful for the client to plan in advance what he or she might do in future similar situations. Making definite plans increases the likelihood that the client will cope more effectively in a similar situation. Reference: Videbeck, S. L. (2011). Psychiatric-Mental Health Nursing. 5th ed. . Philippines: Lippincott Williams & Wilkins. Exploring Exploring Exploring When clients deal with topics superficially, exploring can help them examine the issue more fully. Any problem or concern can be better understood if explored in depth.