Patients Name: Sta.

Rita, Francisco Age: 29 years old Sex: Male

Diagnosis: Schizophrenia, Undifferentiated Institution: Mindanao Center of Psychiatry and Behavioral Medicine Date & Time: February 19, 2013 @ 2:30 PM INITIAL NURSE- PATIENT INTERACTION

Date and Time Verbal

Nurse Non Verbal Establishes eye contact Verbal

Patient Non Verbal Cannot maintain eye contact

Nurses Feelings & Thoughts I had already viewed the patients chart before having the interaction with the patient. Having the idea that his diagnosis is Schizophrenia Undifferentiated, I pity the patient because his knowledge about his condition is

Analysis

Interpretation

February Kabalo gyud 19, 2013 @ 2:30 PM ka sa imohang kondisyon?

O uy kabalo kaayo. Bipolar man ang akoang sakit.

Illogical Thinking

The patient concluded that he has Bipolar Disorder but when asked how he got such idea, he said that he just knows it and just concluded the condition just by himself without any consultation and confirmation from his physician. Such

wrong. As a student nurse interviewing him, I asked him how did he get such idea and I asked him to elaborate his feelings and thoughts about having Bipolar disorder. Niana man ka na tong ikatulo ninyo na igsuon kay namatay. Unsa iyang gikamatyan? Close mo ato niya? Continues to maintain eye contact Aw sa tiunod gyud wala nako kahinumdom sa tanan. Lahi nalang atong storyahan. Kadtong sa una ba kabalo naman gyud Looks away from the student nurse I felt sad and at the same time uncomfortable knowing that I have to ask such emotional and sensitive topic to him. I didnt force him to answer my Suppression

manifestation is called Illogical Thinking. Illogical thinking, according to Kaplan is a form of thinking that contains erroneous conclusions.

Patient suppressed details about him and his brothers relationship in the past. He didnt answer to a sensitive topic because this may bring out

ko na lahi ko. Kadtong nagadako na ko di guyd nako mafeel na mabelong ko sa isa ka grupo.

question because it seems that my question is too sensitive for him. This question may trigger some emotions to him and maybe some of these emotions wont be very pleasing.

emotional memories from the past. He just then asked me if we could just change the topic into what he feels growing up. He said that he feels and he already knows that he doesnt belong to a group. According to Keltner, patient was using Suppression as defence mechanism. Suppression is Conscious exclusion of

unacceptable desires, thoughts, or memories from the mind. Niana man ka na naa kay madunggan na mga tingog. Makadungog ka nila karon? Oo makadungog. Ginatawag ko

Conveys a serious facial expression

Looks at an empty space

I personally pity the patient because of his disturbance in perception. I explored more about his answer and I asked him what they are saying to him.

Auditory Hallucination

Patient verbalized hearing voices calling out his name. Such disturbance in perception wherein there is false perception of sound, usually voices, and also noises is called Auditory Hallucination.

and maintains nila. eye contact

Johnny, tara didto ta oh kay akoang kuhaon

With pleasant Ay dili lang tone of voice; maintains eye contact ko. Diri lang ko. Di ko gusto

Looks away from the student nurse

I got very disappointed on his response. I was assuming

Negativism

When asked to move on the allotted place where the

imohang timbang. Kailangan man gud na siya para masiguro na tama imong timbang sa imohang katas-on.

mahibal-an akoang timbang.

that he would follow my instructions but he refused it because he said that he doesnt want to move from his place and that he doesnt want to know his weight. Because, I respect his decision to refuse from having taken his weight, I didnt force him to do so but instead I just continued the interview.

weighing scale was located, patient refused to be moved from his place. He said that he doesnt want to know his weight. According to Kaplan, patient exhibits negativism. Negativism is the motiveless resistance to all attempts to be moved or to all instructions.

Unsa diay

Looks at the

Ako di man

With eye

As the student

Circumstantiality

Patient responded

imong paborito na subject Johnny?

patient with eye contact

gyud ta ko gusto magtheology, gusto man ko magaccountancy. Nindot man ang accountancy kay sigeg solve ba. Nindot man sad hiuon ang theok ay challenging. Mao ganahan ko ug accountancy kay mahilig man kog math gud.

contact to the student nurse

nurse tasked to interview the patient, I was pretty confused of his answers. Basically, I thought that he would not get into his point but I still allowed him to continue answering and I waited patiently for him to arrive to the accurate response.

to my question but at first his answers were very confusing and that it didnt answer my question. But at the end, he managed to get to the appropriate answer to the question. The indirect speech that is delayed in reaching to the point, according to Kaplan, is Circumstantiality.

So ganahan

Smiles at

Ang 100- 7

Seems

I really pity the

Poor

Knowing that

diay kag math patient; kay magaccountancy gud unta ka? Sige daw testingan daw nato imong skills sa math. Iminus daw ang 7 sa 100. Tapos ang answer ana iminus napud sa 7. maintains eye contact

kay 93. Sunod ana 93-7. Ummmm. Di naman ko kabalo uy. Maglibog na ko.

confused; looks at the empty space

patient because he said that he wanted to be an accountant but

Concentration

patient has acquired education until third year college and he said that he wanted to be an accountant, I was assuming that he has broad knowledge on calculations. But when asked to subtract 7 from 93, he could not give an answer to that. According to Kaplan, when a person has difficulty concentrating on mathematical calculations that

when asked to subtract 7 from 93, he could no longer answer it because he was very confused. I

Because

wanted to give him another

chance. I asked him again to

subtract 7 from 93 but still he could not give an answer to my question.

person has Poor concentration.

Patients Name: Sta. Rita, Francisco Age: 29 years old Sex: Male

Diagnosis: Schizophrenia, Undifferentiated Institution: Mindanao Center of Psychiatry and Behavioral Medicine Date & Time: February 25 2013 @ 1:30PM FINAL NURSE- PATIENT INTERACTION

Date and Time February 25 2013 @ 1:30PM @ patients Verbal Unsa tong imohang giingon ganiha na

Nurse Non Verbal Looks at the student nurse with eye contact Verbal Kuan sa

Patient Non Verbal Stands up and look at the student nurse

Nurses Feelings & Thoughts I felt upon

Analysis

Interpretation

Bizarre Delusion

Patient really believes that when he prays in a cave, God would really grant his wish to see things which he did not see before. According to Kaplan, such weird and absurd false belief is called Bizarre Delusion.

cave man to nagatoo gyud kayo ko ana na inig magampo ko didto gamit ang kandila na nakapatong sa bato. Matinuod man gyud na, tinuod gyud na.

listening to him because I dont share the same beliefs with him. Right after

mag-ampo ka sa bato nga

residence nay kandila?

saying that to me, I told him to elaborate thoughts beliefs his and about

praying at the cave.

Unsa pa imong gihuna- huna karon. Sultihi ko Johnny?

Maintains eye contact

Kabalo ba ka maam na kanang silhig mulupad mana. Nah mulupad gyud na!

Patient looks and points at the broom

It felt weird and Magical Thinking Patient was strange knowing that he was thinking that the broom would fly. This disturbance in the form of thinking according to Kaplan is called Magical thinking. Magical thinking is when a persons thoughts, words, or actions assume power.

thinking that the broom was

flying when I fact it didnt. I told him I didnt see the broom fly. It was just there, placed

still and intact on the floor. Inig kanang sa grupo sa skwelahan or sa dula unsa imong gusto follower ka o leader? Syempre leader! Dili man ko gusto magsunudsunod gusto nako leader gyud ko. Usahay gani

Continues to maintain eye contact

Looks at the student nurse with eye contact

was

pretty

Delusion of Grandeur

When asked if he is the leader or the follower in a group during class activities and games, patient immediately and

stunned on how he answered my question with all of confidence arrogance. his and I

asked him more

feel nako Ginoo ko.

about why he sometimes feels that he is God and why he

proudly said that he is the leader and at times he feels like he is God. Evidently, patient is manifesting Delusion of Grandeur wherein Kaplan had mentioned that it is the exaggerated conception of ones importance, power or identity.

always wants to be the leader.

Johnny, diba naa man koy giingon na mga butang na imohang hinumduman kay

Looks at the patient;

Kuan. Mao ba tong mga maam nakalimot naman ko. Naglibog ko

Seems confused; scratches head

Beforehand,

Impaired Immediate Retention

When asked to memorize those three fruits, after just 3 minutes he could not remember them all. According to

told the patient to these remember 3 fruits

maintains eye gulay? Hala contact

namely, papaya, mango banana. and After

pagkatiudtiud akoa kang pangutan-on ato? Unsa gani to?

kung unsa to.

about 3 minutes, he could not

Kaplan, the disturbance of memory manifested by the patient is Immediate Retention. This happens when the patient cannot anymore recall the three things that are similar to each other in a given time.

recall them. He seemed confused asked those me to be and if

things

were vegetables. In that very

instance, I pity him because for just 3 minutes he could no longer remember them. His inability to recall things is worse than that with my

grandmother so I really pity the patient. Aw ganahan Maintains Kuan. Wala Maintains I pity the patient Poor Because of

diay kag math? Dati gipasubtract man tika, karon addition nasad daw. Unsay answer sa 10 plus 10?

eye contact

naman ko

eye contact

because when he became

Concentration

patients mental disorder, he can no longer concentrate on things including calculations of numbers, even the simplest ones like 10 plus 10. Patient manifested Poor concentration. According to Kaplan, when a person has a hard time answering mathematical problems using concentration, that person has poor concentration.

kahinumdom. with the Malibog nako sa una hawud man ko ana.

student nurse; schizophrenic, seems confused he already has difficulty concentrating on things such as calculating numbers. Although he had not answered my question at first, I gave him chance he

another but cannot

still

answer

my question.

Isa ka semana ra diay ang pinakadugay nimo nga trabaho? Ngano man?

Maintains eye contact

O isa ka semana ra gyud. Kuan man gud sila man ang naay problema, dili man ako.

Maintains eye contact with the

Upon

hearing

Projection

Patient insisted and reasoned out that he had done nothing wrong in

these reasons, I was very

student nurse; bothered because hadnt anything he done that

order for him to quit or lose his job for just a week. He blamed the problem to his co- workers, he was saying that it was their fault not his. Patient exhibits Projection. According to Kaplan, Projection happens when a mentally ill person blames others so that he

insisted that he

made him lose his job but rather he blamed the co- workers in his different

jobs. He insisted that it was their fault that he lose his jobs.

will be excused the problem he had created.