Republic of the Philippines

University of Northern Philippines

COLLEGE OF NURSING
NURSE PATIENT INTERACTION By: Marius Clifford R. Billedo
ORIENTATION PHASE

National Center for Mental Health

PAVILLION 19

PATIENT:PETER ANG
AGE:43 YEARS OLD
OBJECTIVES

During this phase, the student nurse will be able to:

 to build rapport to gain the trust and cooperation of the patient

 gather necessary information about the patient
 Introduce the patient to what he could expect from the student nurse for the coming days.

SETTING
 The interaction happened in pavilion 19 (Custodial Ward) outside the ward, beside the basketball court, the weather is good. It’s cloudy to sunny.
The environment is clean and has a limited noise due to the vehicles passing around the pavilion.

NURSE PATIENT INTERACTION

NURSE PATIENT RATIONALE

“Magandang umaga po. Ako si Marius Clifford Billedo. 19 Ah mula kayo savigan. Acknowledging: greeting shows respect and
years old. Magaaral nang University of Northern opening the conversation explicit the patient
Philippines at nakatira ako sa Vigan city, Ilocos Sur. Ako to lead in the interaction. Initiate building of
po ang inyong student nurse at makakasama niyo po ako rapport by introducing yourself very amiably,
ngayon hanggang sa susunod na lingo mula sa oras na nicely and sincerely. This will also alleviate
1pm hangang 5pm.” apprehension thus encourages cooperation of
the patient.
 Republic of the Philippines
University of Northern Philippines
COLLEGE OF NURSING

“Ano pong pangalan ninyo?” “Peter” These questions gain basic but vital
“Ano pong apelyedo n‟yo?” “Ang” information, such as the name, age,
“Ilangtaonnapo kayo?” “62, june birthday” birthday, about the patient. a test if client
“Anong araw ng June ang birthday mo?” “June 24” do not have a problem with her
“Anong taon ka ipinanganak?” “1961. Eh ikaw?” identification.

Patient gives hint that he is interested to be

acquainted with the student nurse by asking
question about the student nurse
“Ako? Ipinanganak ako noong 1993. May „”wala. Nag iisa akong anak.” Sharing with patient a little information
mgakapatidkaba? about your family will give her a hint that the
conversation is open. Thus facilitate building
of rapport.
“ah ganon ba. Kami naman tatlo kami. Bago ko “wala, single pa ako pero may
makalimutan, may asawa na po ba kayo kuya girlfriend ako saamin” Asking about his family gain more
Peter? information about the client and his
significant others.
“Sya nga pala, taga saan ka?” “taga Santa Cruz, Manila ako” A question that asking for more information
to gain additional information.
“Ah balita ko maganda dun. Diba doon makakabili “oo, kaso hindi ko masyadong The nurse attempted to encourage the
ng mga murang gamit sa hospital? alam kong saan kasi ipinanganak patient to express his view about his place
akosa china .”
“Sya nga pala bago ko makalimutan, gusto ko Nodding and smiling
sanang ipaalam sayo na ang duty naming ditto
sanyo bilang student nurse mo ay weekdays
Preparation of termination phase to avoid
lamang. Lunes hanggang Biyernes. Pero noong lunes
separation anxiety in the part of the patient.
di tayo nagkita kasi orientation palang namin.
Hapon kami lagging nandito.
 Republic of the Philippines
University of Northern Philippines
COLLEGE OF NURSING
“May mga gagawin din tayong mga activities. Sana Nodding and smiling Giving ideas to the patient what to expect
matuwa kayo sa mga ihahanda naming at from the nurse-patient relationship
sanasamga activitiesnaiyon ay may matutunan experience will allow the patient what to
kayo.” anticipate from the experience
“anoang gusto mong itanong? Meron pa ba? “wala, ikaw ha, magtanongka” The nurse attempted to seek the patient‟s
view with regards to the activities. And
encourage the patient to express her
thoughts.
“Balik tayo sa kwentohan natin, sabi mo sa china ka “oo, ang tatay ko mula sa china
pinanganak…” proper, doon ako pinanganak,
doon din ako nag aral ng
elementarya. “
“So ibig sabihin marunong kang magsalita ng “oo, marunong din akong mag
chinese?” mandarin, English, thiawanes, Light conversation with the patient will
visaya” enhance the foundation of rapport and
“Pano ka naming natoto ng mga lengwaheng “ako, datiakong DJ sa Thailand, nurse-patient relationship
iyan?” naghohost ako ng mga
programa, nag aral din akong
nursing”
“Kuya kahapon, noong pagpunta naming dito “ah oo, alam mo ba, ang
sinabi mong ibabahagi mo sa amin ang tungko sa pamamalakad ditto sa mental ay
pamamalakad ng mental hospital." madumi. Ang Gawain ng mga
nurses dito ay pinapagawa sa
mga pasyente. Kape, sigarilyo at
alak ang pasweldo. Tas
mahehead lock ka pa kung
mahulikang naninigarilyo. Habang
sila kung manigarilyo ay
harapharapan, nagsusugal pa sila
habang nasa duty. Alam mo kung
 Republic of the Philippines
University of Northern Philippines
COLLEGE OF NURSING
maniniwala ka lang, kinasuhan ko
nga sila eh, pinablater ko pa nga
sila.

“kuya Peter maiba ako, diba nag-eexercise kayo “una sa ulo tapos kamay The nurse attempts to encourage the
dito? Maari mo bang ipakita sakin o sabihin kung hanggang sa paa. Saka lang patient to express his perception about the
paano iyong exercise nyo?.” naman kami nag eexercise pag an activity will help the patient recall
may mga student nurse ” dormant knowledge
“ah hindi ba kayo nag eehersisyo pag walang mga “Hindi, eh mga Gawain nga nila Giving feedback to the patient to enhance
student? Bakit hindi po ba nagpapaexercise ang pinagagawa sa amin. Tignan mo communication and encourages to
mga nurses sa umaga?” ang mahal ng bayad namin dito, evaluate the patient‟s ability and skills.
milyon milyon ang kinikita ng
mental hindi naman maayos ang
serbisyo nila.
“Sya nga pala, ano ang natapos mo kuya?” “high school lang dun sa Santa Asking question to determine the
Cruz malapit sa simbahan, educational background of the patient it
tumulong ako sa mga dalaga could lead to factors that might have
magbenta ng bigas” affected her behaviour.
 Republic of the Philippines
University of Northern Philippines
COLLEGE OF NURSING
“sinong mga dalaga kuya Peter?”
“ah, Sino ang mga naging kaibigan mo dito sa
pavilion?”
“marami pa sana tayong pwedeng mapagusapan
ngayon pero magkakaroon tayo ngayon ng play
therapy. Bukas ulit, huh magkikita nanaman tayo,
mga ganitong oras ulit. Gawa tayo ng mga activities
natin. Kagaya ng ginawa natin kanina.
“ung mga English” Validation is used to search for mutual
understanding for accord in the meaning of
the words
“Marami ah. Halos lahat e Using open-ended questions to achieve
kaibigan ko.” relevance and depth in discussion.
“ah maglalaro tayo, sige, salamat Terminating the conversation for today
ha! (Smile) nicely and assuring the patient for a repeat
encounter will improve the relationship and
experience. Encourage to express her
feeling about the today‟s conversation is an
assessment of what the experience is all
about for the patient.