A.

PLAY THERAPY

Definition

Depinisyon

A form of psychotherapy used with children to help them express or act out their experiences, feelings, and problems by playing with dolls, toys, and other play material, under the guidance or observation of a therapist.

Isang psychotheraphy na ginagamit sa bata para tuluyan nilang mailabas ang kanilang nararamdaman at naiisip sa pamamagitan ng mga laruan. Ginagabayan siya ng isang therapist na kung saan ay pwede siyang tulungan kung siya ay nahihirapan.

Layunin Purpose improved communication and understanding between the child and his parents Para matulungan ang bata na mas mapaganda pa ang kanyang pakikipagtalastasan

improved verbal expression, ability for self-observation, improved impulse control, more adaptive ways of coping with anxiety and frustration, and improved capacity to trust and to relate to others

Para mas medaling maintindihan ng bata ang kanyang mga nakikita at mababawasan ang kanyang tension at pagkabalisa para mapagkatiwalaan at makihalubilo sa iba.

Assists in the verbalization of feelings

Para mas lalong masabi ang nararamdaman

Uno, Dos, Tres

Uno, Dos, Tres

There are primarily 4 steps in this

May apat na steps sa larong ito. Pag

game. When the facilitator says uno, the sinabi ng facilitator na uno ang mga players will move their waist to their left, when manlalaro ay kekembot pakaliwa, pag sinabi the facilitator says dos, the players will move naman ng fcailitator na dos ang mga their waist to their right, when it is tres, the manlalro ay kekembot pakanan at pag sinabi players will move their wais to their front and ng facilitator na tres ang mga manlalaro ay when it is quatro, the players will move their maigagalaw ang kanilang mga beywang waist in circular motion. paharap at pag sinabing quatro lahat ay igagalaw ang beywang paikot.

Their will be a guide facilitator in front

Magkakaroon naman ng facilitator sa

in which they can follow. Whoever fails to harap kung saan pwedeng gayahin ng mga follow or didnt make it on time will be manlalaro. Kung sino man ang hindi

eliminated. They should always put their makakasunod ay matatanggal sa laro. Laging hands on their waste. There will be two nakalagay ang kanilang mga kamay sa winners which will be given the grand prize beywang. Dalawa ang panalo sa larong ito at and all the participants will be given a mabibigyan ng premyo at ang lahat ng sumali consolation prize. ay may consolation prize.

Techinique The dynamic therapy places importance on

Mga Pamamaraan

games, more physical in nature, as a tool, Ang theraping ito ay nagbibigay halaga sa laro which when applied, allows participants to kung saan pwedeng pasunurin and mga follow instructions. You are sure that they are participant sa pamamagitan ng pagbibigay ng opening up their minds, being alert and instruction. Magiging alerto sila at coordinated coordinated. In this play therapy techniques, however, therapist must be alert and watchful so that suitable changes can be made midway through the course of therapy. ang kanilang mga galaw.

Laging lang dapat nakabantay ang therapist dahil baka may biglang magbago/magkagulo sa kalagitnaan ng laro.

Standard Rules Alituntunin Make sure that there are no sharp objects used in the game Game should not involve extreme physical contact with other participants Siguraduhing walang matatalas na bagay sa gagawing laro Ang laro ay hindi dapat magkaroon ng labi na pisikalan na maaring mag dulot sa sakitan.

INTERPRETATION: The patients during the Play Therapy were very cooperative and got the instructions correctly. Most of them were very eager to play and join the activity. The program even in a limited time was done in proper way and that could not be possible without the continuous cooperation of the clients. ANALYSIS: My client was very excited with the games that she joined and was very cooperative. She can even follow instructions given and the determination to win the game was there. Also, she was able to cooperate to the groups strategy during the entire Play Therapy.

B. MUSIC AND ART THERAPY

Definition

Depinisyon

Art therapy is a unique opportunity for people of all ages- children, teens, and adult- to express themselves creatively while dealing with stress, grief, and loss. Art can produce a powerful release of feelings that can be healing to the mind, body and spirit.

Ang art therapy ay ang kakaibang paraan na magagamit sa lahat ng antas tulad ng mga teen, at adult na mailabas ang nararamdaman tulad ng pagkakatensyon, pagkamalungkot, o pagkawala. Ang art ay makapagbibigay ng mabuting paglabas ng nararamdaman na

maaaring makahilom sa damdamin, sakatawan It can be a phenomenal way to help inpatients at espirito. at psychiatric units to explore themselves and reveal deep issues that they are not quite capable of expressing verbally. Ito ay isang paraan para matulungan ang mga pasyente sa ibat- ibang psychiatric unit na mailbas at mabunyag ang mga malalalim na diskusyon at mga isyu kung saan ito ay hindi Music therapy is a form of therapy in which music is heard as part of a hospital routine. It can be transmitted via audiotapes, and radio. The therapy was used to treat psychiatric illness such as psychosis and neurosis. It is just like as the art therapy in which there is creative opportunity for patients and families to express emotions within an atmosphere of comfort and relaxation. Ang music therapy ay isang uri ng therapy kung saan mayroong musika na maaaring kasama sa routine ng ospital. Maaaring gumamit ng audiotapes at radio. Ang therapy na ito ay maaaring gamitin upang malunasan ang ibatibang psychiatric illness tulad ng neurosis, at psychosis at iba pa. katulad itong art therapy kung saan mayroong magandang oportunidad ang isang tao na mailabas kung ano ang mabigat nitong nararamdaman nila masabi sa salita.

Purpose

Mgalayunin

To facilitate positive changes in behavior and emotional well-being of an individual.

Upang makapagbigay ng positibong pagbabago sa pagasal at sa sariling emosyonal na pakiramdam ng pagiging masayang isang tao.

To evaluate the intellectual and emotional needs of an individual

Para malaman kung ano ang intelektwal at emosyonal na pangangailangan ng isang tao

To develop an increase sense of self awareness and thereby enhancing the quality of life of the client.

Para umangat ang pagkakakilala ng isang tao sa sarili nitong paguugali. Upang makapagbigay ng mabuting

kwalidad sa buhay ng isang tao.

To promote comfort and relax to the client

Upang

makapagbigay

ng

pagkamaluwag ng loob at damdamin

Technique

Pamamaraan

Therapeutic communication- the therapist provides empathy as well as giving silence to prevent

Therapeutic communication- ang therapist ay nagbibigay ng pakikiramay sa nararamdaman at ang pagbibigay ng katahimikan upang maiwasan ang mga hadlang sa

disturbances in the therapy and promote sense of well- being. pagsasayos ng therapy at makapagbigay ng kaginghawahan.

Standard Rules 1. The students introduces themselves to the participants. 2. The students states the definition and purpose of the music and art therapy.

MgaKaraniwangPatakaran

1. Ang mga estudyante ay nagpakilala sa mga sasali sa therapy.

2. Ang mga estudyante ay nararapat na magbigay ng depinisyon at layunin na angkop sa therapy na ginamit.

3. The participants were instructed to sit on the chair with a quiet environment. 3. Ang mga kasali sa therapy ay inatasang umupo sa tahimik na lugar. 4. The students distribute the materials to be used in collaboration with art therapy such as long bond paper and crayons. 4. Ang estudyante ay kailngang magbigay ng mgagamit na kailangan sa therapy tulad ng bond paper at crayons. 5. The students will play fast type of music followed by the slow type of music. 5. Ang estudyante ay magpapatugtog ng 6. The patients are instructed to interpret music by drawing or writing anything on the bond paper. 7. 7. The patient is encouraged to mabilis na uri ng kanta kasunod ang mabagal na uri ng kanta.

6. Ang

estudyante

ay

naatasang

discuss what they mean on their drawing in the bond paper in the front.

ipaliwanag ang musikang narinig sa pamamagitan ng pagguhit o pagsulat ng kung anong nararamdaman nila.

7. Ang mga naatasang sumalisa therapy ay magsasalita at magpapaliwanag

kung ano ang nilalalaman ng kanilang naiguhit o naisulat sa bond paper

INTERPRETATION: The patient explained that her drawing was about her Alma Mater which is UST (University of Santo Tomas). She drew that because she always remember her previous school and she is Proud to be a Thomasian as she mentioned. She also write the names of her sisters, parents and son. She also drew the road Espanya where she usually passes by according to her. She then drew around the UST the schools where her children studied and stated that her eldest son studied at Ateneo and took up Law and her sister who studied MedTech. She also drew the soccer field relates her with her son Kevin who she said to be a football player and studied at La Salle Greenhills ANALYSIS: She used color violet which represents royalty, nobility, spirituality, ceremony, mysterious, transformation, wisdom, enlightenment, cruelty, arrogance, mourning in writing the names of her family she relates that when she heard the music it made her sad. She also used yellow which symbolizes joy, happiness, optimism, idealism, imagination, hope, sunshine, summer for the UST and blue (peace, tranquility, cold, calm, stability, harmony, unity, trust, truth, confidence) for AB Economics which is her course. She also drew the soccer field and colored it as green that relates her with her son Kevin.

C. BIBLIOTHERAPY

Definition

Depinisyon

Bibliotherapy is an expressive therapy that uses an individual's relationship to the content of books and poetry and other written words as therapy. It has been shown to be effective in the treatment of depression.

Ang bibliotherapy ay isang therapy na gumagamit ng relasyon ng isang indibidwal sa nilalaman ng aklat at tula at iba pang mga nakasulat na salita bilang therapy. Ito ay ipinapakita na epektibo sa paggamot ng depresyon

Purpose

Mga Layunin

To broaden and deepen the client's understanding of the particular problem that requires treatment.

Upang mapaglawak at mapaglalim ang pagkaka-intindi ng kliyente sa particular na problema na nangangailangan ng paggamot

To Rebuild Thought Structures

Upang muling i-ayos ang pag-iisip

To Refocus the Emotions

Upang maibalik sa dati ang mga emosyon

To Redirect the Will

Upang maibalik sa dati ang kalooban

Technique

Pamamaraan

Therapeutic communication- The therapist Therapeutic communication- ang therapist ay provides guidance in the resolution of personal crisis through the use of directed readings and follow-up activities. nagbibigay ng gabay upang masolusyonan ang personal krisis sa pamamagitan ng pagbabasa at paggawa ng mga aktibidad.

Standard Rules

Mga Karaniwang Patakaran

1. Motivate the individual or individuals with introductory activities

1. I-motivate ang isang indibidwal o mga indibidwal sa pamamagitan ng pambungad na mga aktibidad.

2. Provide time for reading the material.

2. Maglaan ng oras para sa pagbabasa ng mga materyales.

3. Allow time to reflect.

3. Maglaan ng oras para sa pagmumuni-muni.

4. Provide follow-up discussion time, using questions that will lead persons from literal recall of information through interpretation, application, analysis, synthesis, and evaluation of that information.

4. Magbigay ng karagdagan oras para sa diskusyon, na ginagamitan ng mga tanong na maghahatid sa mga indibidwal sa literal na pagbabalik tanaw sa mga impormasyon sa pamamagitan ng interpretasyon,aplikasyon,pagsusuri,pagbu buo at ebalwasyon ng mga impormasyon.

5. Conduct evaluation and direct the individual or individuals toward closure of the activity.

5. Magsagawa ng pagsusuri at mamahala sa indibidwal o mga indibidwal patungo sa pagwawakas ng aktibidad.

INTERPRETATION: She did not read the story of Isko Moreno which we provided not because she doesnt like it but because she was not able to bring her eyeglass by that time and cant see clearly. She mentioned that she already knew the story and said that Isko Moreno came from a slam area and became successful man because of Herman Moreno who is her favorite as she stated. She mentioned a saying Before you aspire, you have to perspire.

ANALYSIS: Based on what my clients statement as she interpreted the story, she can comprehend with what the story tells about, the sense of the story and what lessons to be learned in it. She has an appropriate interpretation.

ORIENTATION PHASE Description of Phase

It is during this the introductory phase that the nurse and patient first meet. One of the nurses primary concerns is to find out why the patient sought help. The reason for seeing help and wheter or not it was vokuntary forms the basis of the nursing assessment and helps the nurse focus on the patients problem and determine the patines motivation for treatment

Objectives

1. 2. 3. 4. 5. 6.

To determine why the patient sought help Establish trust, acceptance and open communication Mutually formulate a contract Explore patients thoughts, feelings and actions To identify the patients problems To be able to define goals with patient

Date/ Time/ Venue: February 28, 2012 at around 10:30 am at Metro Psych Facility (Basketball Court)

NURSE-PATIENT INTERACTION

RATIONALE OF THE NURSES COMMUNICATION TECHNIQUE

ANALYSIS OF THE PATIENTS RESPONSE

General Appearance: Nurse: Good morning po Patient: Good morning din (smiling) The clients has an appropriate facial expression and has smooth rhythmic gait. Posture is stooped. Our client is appropriately dressed, well groomed with no body odor nor breath odor. No physical Nurse: We are the student nurses from Centro Escolar University Manila and Im Nia Giving information: making available the facts that the Patient: Ah Nia, as in little God. (smiling) client needs Motor Behavior: The client has a coordinated movement during the interview. No Nurse: (smiled)Today we will have our NPI until tomorrow and next week (Monday, Tuesday and Wednesday) Giving information: making available the facts that the Analysis: unnecessary movements elicited. Analysis: According to deformity noted.

Patient: Oh, so when is the Socialization Day?

client needs

Sensorium and Cognition: The client is oriented to time, place and person she is talking to. She is aware of

Nurse: The Socialization Day will be next week maam Monday, thats March 5, 2012. Patient: I will join for sure (smiling) Giving information: making available the facts that the client needs

what is being done by that time which is the NPI.

Analysis:

Perception: The client doesnt experience any hallucinations, delusions and illusions during the

Nurse: Kamusta po?

interview. Have a proper judgment to everything

Patient: Oh Im ok definitely. Analysis: Broad opening: make explicit that the client has the lead in Nurse: You look happy now maam the interaction Attitude: During the interview, the client was very cooperative and answers questions quickly. Patient: Because you are here and I can share my experiences in life to you (smiling) Recognition: acknowledging, indicating awareness Defense mechanism: Analysis:

Analysis:

Affective States: The client an appropriate affect. She laugh when she Nurse: May I know what is your name maam? Patient: My name is Rea as in R-E-A for REAL feels like something is funny, cry when feels sad

Analysis:

Exploring - delving further into a subject, idea, experience, or relationship Nurse: What do you want us to call you maam? Patient: Just call me Tita Rea or Mamita just like what my

Thought Process: My client sometimes has a circumstantialism

Analysis:

children call me or Mama

Exploring - delving further into Nurse: So you have your children Tita Rea? Patient: Yes, I have 2 sons and 2 daughters. My eldest is Honorio Antonio Rosario Pacis. I named him with due respect to my late father Honorio III (teary eyed) who is based in America. He is a very good looking guy who is studying at Ateneo. The second one is Maria Abigail. She is my ugly duckling but as she grew old, shes very pretty. I gave birth february13. Actually by that time, me and my best friend planned to have a date but hindi natuloy kaya dun kami nagcelebrate ng Valentines Day (laughing) Recognition: acknowledging, indicating awareness a subject, idea, experience, or relationship

Nurse: Oh I see, how old are you tita Rea? Patient: I am now 55 years old and turning 56 on December.

Nurse: You look younger tita Rea (smiling) Nurse: So now. Tita Rea do you have work when you were outside to support your children? Patient: Oh, you know Ive worked as a manager assistant at the Country Golf Club and I fell in love with my boss (whispering) and I cant concentrate with what Im doing. They were talking Exploring - delving further into Recognition: acknowledging, indicating awareness

Exploring - delving further into a subject, idea, experience, or relationship

about their crushes (smiling). And I was earning 575 pesos as a minimum wage way back 1983 and I just thought that it doesnt matter I can double it later on and have more money.

a subject, idea, experience, or relationship

Nurse: And where do you live before tita Rea? Patient: I live at Proj.4 and now my family is there.

Nurse: And now that youre here, who the one supporting your children?

Patient: Their father, we have a motor shop and by the way please patronize the piatos, this one Im holding (C2 drink) and Jack n Jill products because by that, you are making me richer and richer

Exploring - delving further into a subject, idea, experience, or relationship

Exploring - delving further into a subject, idea, experience, or relationship Nurse: So, you supply goods? Patient: No, kami ang gumagawa ng sasakyan na nagdadala ng mga product n yun.

Nurse: Youve mentioned that you have 4 children but you only named 2. Who are the

other two? Seeking clarification and Patient: Oh, the first one is Honorio Antonio Rosario Pacis.I named him with due respect to my late father Honorio III (teary eyed).And he now in Heaven. He is now an angel. My Hans (son) is the very first grandson of my father so he became the favorite.My father really loves my Hans. They were always together. The second one is Maria Abigail. She is my ugly duckling but as she grew old, shes very pretty. I call her Abby as in baby because for me, she is my baby. She has a very nice face. I named her after a foreign actress during my time because I loved to watch foreign movies you know. The third one would be Lea Therese and that I named after Lea Salonga during her peak and the last one is Kevin Joshua who I named after Home Alone because he is always left home alone (crying) and you know my Kevin is a very good son but during his teenage years, he got influenced by the bad guys and you know he nearly got kicked out of school and that I even have to go there just to defend him but it was too late. Focusing: taking notice of a single idea or even a single word validation - striving to explain what is vague and searching for mutual understanding

Nurse: Uhmm. Go on tita Rea. We are listening

Patient: My son used to be

with my father always. They were so close and my father, he always brings our family to different countries. Weve been in New York, Canada, Europe, Spain, London etc.

Nurse: Really?

Patient: Do you have more things to ask? Because I have to attend to other student nurses. I promised them that Ill come back

Offering general leads encourages client to continue

(silence) Patient: If you need something just ask ok?

Nurse: Ok tita Rea. Thank you for your time and see you tomorrow Voicing doubt - expressing uncertainty as to the reality of clients perception