This is the guided objectives for Orientation Phase
1. Establish trust and rapport using therapeutic communication.
2. Mutually acceptable contract.
3. Assess client’s health status.
4. Identify signs and symptoms exhibited by client.
5. Give information about the student nurse.
Patient’s Name: Felix, Irish Eunice A.
Diagnosis: Undifferentiated Schizoprenia
ORIENTATION PHASE (March 17, 2021 / 8:00 PM)
Nurse PATIENT Therapeutic
Communication Rationale Analysis
Verbal Non - Verbal Verbal Non - Verbal Technique
“Magandang - Waves hand “Hello! - Waves hand ▪ Giving It shows that the ▪ The patient
gabi po Ma’am - Smiles Magandang - Smiles recognition nurse recognizes the exhibited a
Lao.” - Maintains gabi din.” - Maintains client as a person, symptom of
moderate eye moderate eye an individual that having
contact contact gives the client disorganized
- Good and - Good and fulfillment of his thinking (word
open posture open posture worthiness. In salad).
- In face to face - In face to face addition, it does not
position to position to the imply and hold the ▪ She also
the client. nurse. notion of value that exhibited
is of being “good or neologism
bad”.
▪ She exhibited
“Maari po ba - Moderate eye “Oo naman, - Smiles ▪ Offering Self Making oneself flight of ideas
akong umupo contact maupo ka.” - Maintains available on an when she
umupo sa tabi - In face to face moderate eye unconditional basis. jumps from one
mo?” position to contact Increases the related topic to
the client - Good and client’s feelings of another topic.
open posture self-worth.
- Good and - In face to face ▪ Patient doesn’t
open posture position to the show
- Smiles nurse. hallucinations
but based on
“Ako po si - Moderate eye “Ako naman si - Maintains ▪ Giving Informing the client her stories, she
Yobhel, 3rd year contact Irish, moderate eye information of the facts seems to
nursing student - In face to face Nagagalak contact increases his hallucinate at
po ng City position to kitang - Good and knowledge about times.
University of the client makilala” open posture the topic and what
Pasay. Ako po - Good and - In face to face to expect on the
ang magiging open posture position to the interaction. It also
student nurse - Leans nurse. builds trust with the
niyo ngayon.” forward client.
- Smiles
- Movement of
hands
- Shake hands
“Ma’am Irish. - Moderate eye No response - Maintains ▪ Establishing To set up a means of
gusto ko pong contact moderate eye confidentiality respecting the
malaman niyo - In face to face contact patient’s right to
na yung mga position to - Good and keep private any
information the client open posture information about
pong makukuha - Good and - In face to face his mental and
ko galing sa open posture position to the physical health and
inyo ay wala na - Smiles nurse. related care. This
po akong ibang also means allowing
pagsasabihan only those dealing
hangga’t wala with patient’s care
pong permiso to have access to the
niyo.” information that the
patient divulges.
“Makikinig po - Moderate eye “Sige. - Maintains ▪ Establishing Building a trusting
ako sa mga contact moderate eye trust relationship with
sasabihin ninyo contact the patient
tsaka - In face to face - Good and facilitates a more
magbibigay din position to open posture reliable data
po kame ng mga the client - In face to face collection because
activities na - Good and position to the of the easier
makakatulong open posture nurse. disclosure of
sa inyo.” - Smiles information by the
patient.
“Kamusta - Moderate eye “Ayos lang - Maintains ▪ Broad It allows the patient
naman po kayo contact naman ako.” moderate eye openings to take the initiative
dito? - In face to face contact to introduce the
position to - Good and
topic. It also
the client open posture
- Good and - In face to face simplifies that the
open posture position to the patient has the lead
nurse. in the interaction
and to think of an
interesting topic for
them.
“Layunin po ng - Moderate eye “Nods”. - Maintains ▪ Suggesting The nurse seeks to
ating contact moderate eye Collaboration.
offer a relationship
mapaguusapan - In face to face contact
ay ang alamin position to - Good and in which the client
kung ano pong the client open posture can identify
bumabagabag sa - Good and - In face to face problems in living
inyo at open posture position to the with others, grow
matulungan po nurse. emotionally, and
kayo sa inyong - Nods improve the ability
pagdedesisyon.”
to form satisfactory
relationships. The
nurse offers to do
things with the
client.
“Ano po ang - Moderate eye “Ako ay 40 - Maintains ▪ Providing broad Broad openings
pwede nyo pong contact taong gulang moderate eye openings. make explicit that
maibahagi sa - In face to face na. Ako ay contact the client has the
akin tungkol sa position to dating - Good and
lead in the
iyong sarili?” the client gumagamit ng open posture
- Good and Shabu - In face to face interaction. For the
open posture “substance position to the client who is
abuse” noong nurse. hesitant about
kabataan ko - Openly shares talking. Broad
pero itinigil ko about herself openings may
na. Minsan stimulate him/her to
may mga
take the initiative.
nakikita akong
ibang tao na
hindi nakikita
ng ibang tao
kaya minsan
hindi ko na
alam kung
totoo pa nga ba
ang
nakakausap
ko.”
This means delving
“Maaari nyo po - Moderate eye “Naalala ko - Maintains ▪ Exploring further into a
bang ibahagi sa contact dati, isang araw moderate eye
subject or an idea.
akin kung ano - In face to face nagalit ako contact
This also explores
po ang inyong position to tapos kumuha - Good and
the patient to help
mga iniisip?” the client ako ng plato open posture them examine the
- Good and tapos binato ko - In face to face issue more fully,
open posture sa madusura position to the
not only
hahaha.”, nurse.
superficially.
“Tapos meron - Eagerly shares
pa. Kumain ako about her
dati kasama si thoughts.
erap tapos
naguvuvwevwe
kami (sayaw)”,
“tapos alam mo
ba nung bata pa
ko, lagi akong
napapagalitan
ng nanay ko
kahit wala
naman akong
ginagawa tapos
nagalit ako kasi
ung paborito
kong laruan
nilalaro ng
kapitbahay
naming”.
“Nabanggit nyo - Moderate eye “Ah ayun ba, - Suddenly ▪ Focusing Provides limit to put
po na contact oo lagi akong bows her head client’s actions,
napapagalitan - In face to face napapagalitan while she’s thoughts or feeling
po kayo ng position to at nabubugbog talking.
into words and
iyong nanay the client ng nanay ko - Patient get’s
nung bata po - Good and kahit wala serious. shows place of
kayo kahit wala open posture naman akong interaction gives
naman po ginagawa. time to develop
kayong Palagi kasi inside.
ginagawa. syang lasing
Pwede ko pa po simula nung
ba kayong iniwan kami ng
matanong tatay namin
tungkol po tapos nagagalit
dito?” sya sakin noon
kasi kasalanan
ko daw”.
No response - Moderate eye “May mga - Suddenly ▪ Silence Helps the client
contact araw na bows her head appraise his own
- In face to face makikita ko sya while she’s rather than accept
position to sa paligid ko talking.
the opinion of
the client kahit sinasabi - Patient get’s
- Good and sa akin ng mga serious. others.
open posture nurse na - Patient shows
- Nods matagal ng fear
patay ang - Hands is
nanay ko pero shaking.
pag nakikita ko
sya nagtatago
ako dahil
natatakot
akong
masaktan ulit.”
Reflect the feelings
“Ano na po ang - Moderate eye “Kaba. Takot. - Looks away ▪ Encouraging
that are identified
nararamdaman contact Galit.” - Hands is expression
and encourage
nyo ngayon?” - In face to face shaking
expressions of these
position to - Hesitant to
feelings.
the client answer for
- Good and about 5
open posture seconds
This means
“Ano po yung - Moderate eye “Magtatago at - Suddenly ▪ Formulating a
planning in advance
ginagawa contact magdadasal at bows her head plan of action
what he might do in
niyong paraan - In face to face sasabihin sa while she’s
certain situations.
para mawala position to sarili na talking.
Making definite
yung mga the client imahinasyon - Patient get’s
plans increases the
nararamdaman - Good and ko lang sya at serious.
likelihood that the
nyo pag may open posture hindi sya - Patient shows
client will cope
mga oras na totoo.” fear
nakikita mo - Hands is more effectively in
sya?” shaking a similar situation.
“Masaya po - Moderate eye “Salamat din sa - Slightly turns ▪ Summarizing Stating the main
akong contact pakikinig sa her head and Planning points of a
nakayanan nyo - In face to face sakin iha. Sige towards me. discussion to
pong ibahagi position to bukas ulit.” - Smiles clarify the relevant
ang inyong mga the client slightly points discussed.
nararamdaman - Good and This technique is
sa akin, bukas open posture useful at the end of
ng tanghali - Appreciative an interview or to
maaari po ba review a health-
nating teaching session. It
pagusapan ito often acts as an
muli?” introduction to
future care
planning.
