49

6.2.3 SOAPIE/FDAR Charting

SOAPIE#1

S - Minsan tinatamad talaga akong maligo,tinatamad nga ako ngayon,tinatamad din akong maglinis ng kuko ko.O - Received patient sitting on bed, Unkempt hair noted, food stains visible on Clothing, untrimmed fingernails and toenails with visible dirt noted.A - Self-care deficit: bathing / hygiene related to lack of motivationP - To promote proper hygieneI - Establish rapport, Identify reason for difficulty in self care, Discuss the possible negative implications of not taking a bath such as infections and odor, Determine hygienic needs and provide assistance as needed with activities like care of nails and brushing teeth, Discuss on importance of hygiene, Orient patient to different equipment for self care like various toiletries, Assist with dressing neatly or provide colorful clothes.E - Verbalize self - care need but was unable to demonstrate strategy techniques to meet self - care needs.

SOAPIE#2

S -wala akong kausap sa ward kasi nahihiya ako sa ibaO - Receive patient sitting on the chair, Lacking eye contact, Lack social interaction, Has little interest in activities, Talks only when asked.A - Situational low self-esteem related to cognitive impairmentP -To promote socializationI - Spend time with patient. This may mean just sitting in silence for a while; Developed therapeutic nurse-patient relationship through frequent, brief contacts and an accepting attitude; Showed unconditional positive regard; Provide positive reinforcement for patient's voluntary interactions with othersE - Patients demonstrates willingness and desire to socialize with others.

SOAPIE#3

S -Nung Sunday o kaya lunes o ewan nkalimutan ko na.O -Receive patient sitting on the chair, Disorientation to time, observed experience of forgetting, scratches his head when he is unable to recall information.A - Impaired memory related to neurological disturbancesP -To promote awareness of memory problemsI - Provide opportunities for reminiscence or recall past events ,Encourage the patient to use written cues such as notebooks, Encourage ventilation of feelings of frustration, helplessness, and so forth. Refocus attention to areas of focus and progress. Determine patients response to medication, prescribe to improve attention, concentration memory process and to lift spirits and modify emotional responses.E - The patient was able to verbalize awareness of memory problems as he verbalized Minsan talaga nakakalimutan ko na ang iba.

FDAR#1

F Self-care deficit: bathing / hygiene related to lack of motivationD - Received patient sitting on bed, unkempt hair noted, food stains visible on Clothing, untrimmed fingernails and toenails with visible dirt noted.A - Establish rapport, Identify reason for difficulty in self care, Discuss the possible negative implications of not taking a bath such as infections and odor, Determine hygienic needs and provide assistance as needed with activities like care of nails and brushing teeth, Discuss on importance of hygiene, Orient patient to different equipment for self care like various toiletries, Assist with dressing neatly or provide colorful clothes.R - Seen patient taking a bath and wear new pair of clothes.

FDAR#2

F - Situational low self-esteem related to cognitive impairmentD - Seen patient sitting on bench, lacking eye contact, Lack social interaction has little interest in activities Talks only when asked.A - Spend time with patient. This may mean just sitting in silence for a while; Developed therapeutic nurse-patient relationship through frequent, brief contacts and an accepting attitude; Showed unconditional positive regard; Provide positive reinforcement for patient's voluntary interactions with others.R - Patient demonstrates willingness and desire to socialize with others.

FDAR #3

F - Impaired memory related to neurological disturbancesD - Seen patient sitting on chair, disorientation to Time Observed experience of forgetting Scratches his head when he is unable to recall information.A - Provide opportunities for reminiscence or recall past events. Encouraged the patient to use written cues such as notebooks. Encourage ventilation of feelings of frustration, helplessness, and so forth. Refocus attention to areas of focus and progress. Determine patients response to medication prescribed to improve attention, concentration memory process and to lift spirits and modify emotional responses.R - The patient was able to verbalize awareness of memory problems as he verbalized Minsan talaga nakakalimutan ko na ang iba.Nurse Patient Interaction

Process recording

ORIENTATION PHASE

April 13, 2014l. Objectives:

After 45 minutes of student nurse patient interaction, the patient will be able to:

1. identify the student nurses name

2. to establish roles and purposes of the meeting

3. to establish rapport and trust and cooperation

ll. Illustration

Legend:

Patient Student Nurse Other Student Other Patient Chairs TreeIII. Description

Before my initial interaction with my patient, He was walking in the ground wearing yellow-colored t-shirt paired with brown pants, with fixed hair. I have interacted with my patient on the bench near the basketball court. While sitting at his side. The place was not that crowded with patients and student nurses.

StudentPatientAnalysisRationale

Maaung buntag,kumusta manka?Magandang umagaGiving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient

Ako diay si Michelle Baco,Ako imung student nurse,Taga Naval State University sa Naval Biliran.Magsugod me karong adlawa Abril 7,2014 sugod sa alas 6 sa buntag kutob sa alas 10 sa buntag mahuman me diri og og duty inig Abril 18,2014.Michelle,dba yan yung Naval Institue of Technology dati?Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect

Oo,unsa diay imung pangalan?PercySeeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy makaintindi ka og bisaya? Oo, di nga lang ako marunong magsalita ng bisaya.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy magtatagalog nalang ako ha para klarado mong maintindihan yung mga sinasabi ko.Sige.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect

Percy bat mo alam ang Naval Institute of Technology?Nadaanan lang naming yun papunta kina Butchokoy taga Caibiran kasi sya.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Sino si Butchokoy?

Yung nangungupahan sa amin.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy bat may dala kang karton,aanhin mo yan?Tinatakip ko sa mata ko kasi masilaw masakit sa mata.Making ObservationSometimes patient cannot verbalize or make themselves understood or the patient may not be ready to talk.

Kumusta nga pala yung pakiramdam mo ngayon percy?Eto hindi masyadong ok.Encouraging Expression It encourages the patient to make his or her own appraisal rather than to accept the opinion of others

Tapos kana bang kumain ng almusal?Oo,kanina paSeeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy pumunta naba yung doctor mo dito,alam mo naba kung kailan kana pwedeng makalabas?Hindi pa nga,pero sabi nila pwede na daw akong makalabas kaso wala pang pera ang pamilya ko kasi 500 daw yung per day dito mahal masyado,tapos matagal na ako dito,walang pera.Encouraging description of perceptionEncouraging the patient to describe ideas fully may relieve tension to the patient.

Alam mo ba kung bakit dinala ka nila dito?Oo,kasi kumakain daw ako ng tiring pagkain sa basurahan.Seeking InformationSeeking clarification helps the nurse avoid making assumption that understanding occurred when it has not.

Anong trabaho mo doon sa tacloban Percy?Nagpapautang at may pinaririntahang bahay.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Ano nga pala yung relihiyon mo percy?Wala akong relihiyon kasi pantay-pantay lang naman.Isa lang ang diyos.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy diba nag therapy kayo kanina,kumusta yung pakiramdam mo?Ok. Lang.nakaka energize sa katawanEncouraging ExpressionIt encourages the patient to make his or her own appraisal rather than to accept the opinion of others.

Mabuti naman,nakakatulong talaga yang therapy sa inyu dito percy.Oo nga.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect.

Sige percy alis na kami ha.balik nalang ako bukas ng umaga.Sige.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what

to expect.

IV. Evaluation

Goal met,Patient was a able to identify the student nurses name,gained information on the purpose of duty.Patient acquired a sense of trust of the student nurse as evidentced by a continous conversation with the student nurse.

Working Phase

April 14, 2014I. Objectives:

After 45 minutes of student nurse patient interaction, the patient will be able to:

1. to identify issues and concerns causing problems

2. to guide patient to examine feeling and responses

3. to develop coping skills and more positive self - image

II. Illustration

Legend:

Patient Student Nurse Other Patient Bed Other Student III. Description

Before my initial interaction with my patient, He was sitting on the bed, wearing gray colored t-shirt and paired with brown pants with unfixed hair. I have interacted with my patient on the other side of the bed room near the comfort room while sitting at his side. The place was not crowded with patients and students.

StudentPatientAnalysisRationale

Good morning Percy.Good morningGiving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient

Kilala mo paba ako? Oo,ikaw si Michelle na taga Naval.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Ang galling naman ni Percy.(nod)Giving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient

Pwede dito muna ako umupo sa tabi mo percy. Oo,dito ka nalang umupo.Offering SelfThe nurse can offer his/her presence interest and desire to understood/understand.

Percy kumusta na yung pakiramdam mo ngayon?Ok. Lang naman nakakatulog na minsan.Encouraging ExpressionIt encourages the patient to make his or her own appraisal rather than to accept the opinion of others.

Ngayon ka lang ba gumising?Kanina lang kaso umulan natulog nalang ako ulit. Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Wala ba kayong therapy ngayon?Meron sana kaso umulan ngayon wala nalang.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Anong oras na ngayon,alam mo ba Percy?Alas 11(While watching in my wrist watch)Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Alas 11 ng umaga.OoRestatingThis lets the patient know that he or she communicated the idea effectively.

Ang galling namang bumasa ni Percy(Nod)Giving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient

Anong oras nga pala yung tanghalian nyo Percy? Alas 12,di ko nga alam kung anong ulam. Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Anong gusto mong gawing activity natin ngayon Percy,gusto mong mag drawing? Wag na waste of bondpaper lang yan,ok. Sana kung may therapy kaso wala,wag nalang.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy may tanong ako sayo,alam mo ba kung anong petsa at taon ngayon?Sabado,Abril 12,2014.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy lunes na ngayon Abril 14,2014.Akala ko sabado ngayon.Presenting RealityWhen it is obvious that the patient is misinterpreting reality, the nurse can indicate what is real.

Ngayon alam mo na kung anong petsa at taon ngayon.Oo,salamat.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect

Percy alis muna ako ha kasi tinawag pa kami ng instructor namin.O sige balik ka nalang.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect

IV. Evaluation

Goal partially met, Patient can identify issues regarding his own problem, And verbalize his feelings during interaction.

Working Phase

April 15, 2014I. Objectives:

After 45 minutes of student nurse patient interaction, the patient will be able to:

1. to identify issues and concerns causing problems

2. to guide patient to examine feeling and responses

3. to develop coping skills and more positive self image

II. Illustration

Legend:

Patient Student Nurse Other Student Other Patient Tree Chair

III. Description

Before my initial interaction with my patient, He was sitting on the bench wearing gray colored t-shirt and paired with brown pants with unfixed hair. I have interacted with my patient on the bench near the activity area, while sitting at this side. The place was not that crowded with patients and student nurses.

StudentPatientAnalysisRationale

Magandang umaga PercyMagandang Umaga din.Giving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient

Percy uupo muna ako sa tabi mo ha para mag interview.Oo,dito ka nalang sa tabi ko umupoOffering SelfThe nurse can offer his/her presence interest and desire to understood/understand.

Anong ginawa nyo kanina Percy?Nag exercise kami yung taga M.SU nga ang nag lead.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not

Kumusta naman yung pakiramdam mo?Eto,medyo napagod kanina pero ok. Lang naman ako. Encouraging ExpressionIt encourages the patient to make his or her own appraisal rather than to accept the opinion of others

Wala naba kayong ginawang activity ngayon araw? Nag music therapy nga din pala kami,yung taga surigao.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Anong title ng kanta?Kahit maputi na ang buhok ko,kumanta ako.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Kumanta ka nga ulit Percy.Kahit maputi na ang buhok ko.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Ang galling naman ni Percy.Hindi naman,marunong lang akong kumanta.Giving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient

Percy ngayong Huwebes o Biyernes magart Therapy tayo ha.Sige,gusto ko mag drawing.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Pagkatapos nag drawing mo percy ibigay mo sa akin ha.Ok. Ibigay ko sau para remembrance.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Percy alam mo ba kung anong oras na ngayon?Alas 10 na ata.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy alas 8 pa ngayon sa umaga.A akala ko alas 10 na,salamat.Presenting RealityWhen it is obvious that the patient is misinterpreting reality, the nurse can indicate what is real.

Percy anong gusto mong gawin natin para hindi ka maantok.Wala tatayo nalang ako para hindi ako maantok.Encouraging ExpresssionIt encourages the patient to make his or her own appraisal rather than to accept the opinion of others

Wala kabang gusting gawin?Wala kasi tiatamad ako,di nga ako naligo,kalian kayo uuwi sa naval.Seeking informationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Ngayong biyernes aalis na kami.Di na kayo babalik?ingat nalang.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Hindi na,dapat magpagaling ka Percy ha.OoGiving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Kailan kaba lalabas dito Percy?Sabin g Doctor pwede na naman akong lumabas kaso di pa ako pinupuntahan ng pamilya,para ditto na nga lang ako habang buhay.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy mahaba na yang kuko mo,dapat mag nail cutter ka ha,tapos linisin mo na rin yung kuko mo.Wag muna di pa naman mahaba.Making ObservationSometimes patient cannot verbalize or make them understood or the patient may not be ready to talk.

Dapat Percy maligo kana rin para mabango at presko sa katawanBukas lang ako maligo para alternate.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Percy alis na ako ha,balik nalang ako bukas.Sige Michelle at matutulog muna ako.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

IV. Evaluation

Goal met, Patient participates on the activities give and gained information on the purpose of duty. And patient acquired a sense of trust of student nurse as evidenced by a continuous conversation with the student nurse.

Termination Phase

April 18, 2014I. Objectives:

After 45 minutes of student nurse patient interaction, the patient will be able to:

1. participate in the therapy given

2. gain information about the purpose of the activity

3. have a good termination phase with her student nurse

II. Illustration

Legend:Patient Student Nurse Other Nurse Other Patient Chair TreLegend:

III. Description

Before my initial interaction with my patient, He was sitting on the bench wearing brown colored T-shirt and paired with brown pants with unfixed hair. I have interacted with my patient on the bench near the activity area. While sitting at his side. The place was not that crowded with patients and student nurses.

StudentPatientAnalysisRationale

Good morning Percy.Good morning din.Giving recognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient.

Kilala mo paba ako Percy?Oo, syempre ikaw si michelle.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Uupo ako dito sa tabi mo ha.Oo,mag e interview ka sa akin?Offering SelfThe nurse can offer his/her presence interest and desire to understood/understand.

Kumusta yung ginawa naming activity?Ok. Na energize ako.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy ang galling mong sumayaw a.Di naman masyado.Giving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient.

Percy yung toothpaste nahiningi mo,mamaya ko nalang ibibigay ha.Ok. Basta wag mong kalimutang ibigay sa akin mamaya ha.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Saan mo yan ilalagay?May lalagyan ako na ako lang ang may alam.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy alam mo ba kung anong oras yung pananghalian nyo?Alas 11 o di kaya alas 12.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy anong oras nangayon?Quarter to eleven (While watching in my wrist watch)Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Quarter to eleven.Oo.RestatingThis lets the patient know that he or she communicated the idea effectively.

Ang galling talaga ni Percy bumasa ng oras.(Nod)Giving RecognitionGreeting the patient by name, indicating awareness of change or noting efforts the patient has made all show that the nurse recognizes the patient.

Pagkatapos ng pananghalian nyo Percy anon a yung gagawin mo?Ako matutulog o di kayamnood ng palabas kasi wala ng therapy.Seeking InformationSeeking clarification helps the nurse avoid making assumptions that understanding occurred when it has not.

Percy anong nangyari dyan sa may ilong mo parang nagbabalat.Oo nga,ilang days na nga yan hinahayaan ko nalang.Making ObservationSometimes patient cannot verbalize or make themselves understood or the patient may not be ready to talk.

Maligi ka na nga pala Percy ha para malinis kana at mawala yang nasa mukhamo.Bukas na kasi giniginaw ako.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

Sige Percy alis na ako ha.Sige,punta na din ako sa taas.Giving InformationInforming the patient of facts increases his or her knowledge about a topic or let the patient know what to expect has not.

IV. Evaluation

Goal met, Patient participates on the activities and gained information about the purpose of the activity. I was able to say goodbye to my patient and so he is.6.2.5 Health Teaching Plan

OBJECTIVESCONTENTSMETHODOLOGY

GENERAL OBJECTIVES:

After 2 weeks of nursing interaction, the patient will

be able to develop trust with the student nurse and gain insight on the reason of admission.

OBJECTIVE:

After 15-40 minutes of

nurse-patient interaction, the

patient will be able to:

1.increase positive attitude

in meeting self-care needs

2. state the importance of

sharing ones emotions

and feelings

3. acquire adaptive coping

skills and mechanisms

which are useful in times of

crisis

Daily bathing and grooming is important to maintain cleanliness of body parts, to promote good skin turgor and to eliminate bad odor. Patient can now be a role model for other psych patients who have poor grooming.

Importance of sharing ones emotions and feelings:

- Decrease anxiety

- Increases the feeling

of self-worth

- Lessens the burden

felt inside

- Helps in coping up

with the situation

Adaptive coping mechanisms:

- compensation

- diversional activities

- participating in the

activities of the ward

- verbalization of feelings

and emotions to othersLecture-discussion

Discussion-sharing

and patient

demonstration with

student nurses

assistance

Discussion-sharing

6.2.6 TherapiesMORNING EXERCISE

-is a regimen or plan of physical activities carried out in an effort to reach specific therapeutic goal. It focuses on moving the body to improve mobility, circulation and levels of fitness. It also helps relieve stress, improve sleeping pattern, combat depression and generally improve sense of well-being.

Exercise is simply a way of providing facilities for patients to take part in activities; like other therapies such as group/individual psychotherapy and behavioral therapy, it is an active psychological process. Therefore, exercise gives not just the benefits of being physically active and fit, but mental and psychological well-being too.

DATE OF ACTIVITY: APRIL 9, 2014

TIME FRAME: 30-45 MINUTES

PARTICIPANTS: MALE PATIENTS GUIDED BY THEIR STUDENT NURSE

I. OBECTIVES

GENERAL OBJECTIVE

After 30-45 minutes of therapy, the participants from the male patient group will be able to increase general health and well-being and improve physical fitness.

SPECIFIC OBJECTIVES

After 30-45 minutes of therapy the participants from the male patient will be able to:

1. enhance levels of physical fitness

2. participate and follow the procedures being executed by the facilitator

3. verbalize feelings and thoughts about the therapy

4. develop social participation and understanding ones self as a part of the group

INTRODUCTION:

Ladies and gentleman, good morning. We are the Group-1 3rd year students of Naval State University from the Province of Biliran. We are here in front of you to conduct Morning Exercise.

ORIENTATION TO TIME PLACE AND ACTIVITY

Once again, we are the Group-1 3rd year students of the Naval State University. Our activity will be held today, April 9, 2014, 7 oclock in the morning, here in Vicente Sotto Memorial Medical Center, Center for Behavioral Science WARD XII. And we are requesting our co-affiliates and their respective patients to gather so that we can start our exercise. Let us all be ready.

SETTINGS OF LAGDA

1. Participants should follow the steps executed by the facilitator.

2. Participants should stay in place during the therapy or all throughout the therapy.

3. Participants should maintain distances between participants.

4. Avoid fighting with other participants.

5. Avoid criticizing other participants performance.

PROCEDURES/STEPS

1. Inhale and exhale (8 counts)

2. Rotate your head 8 counts to left and right (16 counts)

3. Rotate your shoulder up and down (16 counts)

4. Rotate your arms (16 counts)

5. Rotate your hips 8 counts to the left and right. (16 counts)

6. Rotate your knees. (16 counts)

7. Rotate the left and right foot (8 counts each)

8. Jump and clap your hands (16 counts)

9. Reach your feet and stand up again (16 counts)

10. Raise your hands and extend to other direction

EXPRESSION OF FEELINGS

We are going to call and request our selected participants to come in front and discuss his feelings after the therapy and what he can say about his performance.

FINAL WORDS

We would like to express our gratitude to the Staff of VSMMC WARD XII, especially Sir Rusil and Sir Jeral for approving and making this therapy possible, to our Clinical Instructor Mam Thelma Pojeda, for guiding us throughout the therapy and of course to our co-affiliates for the assistance, and lastly to our male patients who willingly and actively participated, a big round of applause to everyone. Thank you and good morning.DANCE THERAPY

Dance therapy is the psychotherapeutic use of movement and dance for emotional, cognitive, social, behavioral and physical conditions. It is a form of expressive therapy that uses body movements accompanied by a music. It is not only a fun activity but also a form of exercise that promotes blood circulation and muscle coordination. Dance therapy can be applied to all form of psychic and psychosomatic disorders. Through our own experience in movement and dance we are not only touched physically but also emotionally, mentally and spiritually. The human being makes contact with the conscious and unconscious parts of his personality, learns to accept them and to assimilate his experiences based on his personal history.

Dance therapy helps removing inner obstacles - the stones that scatter our path to spiritual wealth and feelings of joy and harmony. Only when we exude inner radiance are we able to light up other people's lives. My aim is to create a reality which makes life worth living, despite possibly unfavorable childhood experiences. Dance therapyis practised as both individual and group therapy in health, education and social service settings and in private practice. Dance therapy is founded on the principle that movement reflects an individuals patterns of thinking and feeling. Through acknowledging and supporting patient s movements the therapist encourages development and integration of new adaptive movement patterns together with the emotional experiences that accompany such changes.

Date of Activity

: April 18, 2014

Time Frame of Activity: 30-45 minutes

Participants

: male patients

I. OBJECTIVES

General Objective

After 30 minutes of nurse patient interaction, the patients will be able to express their thoughts and feelings through dance.

Specific Objectives

After 30 minutes of nurse patient interaction, the patients will be able to:

1. state their own lagda;

2. verbalize feelings and thoughts after dancing;

3. follow the steps according to what the facilitator executed during the dance therapy;

4. develop better understanding about themselves and the way they relate to the people around them.

II. PHYSICAL ARRANGEMENT

A. Location : Male Ground

B. Conceptual presentation of the participants formation

Facilitator Patient

Assistant Facilitator

Evaluator

C. Facilitator : Colita, Analisa

Brun, Glaiza Reina

D. Assistants : Armstrong, Rolando

Sumayan, John Cris

Berber, Alia

E. Evaluators : Baco, Michelle

Rostata, Ross Rhynss

III. MATERIALS TO BE USED:

speaker

microphone

IV. TASK ASSIGNMENTS

Facilitator: facilitates and helps to bring about an outcome by providing supervision; gives instructions / directions in the therapy; helps to become aware of the feelings they hold for one another.

Assistants: provides direct assistance between student nurse and patient.

Evaluator: notes down verbalization of feelings among the patients after the therapy; promotes sharing of information from patients who participated in therapy.

V. RULES TO FOLLOW DURING THE CONDUCT OF THE THERAPY

1. Kong magsugod na ang therapy dili pwede mag-lakaw-lakaw.

2. Kinahanglan maminaw og maayo sa amo gesulti.

3. Dili manundog sa gebuhat sa katapad.

4. Attenderi ang kaugalingon.

5. Dili manamay sa imo katapad.

6. Magpabilin sa pwesto hangtod matima ang therapy.

VI. THERAPY PROCESS

ACTIVITYROLE OF FACILITATOR

1. Gather participants to the male ground.1. Assist and encourage patients to participate in the dance therapy.

2. Explain the rules and regulations to be followed for the entire therapy.2. Ask patients for additional rules. Let them state their own lagda

3. Provide instructions on the conduct of the therapy.3. Instruct patients to pay attention to the instructions given.

4. Start the actual dance therapy.4. Allow patients to concentrate on the dance steps.

5. Evaluate the patients feelings about the therapy.5. Appreciate and praise the patient after they dance. Encourage the patients to express their feelings about the therapy.

VII. POSSIBLE QUESTIONS TO FACILITATE SHARING

1. What do you feel after the therapy?

2. What are you thinking while dancing?

3. How does the therapy help you?

VIII. PRECAUTIONS TO BE OBSERVED

1. Once patient is combative and agitated, report immediately to the staff on duty.

2. Monitor the patient during the therapy.

3. Maintain a safe environment for the patients.

IX. EVALUATION OF THE THERAPY

To be documented in the chart of the patients who participated in the session.MUSIC THERAPY Music therapy is a form of expressive therapy that uses the art of ordering sounds. Music therapy combines with instrumental or mechanical sounds having rhythm, melody and harmony.

Music therapy for psychiatry patient is based on the belief that everyone able to express their feelings and emotion when they hear a certain sound or music.Date of Activity

: April 18, 2014

Time Frame of Activity: 30-45 minutes

Participants

: male patients

I. OBJECTIVES

General Objective

After 30 minutes of nurse patient interaction, the patients will be able to express their thoughts and feelings through dance.

Specific Objectives

After 30 minutes of nurse patient interaction, the patients will be able to:

1. state their own lagda;

2. verbalize feelings and thoughts after dancing;

3. follow the song according to what the facilitator sing during the music therapy;

4. develop better understanding about themselves and the way they relate to the people around them

II. PHYSICAL ARRANGEMENT

A. Location : Male ground

B. Conceptual presentation of the participants formation

Facilitator Patient

Assistant Facilitator

Evaluator

\

C. Facilitator : Berber, Alia

Brun, Glaiza Reina

D. Assistants : Armstrong, Rolando

Rostata, Ross Rhynss

Sumayan, John Cris

E. Evaluators : Baco, Michelle

Analisa Colita

III. MATERIALS TO BE USED:

speaker

microphone

IV. TASK ASSIGNMENTS

Facilitator: facilitates and helps to bring about an outcome by providing supervision; gives instructions / directions in the therapy; helps to become aware of the feelings they hold for one another.

Assistants: provides direct assistance between student nurse and patient.

Evaluator: notes down verbalization of feelings among the patients after the therapy; promotes sharing of information from patients who participated in therapy.

V. RULES TO FOLLOW DURING THE CONDUCT OF THE THERAPY

1. Kong magsugod na ang therapy dili pwede mag-lakaw-lakaw.

2. Kinahanglan maminaw og maayo sa amo gesulti.

3. Attenderi ang kaugalingon.

4. Dili manamay sa imo katapad.

5. Magpabilin sa pwesto hangtod matima ang therapy.

VI. THERAPY PROCESS

ACTIVITYROLE OF FACILITATOR

1. Gather participants to the male ground.1. Assist and encourage patients to participate in the dance therapy.

2. Explain the rules and regulations to be followed for the entire therapy.2. Ask patients for additional rules. Let them state their own lagda

3. Provide instructions on the conduct of the therapy.3. Instruct patients to pay attention to the instructions given.

4. Start the actual music therapy.4. Allow patients to concentrate on their song and answer queries

5. Evaluate the patients5. Appreciate and praise the patient after they sing. Allow patients to explain about their song and verbalize their feelings toward the conduct of the music therapy.

VII. POSSIBLE QUESTIONS TO FACILITATE SHARING

1. What do you feel after the therapy?

2. What are you thinking while singing?

3. How does the therapy help you?

VIII. PRECAUTIONS TO BE OBSERVED

1. Once patient is combative and agitated, report immediately to the staff on duty

2. Monitor the patient during the therapy

3. Maintain a safe environment for the patients

IX. EVALUATION OF THE THERAPY

To be documented in the chart of the patients who participated in the session.

7. EVALUATION AND RECOMMENDATION

7.1 Prognosis based on Nursing Assessment and RationaleIndividuals with schizophreniform develop symptoms that are difficult for the individual, parents, brothers, sisters, professionals and others to deal with. Schizophrenia generally can be controlled with treatment and in more than 50 percent of individuals given access to continuous treatment and rehabilitation over many years, recovery is often possible. As with the case of P. G, he has been in the VSMMC Psych Ward for about 4 months. Though researchers and mental nurses don't know what causes the disorder, they have developed treatments that allow most persons with schizophrenia to work live with their families and enjoy friends.

The outlook for people with schizophrenia has improved over the last 25 years. Although no totally effective therapy has yet been devised for the researchers subject, it is important to remember that P. G. has improved enough from being socially withdrawn to being considerably cooperative in conversations. As we study more about the causes and treatments of schizophrenia, we should be able to help the subject achieve successful outcomes. Possible reasons for the improved prognosis in schizophrenia are considered to be short initial hospitalization.

There are many different potential outcomes of schizophrenia. The subject with schizophrenia finds that his symptoms improve with medication, and can achieve substantial control of the symptoms over time. However, many others experience functional disability and are at risk for repeated acute episodes, particularly during the early stages of the illness. People with the most severe forms of this disorder may remain too disabled to live independently, requiring group homes or other long-term, structured living environments. Most people with schizophrenia continue to suffer chronically or episodically throughout their lives. 7.2 Recommendations to promote early recovery and rehabilitation

The researcher evaluated that the needs of Patient P.J.G is to maintain self - care deficit: bathing /hygiene Situational low self-esteem to avoid further complication and diseases that patient may acquired, Such as: Verbalize self care need, Demonstrate techniques to meet self-care needs, Encourage patient to express honest feelings in relation to loss of prior level of functioning, Verbalize understanding of things that precipitate current situation, Demonstrate behaviors that show positive self-esteem and Encourage patient's attempts to communicate. If verbalizations are not understandable, express to patient what you think he or she intended to say. It may be necessary to reorient patient frequently.8. EVALUATION AND IMPLICATIONMental health is the primary focus of this study which is devoted to the personal mental health, and mental health recovery of those who suffer from various types of mental illness particularly schizophrenia. Given the complexity of schizophrenia, the major questions about this disorder its cause or causes, prevention, and treatment must be addressed with research. A greater comprehension of the stressors that accompany the problem will take place if the patient will obtain the trust and support of the nurse. This is true in all aspects of nursing care. It is through holistic nursing care that patient s can achieve a goal of maximum health capability.8.1 Nursing EducationPsychiatric nursing education is aimed towards the implementation of the aspects of holistic nursing care to psychiatric or schizophrenic patient s with the knowledge, attitude and skills in psychiatric nursing care. This educational focus should continue to be in the areas where student nurses have a higher degree of comfort such as having the interest to improve the knowledge in whatever existing measures in order to acquire the goals of the actual nursing practice and education on the area of mental wellbeing. This increased comfort level will help to increase the well - being of the patient.8.2 Nursing Practice As part of its mission to treat mental illness, nurses who care for those afflicted with any form of mental illness offers to the community psychodynamics, psychosocial and psychobiological interventions. This case study of schizophrenia is proposed as a recommendation for skilled registered nurses who are involved in psychiatric nursing and as a fundamental copy for the student.8.3 Nursing ResearchThe primary aim of the researcher is to contribute to the ongoing articulation, development and advancement of psychiatric nursing practice in order to strengthen the contribution to enhancing the well being of the patients. This case study exists to support, be guided by and, where necessary, to challenge current nursing practice. This belief is, and will continue to be, central to the process and further development of their search study. In its quest to recognize, understand and treat mental illness, psychiatric nursing research is also committed to the research of the causes and cures of mental illness. In particular the causes and cures for schizophrenia.

9. BIBLIOGRAPHY

Books:ALPHABETICAL:

LAST (YEAR). TITLE OF THEBOOK. EDITION. PUBLICATION PLACE

Mata et al (2012). Nursing Practice Reviewer. 5th edition, Lippincott, Wilkins & Williams, Florida.

Pojeda (2014). Fundamentals. 3rd edition,. Philippines: Elsevier Ltd.

Cox et al Drug & Drug Abuse. 2nd edition. Addiction research foundationDerrickson et al (Human Anatomy & Physiology 11th editionDSM IV - TR. 4th edition. American Psychiatric Association. Book promotion and services Ltd.Graaft & Fox. Concepts of Anatomy and Physiology 4th edition.Keltner. Psychiatric Nursing 5th Edition.Kozier (2012) Fundamentals of Nursing 6th edition. Lippincott & Williams.Maria Evangelista Sia c2004;p.234. Psychiatric NursingMueser and Jeste. Clinical Handbook of Schizophrenia.Videbeck. Lippincotts Manual of Psychiatric Nursing care Plans. 7th editionINTERNET:http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=8805&cn=7

http://www.cureresearch.com/s/schizophrenia/stats-country.htm).

http://www.schizophrenia.com/szfacts.htm

http://www.ppa.ph/files/PPA%20Research%20Abstracts.pdf