npi
TRANSCRIPT
Ausa, Ryan S. BSN – 3H Group 1 Psychiatric Nursing (DMH) January 23, 2009
NURSE-PATIENT INTERACTION
Patient Name: De Gracia, Emmanuel Diagnosis: Schizophrenia, Disorganized Ward: Open Ward
Age: 49 years old Attending Physician: Gioia Fe D, Dinglasan, MD
Date & Time
Nurse Patient Interpretation AnalysisVerbal Nonverbal Verbal NonverbalJANUARY
22,
2010
10:30am
(after the program)Emmanuel, kama-o man diay ka musayaw ui. Hastang hawda nimu ganina pagsayaw nato. Primero pa gud to nimung sayaw sukad Lunes ba pero mayo na kaayo ka.
Taps patients back
Maintains eye contact
Smiles
O. Sayaw gud. Looks at the nurse while waving the flag on his hand
N: Praises the patient for his participation in the activity which he did for the first time since the start of their meetingP: Agrees with the statement of the nurse but did not show any emotion nor facial expression (flat affect)
Giving recognition is acknowledging and indicating appraisal to the client’s actions. This helps elevate client’s self esteem.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Diba ingon ka gahapon na naa moy balay sa Catalunan? Gasayaw sayaw pud mo didto pag naay okasyon?
Looks at the patient and smiles
O. Sayaw gud. Nods head N: Tries to re-open and bring in the topic discussed yesterday for further discussionP: Answers the question directly fitting to the nonverbal cue
Giving general leads is guiding the client to share a certain topic or giving encouragement to the client to continue. Shows that the nurse is eager to listen without taking away the initiative for the interaction.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Kinsa may gapuyo didto karon sa
Looks at the patient
Akong anak. Spreads the powder on his
N: Attempts to talk about family matters
Seeking information is trying to lead a patient in a
inyong balay? neck P: Answers the question but is busy doing other things
conversation through questions.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Ah! Naa diay kay anak? Pila diay pud?
Leans forward (Wordless) Raises one finger
N: Explores patient’s family backgroundP: Uses gesture to answer the question
When clients deal with topics superficially, exploring can help them examine the issue more fully.
Mental Health and Psychiatric Nursing by Ann Isaacs p.199
Pila man iyang edad karon?
Looks at the patient
Twenty two. Taps the table N: Seeks viable information about the subjectP: Answers the question directly
Seeking information is trying to lead a patient in a conversation through questions.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Pila diay edad nimu Emmanuel?
Holds patient Twenty two Looks at the nurse
N: Furthers the discussionP: Answers the question coupled with eye contact
Seeking information is trying to lead a patient in a conversation through questions.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Byente dos na imu edad?
Raises eyebrows
O. Twenty two.
Looks at the nurse
N: Seeks clarification about the point raised by patientP: Repeats his former answer
Clarifying is putting into words vague ideas or unclear thoughts of the client. Purpose is to help nurse understand, or invite the client to explain.Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Ha? Twenty two ang imu edad ug
Shows confused face
O. Twenty two.
Looks away from the nurse
N: Expresses doubt about the answer of the client
Voicing doubt is expressing uncertainty
twenty two pud edad sa imu anak? Ka edad ra diay mo?
and holds a chair again
P: Reaffirms the answer but refuses to maintain eye contact this time
about the reality of the client’s perceptions. Another means of responding to distortions of reality is to express doubt.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Unsa diay panganlan sa imu anak?
Looks at the patient
Emmanuel. Pulls the chair N: Refocus the topic to the main subjectP: Pays limited attention the nurse
The nurse encourages the client to concentrate his energies on a sing le point, which may prevent a multitude of factors or problems from overwhelming the client. It is also a useful technique when a client jumps from one topic to another.
Mental Health and Psychiatric Nursing by Ann Isaacs p.201
Ah! Emmanuel pd iya nganlan?
Looks at the patient
(Wordless) Nods head N: Paraphrase the answer being made by patientP: Answer the question with a nonverbal cue
The nurse repeats what the client has said in approximately or nearly the same words the client has used. This restatement lets the client know that he or she communicated the idea effectively.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Sa duha ka tuig nimu dire, gibisita na ka sa imu pamilya? Imung
Moves closer to patient
(moment of pause) Oo
Nods head N: Seeks viable and significant informationP: Answers the question preceded with silence or
Seeking information is trying to lead a patient in a conversation through questions.
anak ug asawa? gapMental Health and Psychiatric Nursing by Ann Isaacs p.197
Knus-a pa nimu sila nakita?
Looks at the patient
(Wordless) Stares blankly N: Restates the questionP: Absence of verbal and nonverbal response could indicate that the patient is not paying attention.
The nurse repeats what the client has said in approximately or nearly the same words the client has used. This restatement lets the client know that he or she communicated the idea effectively.
Mental Health and Psychiatric Nursing by Ann Isaacs p.197
Emmanuel. Sa Lunes na pud ta balik magkita ha? Wala man gud mi dire matag Sabado ug Domigo so duha ta adlaw di sa magkita. Ihatod na tika ron sa ward ha?
Ushers the patient back to ward
(Wordless) Nods head N: Temporarily terminates the conversation and contact;Informs patient the schedule for their next meetingP: Affirms the question by noding
Giving of clear instruction is important to avoid confusion in the client’s part. Terminating conversations properly is imperative as well.
Mental Health and Psychiatric Nursing by Ann Isaacs p.76 and 88
Criteria:
Format – 5% _____Neatness – 5% _____Interaction – 25% _____Analysis – 35% _____Interpretation – 30% _____