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BSN4A (GROUP 2) 49

XI.  Nurse-Patient Interaction

Nurse-Patient Interaction #1

Patient Name: L.J. Age: 31 years old Date:June 19, 2012

Sex: Male Diagnosis: Substance Abuse (Methamphetamine and Marijuana)

Nurse Interaction Client Interaction Nurse Inference Client Inference

 “Good morning” 

 “Ako si Sheena,Student nurse sa

La Salle” 

 “Ano imo pangalan?” 

 “Ari kami diri astasa Friday

 para mag interact

sa inyo kagmagconduct mga

activities” 

 “Kamusta man

ang stay modiriBon?” 

 “Anoangrasonngaaarikadiri?” 

 “Good morningman” 

 “Hi Sheena” 

 “Akosi L.J.” 

 “Ah. Mayokayparaindi man

kami diri ma

 boring” 

 “Okay gid ah.

Gapakabuotnako galing kis-a

ka boringgiddiri.” 

 “Kaynaggamitkoshab

umgasobrana 10

years. Amu na

  GIVING RECOGNITION.The nurse recognizes theclient as.

  GIVING INFORMATION.Informing the client of facts

increases his knowledge

about the topic.

  SEEKINGINFORMATION. Seekingclarifications throughout

interaction.

  GIVING INFORMATION.Informing the client of facts

increases his knowledge

about the topic.

  ENCOURAGING

EXPRESSION. Encouragesthe client to make his

appraisal.

  SEEKINGINFORMATION. Seeking

clarifications throughout

  The clientgreeted thestudent nurse

smiling.

  The clientrepeated the

name as he

looked on thenameplate” 

  The clientappearedmotivated as he

stated his name.

  The clientshowed excited

upon hearing

the information.

  The client

respondedimmediately

with confidence.

  The clientappeared his

willingness to

share his

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BSN4A (GROUP 2) 50

 “Pilanaedadmo 

L.J aw?” 

 “Willing kanaman gali L.J.

magbag-o. ikaw

 pa

mismonagpushsaself momagpa

rehab. Mayo

naindi pa manulihiangtanan” 

 “Bastapakabuotk 

adiriparamataposmoasta phase 5

kagmakaumpisak 

aliwat. Takemolangimobulon

gkagpatisahamba

l sang imo doctor 

kag nurse.” 

 “Ginsharemosaa

konsasubongnaa

dlawangimoexperiences kag

feelings sang

unakagsubong. Name L.J.

kaynagparticipat

ekasaaton

interaction.Mabaliknaman

kami

 buwassaaga.

Thank you gid!” 

gusto ko man

magpaayodiri."

 “31 nako” 

 “Huo willingman k okay

kabalokoindigid

mayo angshabu.

 Naggamogidangakon

nakabuhisugodp

aggamitko” 

 “Gani, 3 months

nako di daan.Kaya ko man

naindinamagamit

liwatshabu.Kagginapatikoan

g advised sang

doctor kag nurse

ko.” 

 “Mayo man ganimay sturyahonko

di. Salamat man

kagbwasliwatah.” 

interaction.

  SEEKING

INFORMATION. Seeking

clarifications throughout

interaction.

  MAKINGOBSERVATION. The

client cannot makethemselves verbalized/

understood.

  GIVING INFORMATION.Informing the client of facts

increases his knowledge

about the topic.

  SUMMARIZING. Seek to bring out the important

 points of the discussion andto increase theawareness

and understanding of both

 participants.

experience.

  The client

remained focusduring the

interaction.

  The patient wascalmed as he

shared his

insight

regarding whathe experience.

  The patient

appeared serious but determined

to get well.

  The patientshowed happy

at the end of the

interaction andseemed of 

looking forward

for tomorrow’s

activities.

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BSN4A (GROUP 2) 51

Nurse-Patient Interaction #2

Patient Name: L.J. Age: 31 years old Date:June 20, 2012

Sex: Male Diagnosis: Substance Abuse (Methamphetamine and Marijuana)

Nurse Interaction Client Interaction Nurse Inference Client Inference

 “Good morning,L.J.” 

 “Kamusta imotulog” 

 “…” 

 “May gusto kastoryahan L.J.?” 

 “Aside sa shabusang una, mayiban ka pa gid na

substance na

nagamit?” 

 “Ano ang feelingafter gamit mo

marijuana?” 

 “Okay, tapos?” 

 “Good morningman, Sheena” 

 “Okay man ah” 

 “Kamusta imotulog yah?” 

 “Pamangkot langang gusto mo

mabalan sakun” 

 “Dawn naka tryko marijuana pero nalawayan

ko.” 

 “Daw gadula kosa akun

kaugalingon."

 “ Nataman gid k okay gindungan

ko sa shabu. Gin

ospital gid k 

  GIVING RECOGNITION.The nurse recognizes the

client as.

  ENCOURAGINGEXPRESSION. Encourages

the client to make his

appraisal.

  SILENCE. Nurse saynothing but continues to

maintain eye to eye contactand conveys interest.

  BROAD OPENING.Allowing the client to take

the initiative in introducing.

  EXPLORING. Delvingfurther into a subject or idea.

  EXPLORING. Delvingfurther into a subject or 

idea.

  GENERAL LEADS. Givingencouragement to continue.

  The client greetedthe student nurse

smiling.

  The clientanswered the

question as he

stare to thestudent nurse.

  The clientappeared

interested whileasking the student

nurse.

  The clientremained calm but

 participativeduring thediscussion.

  The client showedactive uponanswering the

questions.

  The clientanswered

immediately.

  The clientcontinue to share

his experience.

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BSN4A (GROUP 2) 52

 “Anon a realizemoafter sang

natabo?” 

 “ Nakita ko L.J.nga determinadoka magayo.

Adayuna lang

kay indi pa gidulihi ang tanan.” 

 “Maayo gid na

L.J. Angginstoryahan ta

subong ang mga

experiences mosang una, thank 

you gid kay

nagshare ka sa

amaon. I hope bwas ma

 participate ka

liwat sa amonnga ginpreparar 

nga activities.” 

okay di kaya

sang lawas ko” 

 “Indi mayo salawas ang

 paggamit sangshabu kag

marijuana. Amo

na ang rasonngaa gusto ko

magparehab.” 

 “Gusto ko manmagayo na,amona ang rason

ngaa gapakabuot

na ko.” 

 “Okay, sige

 bwas namanliwat. Thank you

man!” 

  ENCOURAGINGDESCRIPTION OF

PERCEPTIONS. Askingclient to appraise the quality

of his or her experience

  MAKINGOBSERVATIONS.Sometimes clients cannot

make themselves

understood.

  SUMMARIZING. Seek to

 bring out the important points of the discussion and

to increase theawareness

and understanding of both participants.

  The patientappeared to be

spontaneous instating his

experiences to the

student nurse.

  The patientseemed to bedetermined while

responding to the

student nurse.

  The patient thanks

the student nursesmiling.

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BSN4A (GROUP 2) 53

Nurse-Patient Interaction #3

Patient Name: L.J. Age: 31 years old Date:June 21, 2012

Sex: Male Diagnosis: Substance Abuse (Methamphetamine and Marijuana)

Nurse Interaction Client Interaction Nurse Inference Client Inference

 “Hello L.J.,Good morning!” 

 “Mayo mood niL.J. bah, nami

gid imo tulog

ay” 

 “Ano mahambalmo sa activity takagina L.J.?” 

 “Kasagadmagdrawing sa

imo kagina L.J.” 

 “May gusto ka

istoryahansubong L.J?” 

 “Huo L.J.,culmination

 bwas. Sadya ni.

Damu mgaactivities

 participate ka

 bwas ha. Ano

 “Sheena, Goodmorning man!” 

 “Mayo, mayoman akon tulog

ah!” 

 “Sadya, enjoygid ko kaginasang activity.” 

 “Salamat…” 

 “Bwas

culminationnoh?.” 

 “Yes, sige ah.Ano talent ko

man? Masaot na

lang ko guro ah."

  GIVING RECOGNITION.The nurse recognizes theclient as.

  MAKINGOBSERVATIONS.

Sometimes clients cannot

verbalize.

  ENCOURAGINGDESCRIPTION OFPERCEPTIONS. Asking

client to appraise the quality

of his or her experience.

  GIVING RECOGNITION.The nurse recognizes the

client as.

  BROAD OPENING.

Allowing the client to takethe initiative in introducing.

  GIVING INFORMATION.Informing the client of facts

increases his knowledge

about the topic.

  The client seemedto have a goodmood as he greets

the student nurse.

  The clientcontinued his

emotion and wore

a smile to thestudent nurse.

  The client wasobviously had funduring the

activity.

  The clientappeared happy

after the

recognition.

  The client showed

interest regardingthe activities

tomorrow.

  The clientappeared to beexcited for 

tomorrow’s event.

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BSN4A (GROUP 2) 54

gusto mo e-

talent?” 

 “Maynabatyagan ka pa

nga problema

subong L.J.?” 

 “Ano ang rasonngaa galuya

lawas mo L.J.?” 

 “Amo na

kilanlan mo gid

self-control kag

discipline paraindi ka na

magbalik sa dati.

Paayo ka gid,L.J.” 

 “Ginsturyahan ta

 parti saculmination tab

was ka gang ga

 bother sa imo.

Salamat gid L.J.Kitanay ta liwat

 bwas ha.” 

 “Okay mannabatyagan ko

ah. May tion

lang gid gallingna gapangluya

 pa lawas ko.” 

 “May times nagapangita lawas

ko sang

substance. Amo

na ang rason ngagaluya lawas

ko.” 

 “Tsakto, mo na

gani gina control

ko gid para mag

ayo ko.” 

 “Salamat man,sige kitanay kita

 bwas” 

  ENCOURAGINGEXPRESSION. Encourages

the client to make his

appraisal.

  EXPLORING. Delvingfurther into a subject or 

idea.

  GIVING INFORMATION.

Informing the client of facts

increases his knowledge

about the topic.

  SUMMARIZING. Seek to bring out the important

 points of the discussion and

to increase the awareness

and understanding of both participants.

  The client wasopen in sharing

his feelings to the

student nurse.

  The patientappeared to be

honest regarding

his feelings but

remained calm.

  The patient agreed

to what the

student nurse have

said

  The patient smiledas he thank the

student nurse.

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BSN4A (GROUP 2) 55

XII.  Recommendations

Family

The group would like to recommend that the family should first and foremost be the main

support system of the patient. They should continue to support the patient financially,

emotionally, and spiritually. They can do this by visiting the patient or sending him letters or 

gifts in accordance with the institution’s policy. And lastly, they should pray to God for the

continuous healing and improvement of the patient.

Patient

The group recommends that the patient should continue to be strong to overcome

temptations and desire for prohibited drugs. That he should continue to actively participate in the

therapies and other activities provided by the healthcare team and be patient to finish the whole

course of rehabilitation. And most of all, that he must not forget to call for God and ask for 

strength and guidance.

Staff 

The group recommends the staff to continue to provide holistic care to the patient. We

recommend them to make time for conversations with the patient for them to be more updated

and aware of the current status of the patient. We hope that they would not tire in providing

quality care to the patient and continue to assist them in the whole course of rehabilitation.

Community

The group recommends the members of the community to bear in mind that the patient

needs their support, understanding and acceptance. We hope for them to be more sensitive and

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BSN4A (GROUP 2) 56

that they should not discriminate or subjectively criticize the patient. In general, we strongly

encourage the public to be a supportive community to help in the improvement and healing of 

the patient.

Attitude Therapy Used

The group would like to recommend that the rehabilitation team should continue to

improve the therapies provided to the patient giving emphasis on the patient’s needs. We also

recommend that each member of the team should at all times be updated and properly given

endorsement on the attitude therapy used in dealing with the patient and most importantly,

strictly and carefully implement the therapy used.

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BSN4A (GROUP 2) 57

XIII.  References 

Books:

Pharmacology and the nursing process.4th ed. 2005. Mosby, Inc. USA.

Porth, C. M. (2005). Pathophysiology: Concepts of Altered Health State 7 th

Edition:

Lippincott Williams and Wilkins.

Psychiatric Mental Health Nursing.4th

ed.2008.Lippincott Williams & Wilkins.China.Shiela

L.Videbeck 

Roth, L.S. (2010). Mosby’s Nursing Drug Reference, 23. USA: Mosby, Inc.

Singh, I. (2005).  Anatomy and Physiology for Nurses. New Delhi: Jaypee Brothers Medical

Publishers LTD.

Internet:

http://www.docstoc.com/docs/3444869/Methamphetamine-MECHANISM-OF-ACTION-

BACKGROUND-Methamphetamine-is-an-addictive-drug

http://teens.drugabuse.gov/mom/tg_mj2.php

http://www.narconon.org/drug-abuse/signs-symptoms-of-drug-abuse.html

http://bjp.rcpsych.org/content/178/2/101.full

http://www.druginfo.adf.org.au/drug-facts/cannabis

Aynfender. (2009, December 5). Drug Menace in the Philippines. Retrieved August 9, 2012,

from Hubpages: http://aynfender.hubpages.com/hub/buster 

 NIDA. (2010, March).  National Institute on Drug Abuse. Retrieved August 9, 2012, from

http://www.drugabuse.gov/publications/drugfacts/methamphetamine

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BSN4A (GROUP 2) 58

WHO. (2012). Substance Abuse. Retrieved August 9, 2012, from World Health Organization:

http://www.who.int/topics/substance_abuse/en/