NURSING PATIENT INTERACTION

PATIENT’S HISTORY

Mrs. Lydia Ariza is a resident of Naguilian,La Union, 56y/o is married and granted with only son(Arnel Ariza). The patient is diagnosed with paranoid schizophrenia. The patient had in and out of the hospital because of psychotic illness.8 months Prior to admission the patient started to have behavioral changes, poor sleep and irritable mood. Patient also verbalized that someone will kill her. She is also uttering assaultive words and visual hallucinations. However the is able to do household chores. There were no consultations done but instead was given medications until the patient refuses to take it. The patient started to talk incomprehensible words to herself. She stopped doing household chores and was not able to take care of her herself.seh started to become violent and began to hit her husband on his head. She was then brought to BGHMC was admitted and was managed as a case of paranoid schizophrenia.

The patient was diagnosed with case of paranoid schizophrenia. She had several admissions in this institution. There were no previous hospitalizations due to general medical condition. There are no known allergies to food and to drugs.

FIRST INTERACTION

A. Setting: psychiatric ward of BGHMC inside the female ward. We were with the 5 other patient and 12 student nurses. Aside from that we have the patient’s watcher, Arnel Ariza, son of the patient. She appears interested to converse with us.

LEARNING OBJECTIVES

After one hour of nurse patient interaction student will be able to:

1. Build trust and rapport by demonstrating trust2. Establish therapeutic environment and privacy3. Establish mode of communication acceptable to both patient and to the

patent

NURSE PATIENT INT.

CLIENT’S INFERENCES

NURSE INFERENCES MODIFICATIONS

N- magandang hapon po ma’am siyak gayam ni Jennifer Long ken isuna met ni Cherry Ladinez. Dakami ti student nurse yo tadta hanggang 6pm.

Giving facts or relevant information would help facilitate establish rapport and therapeutic communication

Greeting the patient would let patient identify she is part of the interaction.

P- she nods and looked at the floor

The patient serious but is not hesitant to continue with the conversation.

N- kumusta kayo ngay met nma’am?

Recognizing the feelings of the patient

P- mayat met ngem hanak maka takki

Patient shows cooperation and is able to verbalize her concerns

N- kayat yo ba ti danum?

Shows

initiative to address to patient’s needs

Helps the patient to identify solutions to problems

P- haanen uray mandamdaman nakung

Conversant to the student nurses

N- ocge po, agibaga kayo lang nu kailangan yo ti danum.

P- ocge(nods

Shows willingness to

Shows initiative to address to patient’s needs

head) accept suggestions

N- apay ayna gayam ti ayan yo tadta ma’am?

Trying to orient the patient with her location. Helps the patient to recall where she is.

P- adda tayo ditoy psychiatric ti BGHMC

The patient shows she is oriented with reality and ha sa good retention and recall

N- apay ayana ti nagapuan yo ma’am?

Trying to explore the origin of the patient and to let the patient recall her origin to present reality

P- taga Naguilian kami. Ijay kami nga dinmakkel ken nagskwela nak ijay

The patient is conversant and is able to answer questions comprehensivelly

N- anya ngai me ti kayat yo nga pasarutaan tayo tadta?

Giving opportunity to patient to open topics she might to talk about

P- dakayo ah nu anya ti kayat yo nga maamuan(yawns and appears sleepy)

Shows she is willing to talk some things about her but is not able to start

N- nanag ibaga yo lang ah nu makaturturog kayo

Allowing the patient to take some time to rest

P- wen nakung kayat ko nga She addresses

maturog

biological needs

N- ceg garud ma’am maturog kayo pay sakaminto agsubli nu bigat ti kastoy metlang nga oras

Informing the patient about when to return.

Builds a more trusting relationship with the patient.

P- ocge salamat! Looking forward that the students will return.

N- wen ma’am salamat din!

Ensuring the patient.

EVALUATION:

Objectives of the first nurse patient interaction were met. The student nurse was able to establish rapport. Therapeutic communication also was achieved. And lastly, we established mode of communication acceptable to both the patient and the student nurse by talking in either Ilocano or in tagalong.