Processing Recording #1

(ORIENTATION PHASE)

Name of Student Nurse CAOILE, CATHERINE R.

Name of Client Aquino, Goryo Age 29 Y/O

Address Cotabato City

Date of Birth: June 7, 1991 Date of Admission January 3, 2021

Diagnosis : Hallucinations

Setting : Phinma Mock Hospital

Date/Time of Interaction: May 8, 2021/ 9:00 AM

DESCRIPTION OF THE PATIENT

The patient is29 years old male who is a soldier. His level of personal hygiene is fairly good and
neatly dressed. The patient engaged the nurse0in a cooperative, friendly and polite manner. His
speech was spontaneous with normal rate, rhythm and tone. His reaction to the questions that
were asked by the Nurse was normal.

DESCRIPTION OF ENVIRONMENT

There were two places that the conversations took place in, the first one is in the garden where
the patient freshen up and in a quiet room where the interview had started. The conversation
was supportive all the way around. There were minimal distractions in that area, there were a
few people that passed by, but the patient did not get distracted when the nurse were talking
to him.

OBJECTIVES

-Establish rapport and a trusting relationship with the client to encourage the patient to
verbalize feelings and the reason behind them.
 -Express his feelings after interaction.
-Articulate his feelings after interaction

NURSE PATIENT
(Verbal and Non-verbal) THERAPEUTICC (Verbal and Non- ANALYSIS
TECHNIQUE verbal)

“Ako po ang magiging Giving information (Nodding) THERAPEUTIC. The

student nurse niyo for patient was responsive.
today. Tara po at
magfreshen up muna
tayo doon sa lababo. Tara
po. Mauna na kayo.”

“Magandang umaga po, Giving information “Magandang umaga din THERAPEUTIC. I have
Mr. Aquino. Ako nga po po, ma’am.” oriented the patient to
pala si Bianca, ang engage in a conversation.
student nurse niyo.”
“Ako po magiging nurse Giving information “Okay lang.” THERAPEUTIC. I feel like
ninyo hanggang sa the conversation was
susunod sa linggo. effective.
Kamusta namn po kayo”

“Inom po muna kayo ng Accepting (Nodding) THERAPEUTIC. It indicates

tubig at magpahinga. that the patient has
Maraming salamat po! heard and followed the
train of thought.

Tara na po sir at Seeking information “Sige po, Ma’am.” THERAPEUTIC. I oriented

magkwentuhan na po the patient to what we
tayo. will be doing.
“Upo na tayo. Ano po Seeking information “Goryo Aquino po.” THERAPEUTIC. The
pangalan ninyo sir?” patient was responsive
and he stated his name in
a friendly and polite
manner.

“Ilang taon na po kayo?” Seeking information “29 years old po ako THERAPEUTIC. The
ma’am.” patient is able to state
information about his
self.

“Bata pa po pala kayo sir Seeking information “Taga bundok. Minsan THERAPEUTIC. The
eh. Taga saan po kayo?” sa Cotabato.” patient was able to recall
where he grew up.

“May pamilya na rin po Seeking information “Oo may pamilya na THERAPEUTIC. The
ba kayo?” nga rin.” patient was becoming
open in giving
information about his
self.

“Ano po ang trabaho Exploring “Sundalo.. Sundalo” THERAPEUTIC. The

ninyo sa cotabato?” patient was able to recall
what his work was
 before.
“Sundalo po pala kayo. Giving recognition “Matagal na tagal na THERAPEUTIC. The
Isang marangal na rin. Mahigit limang patient is aware of the
trabaho po ang pagiging buwan siguro.” month.
sundalo.
Saludo po kami sa inyo.
Gaano na po kayo katagal
dito?”
“Magkwento naman po Exploring “Ng ano po?” THERAPEUTIC. The
kayo tungkol sa sarili patient was becoming
ninyo.” open to his self.

“Kahit ano tungkol sa Encouraging expression “Simpleng tao lang THERAPEUTIC. The
inyo.” namn po ako. Yun lang patient feels his
ikaw ma’am verbalizations are
magkwento ka naman recognized.
po tungkol sayo?
“Ang pangalan ko po ay Giving Information “Taga pangasinan ka THERAPEUTIC. The
Bianca Pauline lucero. pala ma’am? Ang layo patient really feels
Ako po ay isang student naman.” engaged in the
nurse from University of conversation.
Pangasinan. Mapagmahal
na anak at matapat na
kaibigan. Simpleng tao
lang din po ako kagaya
ninyo.”

“Oo nga po sir eh. Sa loob Focusing “Okay namn. Matino THERAPEUTIC. The
ng 5 buwan ninyo dito, naman kausap yung patient was able to state
kamusta naman po kayo? iba. Yung iba mahirap what he feels towards the
May mga kabigan na po kausap. Malabo kausap other patient.
ba kayo dito? minsan.”

“Malabo? Paano niyo Restating “Eh pag my tintanong THERAPEUTIC. The

namn po nasabing ako, napakalayo ng patient was able to state
Malabo silang kausap?” sagot eh. Walang what he feels towards the
kwentang kausap.” other patient.
“Eh may mga ganon po Reflecting “Oo nga eh. Kung wala THERAPEUTIC. The
talaga. Hindi pa po sila siguro mas lalo akong patient was able to state
nakakrecover. Kaya ganun mawawala sa sarili ko.” what he really feels.
sila.”
“Opo buti naman po.. Exploring “Depende. Minsan sa THERAPEUTIC. The
noong sundalo pa po jolo. Minsan naman sa patient was able to recall
kayo, saan po kayo headquarters lang the past events in his life.
nakadestino? namin sa bundok.

“Jolo napakalayo namn Encouraging description “Mahirap. May mga THERAPEUTIC. The
po. Kamusta naman po oras na hindi ko alm patient was able to recall
ang karanasan ninyo kung makikita ko pa the past events in his life.
bilang isang sundalo?” pamilya ko.”

“Paano niyo naman po Seeking information “Yung grupo ko wala THERAPEUTIC. The
nasabi yun? May mga pa. Pero yung kabilang patient was able to
ingkwentro na po ba grupo naming mayroon describe what their
kayong naranasan noon?” na. madaming sugatan. situation before in their
May mga kaibigan na job was.
nga rin akong
namatay.”

“Maswerte pa rin po kayo Giving information “Oo nga eh. Maswerte THERAPEUTIC. The
sir at nandito pa rin po pa rin kahit papaano.” patient admitted that he
kayo.” is still lucky that he
survived their situation
before.
“Ano po Exploring “Minsan naglilinis. THERAPEUTIC. The
pinagkakaablahan ninyo Minsan naman patient socializes with
dito?” kumakanta kami at other patients.
minsan sumasayaw.”

“Wow. Singer na dancer Giving recognition “Ay hindi po ako THERAPEUTIC. The
pa. Sample naman po marunong. Nakikisama patient was able to state
jan.” lang ako.” his true feelings.

“Ganyan po ang totoong Giving Recognition “Oo. wala din akong THERAPEUTIC. The
kaibigan. Mabuti po at choice eh.” patient verbalizes his
nakikisama po kayo.” feelings.
“Walang choice? Paano Restating “Medyo boring kasi THERAPEUTIC. The
ninyo po nasabi?” dito.” patient stated that he
doesn’t have other things
to do.
“Sige po break time na po Accepting “Sige po. Salamat.” THERAPEUTIC. The
muna tayo. Linya na lang patient was responsive.
po muna kayo doon para
mabigyan kayo ng
pagkain ninyo. Tara po.”

EVALUATION

The objectives set by the student nurse were all carried out. At first, the student nurse was very
anxious to talk with the patient. But, after a while the student nurse felt very comfortable going
into the interview with him. The patient engaged in a cooperative, friendly and polite manner.
The patient was responsive to all the questions asked. He is able to verbalize what he really
feels. The patient was able to recall all the past events of his life.

Signature Over Printed Name of Student Nurse : CAOILE, CATHERINE R.

Inclusive Date of Duty : MAY 14, 2021

Processing Recording #1

(WORKING PHASE)
Name of Student Nurse Caoile, Catherine R.

Name of Client Aquino, Goryo Age 29 Y/O

Address : Cotabato City

Date of Birth June 7, 1991 Date of Admission: January 3, 2021

Diagnosis: Hallucinations

Setting Phinma Mock Hospital

Date/Time of Interaction May 8, 2021/ 9:00 AM

DESCRIPTION OF THE PATIENT

The patient was quiet and goal directed. He comprehends fairly well. The patient admits that he
hears words mumbling and seeing things. He also admits that the voices that he hears were
whispered to him to harm the nurse.

DESCRIPTION OF ENVIRONMENT

In working place, the conversation took place in a quiet room. The light and temperature were
appropriate for the conversation and it was not uncomfortable; which made this part of the
conversation supportive.

OBJECTIVES

By the end of the working phase the patient will:

-Mention the effectiveness of coping used.
-Begin to evaluate themselves.
-To make a realistic plan in accordance with the existing capabilities at him.
-To be responsible for any action taken.
 NURSE PATIENT
(Verbal and Non-verbal) THERAPEUTICC (Verbal and Non- ANALYSIS
TECHNIQUE verbal)

“Good morning po sir Exploring “Okay naman po. Kayo THERAPEUTIC. The
kamusta po kayo po?” patient was responsive.
ngayong araw?”

“Okay lang din naman po. Exploring “Opo. Tapos na po. THERAPEUTIC. I have
Nakapaghilamos na po ba Salamat po pala sa kit oriented the patient to
kayo?” na mga binigay niyo.” engage in a
conversation.

“Kumain na din po ba Seeking Information. “Tapos na rin po THERAPEUTIC. The

kayo?” ma’am.” patient was responsive.

“Gusto ko lang tanungin Exploring “Kailangan ko raw po THERAPEUTIC. The

kung ano po ang nangyari magpagamot at patient feels his
at nadala po kayo dito?” magpagaling. May sakit verbalizations are
po kasi ako sa pag recognized.
iisip.”
“Maari niyo po ba akong Encouraging description “Ang alam ko lang THERAPEUTIC. The
bigyan ng ideya tungkol sinunog ko yung patient can still recall the
jan?’ tindahan namin. Tapos past events that took
dinala na nila ako dito place in his life and the
kasi kailangan ko raw reason that he comes
magpagamot at and go in the institution.
magpagaling.

“Ah ganon po ba. Maari Seeking Information “May mga bagay akong THERAPEUTIC. The
niyo po bang ilarawan nararanasan. May mga patient recalls situations
ang inyong sakit? Pati na nakikita, naririnig at in his life.
rin ang mga sintomas nararamdaman akong
ninyo.” bagay na hindi namn
ata totoo.”

“May hallucinations po Giving information “Oo, Marami.” THERAPEUTIC. The

kayo sir.” patient admits that he
has hallucinations.

“Napansin ko po na Encouraging description “Droga. Antipsychotic THERAPEUTIC. The

regular na po kayong patient was responsive.
tawag doon sabi nila.”
umiinom ng gamot.
Anong mga gamot po ang
iniinom ninyo?”

“Tama po. Nakakatulong Seeking Information “Oo naman po.” THERAPEUTIC. The
po ba sa inyo ang mga patient was responsive.
gamot na iniinom
ninyo?”

“Sa palagay niyo po ba ay Formulating a plan of “Hmm. Hindi naman. THERAPEUTIC. The
nakakatulong yung action May hallucinations pa patient was aware of his
gamot para mawala ang rin. Pero simula nung actions and thoughts.
mga hallucinations umiinom ako ng
ninyo?” gamot. Mas
nadidistinguish ko kung
ano ang totoo. Mas
naiintindihan ko na
hindi ko dapat gawin
lahat ng sinsabi nila.”
“Nila? Sino-sino po?” Restating “Yung mga nakikita THERAPEUTIC. The
kong demonyo sa guni- patient verbalizes what
guni.” he sees.

“Hanggang ngayon? Kahit Seeking Information “Oo. Mayroon” THERAPEUTIC. The

naguusap tayo mayroon patient verbalized what
po ba?” he sees.

“Wala naman po. Saan Seeking information “Nasa likod mo.” THERAPEUTIC. The
po?” patient verbalized what
the voices are trying to
say.
“Ano sinasabi ng mga Exploring “Gusto niyang saktan THERAPEUTIC. The
boses na naririnig kita.” patient stated what were
ninyo?” the voices he hears are
trying to command him.
“Nagagambala po ba Making observations “Oo.” THERAPEUTIC. The
kayo ng mga patient verbalized what
hallucinations ninyo? he really feels.

“Alam ko po na para sa Giving Information “Hmm.. Hindi po THERAPEUTIC. The

inyo, totoo ang mga patient verbalized that
masyado.”
naririnig niyong boses. the voices he hears,
Pero, wala ho akong doesn’t disturb him that
naririnig o nakikita. Kung much.
nagagambala po kayo,
marami po tayong
pwedeng paraan jan.
pwede po kayo makinig
sa music, o kaya pwede
po kayong sumama sa
mga activities dito.
Sumasama po ba kayo sa
mga activities nila dito?”
“Mas maganda po sana Giving Information “Minsan pala THERAPEUTIC. The
kung sumama kayo para sumasama ako kapag patient stated the things
naman po maliwaliw nagbabasketball sila he is doing in the
kayo.” ditto.” institution.
“Oh nagbabasketball po Seeking Information “Wala naman.” THERAPEUTIC. The
pala kayo sir eh. Mabuti patient verbalized what
naman po kung ganun. he feels.
May mga guni-guni pa rin
po ba kayo pagka
naglalaro kayo ng
basketball?”

“Isang magandang Encouraging “Sige po, dadalasan ko THERAPEUTIC. The

paraan po talaga ang ang pakikisama sa patient verbalized what
comparison
pakikihalubilo para kanila.” he really feels.
maiwasan ang mga
hallucinations ninyo.
“Sige po. Sa tingin niyo “Siguro. Baka nabigla
po ba , yung karanasan ako sa dami ng
ninyo sa pagiging sundalo nangyari doon.”
ang nagtrigger sa sakit
ninyo?”
“Kapag naaalala niyo po Exploring “Dati rati nawawala THERAPEUTIC. The
ba ang mga karansan ako. Pero ngayon, hindi patient verbalized that
ninyo, ano po ang mga naman na masyado little by little, his
nararamdaman ninyo? kasi nagagagamot na condition stabilizes.
ako.”

“Mabuti naman po sir Broad Openings “Namimiss ko na ang THERAPEUTIC. The

kung ganun. Ano po ang buhay sa labas. Miss na patient remembers his
gusto ninyong miss ko na pamilya ko. family, especially his
pagusapan? Baka may Gusto ko na ulit children. And he asked
gutso po kayo iopen up?’ makapiling mga anak the nurse if he can still
ko. Naaalala ko lagi ko be reunited with them.
silang katabi sa
pagtulog. Sabay
kaming kumain lahat.
Mababait ang mga
anak ko. Makakapiling
ko po ba sila?”
“Opo. Makakapiling niyo Accepting “Opo” THERAPEUTIC. The
pa rin po sila. Basta patient was responsive.
tulungan mo ang sarili
mo sir. Uminom kayo ng
medications ninyo at wag
ninyong kalimutan ang
mga pinapayo namin sa
inyo.”

“Gawin niyo silang Accepting “Opo gagawin ko po THERAPEUTIC. The

inspiration sa mga araw- lahat para makapiling patient stated that he
araw ninyo. Wag po kayo sila ulit.” will do anything so that
maging pasaway.” he can be with his family.
“Okay. Very good sir. Giving Information “Oo” THERAPEUTIC. I
May isa pa po kayong oriented the patient to
therapy na gagawin. Art the sequence of the
therapy. Marunong po ba events.
kayo magdrawing?”
“Tara po. Simulan na General leads “Oo” THERAPEUTIC. The
natin.” patient was responsive.
“Okay sir. Pakita niyo po Giving recognitions “Mga kasama kong THERAPEUTIC. The
sa kanila yung ginawa ano… mga kagrupo patient draws his co-
ninyong drawing. Okay kong sundalo sa workers before.
po. Napakagaling ninyo bundok. Yun lang po.”
sa art eh. Ano pong ibig
sabihin ng drawing
ninyo?”
“Ah. Yun lang po? O sige. Giving recognitions “Salamat din po.” THERAPEUTIC. The
Bigyan natin ng malakas patient was responsive.
na palakpakan c MR.
Aquino. Thank you po.
Thank you po sir sa
pagbabahagi sa amin ng
drawing ninyo. Salamt
po.”
“Okay sunod naman ay Offering self “Opo ma’am gutom na THERAPEUTIC. The
tuturuan naming kayong rin po kami eh.” patient was responsive.
gumawa ng meryenda.
Tuna sandwich po.
Excited na po ba kayo? “

“Ah okay sige lang po. Giving information “At doon po THERAPEUTIC. The
Wait lang. Prepare lang nagtatapos ang araw
patient was responsive.
po naming ang mga natin. Naappreciate
ingredients.” kop o ang
pagparticipate ninyo sa
 lahat ng activities natin
ngayon. Maraming
salamat po at sa
susunod po ulit. Sir
salamat po. Salamat!”

EVALUATION

The objectives set by the student nurse were carried out because you can see in the patient’s
face how excited he is because of all the activities that were done. The patient was quiet and
goal directed. The patient can still recall the past events that took place in his life and the
reason that he comes and go in the institution. He is also taking all of his prescribed medicines.
He also stated that he will do anything so that he can be reunited again with his family.

Signature Over Printed Name of Student Nurse : CAOILE, CATHERINE R.

Inclusive Date of Duty : MAY 14, 2021

Processing Recording #1

(TERMINATION PHASE)
 Name of Student Nurse Caoile, Catherine R.

Name of Client Aquino, Goryo Age 29 Y/0

Address Cotabato City

Date of Birth June 7, 1991 Date of Admission January 3, 2021

Diagnosis Hallucinations

Setting Phinma Mock Hospital

Date/Time of Interaction May 8, 2021/ 9:00 AM

DESCRIPTION OF THE PATIENT

The patient‘s level of hygiene is fairly good and neatly dressed. His mood was euthymic. The
reason why the patient was in the institution is because he burned their store and he claimed
that he heard words mumbling and seeing things which he knows that is not true.

DESCRIPTION OF ENVIRONMENT

The last part of the conversation took place in a four sided room. There were no distraction and
the light and temperature were comfortable and did not cause a distraction, which made the
conversation supportive.

OBJECTIVES

By the end of the termination phase, the patient will:

- View the student nurse as honest, open and concerned about his welfare.
-View the student nurse as a competent professional capable of helping.
-Maintain a therapeutic relationship with the student nurse.
NURSE PATIENT
(Verbal and Non-verbal) THERAPEUTICC (Verbal and Non- ANALYSIS
TECHNIQUE verbal)
“Magandang umaga po Giving recognition “Magandang umaga THERAPEUTIC. I have
din po” recognized the patient
sir .”
and he appears to be
happy.

“Ano po ang ganap sa Encouraging expression “Wala namn THERAPEUTIC. The

inyo ngayon sir?” patient was responsive.
masyado.”

“Ngayon po ang last day Giving information. “Naku, bilis naman, THERAPEUTIC. The
natin na magkasama, hindi na kayo patient feels his
sir.” makakapag-extend?” verbalizations are
recognized.

“Hindi po sir eh. Kaya Giving information. “Wow Jollibee. Namiss THERAPEUTIC. The
sulitin na lang po natin ko yun ah. Paborito ng patient seems that he
ang araw na ito. Wag po mga anak ko yun.” really missed his family.
kayong malulungkot .
may mga activities po
ulit tayo ngayon na
masaya. After nun
kakain po kayo ng
Jollibee.”
“At may ireregalo po Giving information. “Salamat po.” THERAPEUTIC. The
kami sa inyong lahat.” patient verbalizes his
appreciation for the
nurse.
“Maliiit na bagay lang Seeking Information “Ano po bang THERAPEUTIC. The
po yun sir. Ready na po gagawin?” patient asked what
ba kayo sa mga activities activities he will be
natin ngayon?” doing.

“Tutugtog at kakanta po Giving Information “Hanla. Sige na nga last THERAPEUTIC. The
tayo.” naman na to.” patient was willing to
participate in the
activity.

“Okay po sir. Tara po! Giving Information “Maraming salamat THERAPEUTIC. The
“Oh sir eto po pala yung patient verbalizes his
po.”
regalo naming sa inyo.” feelings appreciation to
the nurse.

“Walang anuman po. Sir Restating “Opo ma’am salamt po THERAPEUTIC. The
wag niyo po sa lahat. Nag-enjoy po patient was responsive
kakalimutan lahat ng kami at maraming and verbalizes his
pinayo naming sa inyo.” natutunan. Mamimiss feelings appreciation to
naming kayo.” the nurse.

“Walang anuman . Giving Information “Maraming salamat THERAPEUTIC. The

Maliit na bagay lang po patient verbalizes his
po.”
yun kaysa pakikinig feelings of appreciation
ninyo sa amin. to the nurse.
Maraming salamat po
sir.”
EVALUATION

The objectives were carried out because when the patient asked, his answers were appropriate.
When questioned, he accepted the fact that he is still ill and requires treatment. He has
cooperated to the nurse is complaint with the treatment.

Signature Over Printed Name of Student Nurse : CAOILE, CATHERINE R.

Inclusive Date of Duty : MAY 14, 2021