Xavier University
Ateneo de Cagayan
COLLEGE OF NURSING
FORMAT ON PROCESS RECORDING
Name of Therapist: Anna Isabel Canoy Time: _7:00 am
Client: Mr. Acac Date: January 18, 2021
Age: 21 years old Religion: Roman Catholic
Educational Background:College Level Sex: Male
I. Pre-orientation: (Nurse’s and patient’s behavior before the NPI starts)
Nurse arrived at the hospital at 7:00 am. My patient was inside his room, wearing a
hospital gown. He avoids eye contact and has a flat affect. Appears distracted and focused on the
wall. No unusual movements observed.
II. Background Information: (Patient’s history of illness, include recent events.)
Patient diagnosed with Catatonic Schizophrenia
III. Setting of Interaction:
Inside the patient's room, the patient is sitting on the bed staring at the wall. The room is
well lit and has a few furnitures. The room was void of any visual or auditory distractions to
keep interaction as therapeutically conducive.
IV. Description of patient during interaction.
Appearance: wearing his hospital gown appropriately, hair slightly unkempt, facial hair
present and unshaved.
Behavior: Avoids eye contact, unusually still, only reacts with verbal stimuli, appears
nervous yet gets interested when talked about his friends
Affect: Flat
Pattern of Communication: Monotonous, direct, and short
V. A.) Objectives of the Nurse
At the end of 8 hours I will be able to:
1. Establish rapport and a trusting relationship with the client to be able to help the
patient to verbalize his feelings.
2. Establish boundaries between the nurse and client relationship
3. Use therapeutic skills in assessing and validating client’s perception and feelings
4. Facilitate the client’s expression of emotions
B.) Objectives of the nurse for the client:
At the end of interaction, the client will be able to:
1. Have rapport and a trusting relationship with the nurse and will be able to
verbalize feelings to the nurse
2. Establish boundaries between the nurse and client relationship
3. Be able to answer questions as precisely as possible
PROCESS RECORDING
Client Initials: Mr. LA
Date: January 18, 2021
Time of Interaction: 7:00 am
NURSE PATIENT INFERENCES /
ANALYSIS
(Nurse enters patients (Looked then ignored, went Notifying the patient of my
room at 8:09 am) back to his original state: at arrival and displaying
“Maayong buntag, higala” his bed staring at the wall, introductions matter across
with flat affect) virtually every field. (Gross,
2018)
“Maayong buntag, higala, (Looked at nurse then nods) Repetition of providing the
ako imong student nurse patient with my name and
karun si Anya” intentions allows trust to
build considering that the
consequences of “first
impressions” can be
substantial. (Gross, 2018)
“Mag uban ta karung “Maayong buntag” (blank Informs the patient that I will
adlawa, kamusta man ka expression) be offering time and
karun?” healthcare services for him
today. When nurses offer
their time, it shows they
value patients and that
someone is willing to give
them time and
attention.(Rivier University
Nashua, 2017)
“Nagkaon na ba ka ug (Nods) Encourages the patient to
pamahaw?” speak about himself and his
day. Making patients feel
heard is integral to building
rapport. (Maryville
University, 2021)
“Maayo na, unsa man “Lance” To orient myself with the
imong pangalan, higala?” client and confirm his
identity. A simple act of
calling patients by their
names is another aspect of
respecting the patient.
(Maryville University,
2021)
“21” The easiest way to get most
people to open up is to ask
“Ug pila naman imong them questions. Gathers
edad?” more information about the
client that may be relevant
for his healthcare.
(Maryville University,
2021)
Broadening the discussion
“Magka edad ra diay ta “Taga Nazareth rako” to learn more about him can
higala, aha man sad ka be a good way to allow
nagpuyo ayha ka niabot patients an opportunity to
diri?” discuss what’s on their
mind. (Rivier University
Nashua, 2017)
Focusing the discussion on a
“Ug pila man mo kabuok sa “5 mi, sila papa, mama, ako, certain topic to learn more
balay?” duha nako ka mga about him. Broadening the
manghud” (Answering discussion to learn more
while counting with his about him. Asking him a
fingers) series of questions will help
him expound on a problem
or his experiences. (Rivier
University Nashua, 2017)
“Wow naa diay kay mga “5 ug 8 na sila”
manghud, pila na sad ilang
mga edad”
“So ikaw ang “Oo”
pinakamagulang sa inyu?”
“Nag skwela ba ka, higala, “Oo, sa public ra man ko”
ayha ka niabot diri?”
“Aha man sad ka nag “Sa cagayan”
swkela?”
“Daghan ba kay mga amigo “Gamay ra”
sad didtu?”
“Naa ba kay matawag na “Oo si, Jan ug William”
best friend sa ila?” (starting to smile a little
while hands are clasped
together and is looking at
the ceiling as if
remembering)
“Buotan sad sila?” (Silent and scratches head
afterwards)
Offering the patient an
“Naa koy dala nga drawing “Ok” (nodding with a slight activity to engage
book and crayons, kung smile) in,distracts his nervousness
gusto nimo pwede nimo sila and makes him more at ease
ma draw og unsa inyung in sharing his sentiments.
mga activities kung mag This activity may then help
uban mo. ” ease the individual’s
anxieties. (Rivier University
Nashua, 2017)
Focusing on a certain topic
(Nurse hands over drawing “Oo, mananaw tv, dula in a discussion allows more
book and coloring computer” (smiling then information to be gathered
materials) starts to scribble) from the patient. (Rivier
University Nashua, 2017)
“Sige ra mo ug uban ni Jan
ug William?”
Probing the client to
“Unsa pa gyud lain?” “Usahay magdula sad mi sa expound more on his
gawas bisan unsa” (draws experiences since he is now
people playing basketball) responsive. Discussing a
patient’s personal interests
and engaging him or her on
“Aha man mo gadula?” “Gawas ra sa among mga topics outside of the hospital
balay ug didtu sa basketball room can help create a
court” unique and positive
relationship. (Maryville
University, 2021)
“Ahh naa pa kay lain mga “Daghan mi kung mag
amigo nga muapil sad?” basketball”
“Pero sila ra gyapun imong “Oo, sila raman akong best
ka grupo?” friends”
Respectfully ends the
“Ah sige, mao rato siya, “Salamat sad” conversation and informs
ugma na sad ta kita balik, the patient of future plans
higala. Salamat sa pagtubag and meetings. These help to
sa akong mga pangutana” develop trust and open the
lines of communication.
(Writers, 2020)
References:
Gross, K. (2018, May 07). How You Introduce Yourself Really Matters - Especially Now.
Retrieved January 19, 2021, from
https://www.aspeninstitute.org/introduce-really-matters-especially-now/
Maryville University. (2021, January 06). Building Better Rapport with Patients. Retrieved
January 19, 2021, from
https://online.maryville.edu/8-ways-nurses-can-build-better-rapport-with-patients/
Rivier University Nashua. (2017, March 29). 17 Therapeutic Communication Techniques.
Retrieved January 19, 2021, from
https://www.rivier.edu/academics/17-therapeutic-communication-techniques/
Writers. (2020, December 30). The Importance of the Nurse-Patient Relationship for
Patient Care. Retrieved January 19, 2021, from
https://www.registerednursing.org/articles/importance-nurse-patient-relationship-care/
