PROCESS RECORDING: TERMINATION PHASE Name of Client: Ms. SKT Name of Nurse: Sunday Sarmiento Observation prior to Interaction: The client has a good appearance and maintains a good posture while talking to me. In addition, the client’s non-verbal responses seem to be very happy, and she looks to be very relieved and at peace from the pressure she is experiencing in her studies. The way she shares her bonding moments with her sibling and her parents just shows that family is very important to her. Nonetheless, the client has observed proper grooming and has good hygiene. We still met at the same place and at the same time on Bo’s Coffee Tolentino Street at 5:15 PM on February 7, 2023. Nurse (Verbal and nonverbal Responses) Magandang hapon SKT, sorry nagulat ka ba? Ako to si Sunday Sarmiento yung student nurse na nag iinterview sayo. Patient (Verbal and Nonverbal Responses) Uy sunday ikaw pala yan, kanina ka pa ba dyan? Sorry medyo na late kausap ko kasi yung kapatid ko (Maintains eye (Smiling and Contact and greets maintaining eye with a smile) contact,) Analysis Giving Information - It can let the client be aware of the situation and let him/her know that she is talking to her student nurse and it can help familiar the trust in the client. *The client seems happy as she was talking to one of the important people to her which is her sibling. Supervisory / CI’s Comments Mukhang maganda Oo naman, paano ang gising mo ngayon naman kasi, nag ahh? bonding kami ng kapatid ko at nang parents ko, kumain din kami dun sa favorite namin na samgyupsal at bago ako umuwi pa manila ay dumaan muna kami sa simbahan. eye (Maintains eye (Maintains contact and looks very Contact and smile) happy as her smile cannot be hidden from her face) Kumusta ngayon? ka na Ito feel ko okay na ako, Ang sarap na ng pakiramdam ko, nagusap na rin kami ng family ko about sa problem namin and ngayon parang nabunutan ako ng tinik sa saya. (Active listening to the client and maintaining eye contact and also leaning forward) ( Maintains eye contact and smiling Giving Recognition -Recognizing the efforts of the client will definitely help to establish good therapeutic communication throughout the process. *The client still looks very happy as she shares and remembers her bonding with her family and as a prove “hindi maipinta ang saya niya” Use of broad opening Questions - The use of broad openings can let the nurse get more answers from the client which can lead him to determine what is wrong with his/her client. This is a good example of openended questions. * The client’s smile is a sign of freedom and peace in herself, as it was seen that she said that “parang nabunutan ako ng tinik” Paanong feeling yung nabunutan ka ng tinik sa saya? (Active Listening and leaning forward Masaya akong marinig na nakapag open up ka na sa parents mo, at masaya rin ako na wala ka nang bigat na nararamdaman sa isip mo. Yung tipong hindi na Exploring ako nappressure sa ar -Exploring will help to get a studies ko, kasi nag-apiece of adequate n usap na rin kami ng information to the client and parents ko na kahit anogwill help the nurse to help daw grade ko bastam the client throughout the i makapasa raw ako at process n ginagawa ko naman daw yung best ko, masayang masaya naa daw sila don. n d e y (Maintains eye client relaxed e *The contact and seems to posture shows that she be relaxed posture) seems to be relieved at the pressure she experiences in her studies Hays, oo nga sana dati ko pa sana sinabi sa kanila yun, maiintindihan naman pala nila ako. Giving Recognition -Recognizing the efforts of the client will definitely help to establish good therapeutic communication throughout the process. (Maintains eye * The client’s non-verbal (Active Listening and contact and felt sad a response shows there is a leaning forward, and little bit) smiling) guilt that she should open up to her parents before. May gusto ka pa ba Hmm, oo nga pala Exploring and Giving sabihin o pag-usapan? ginawa ko ng account Options yung kapatid ko sa - Exploring will help to get imessage, para pag a piece of adequate may time na hindi ako information to the client makauwi at namimiss and will help the nurse to ko siya, pede ko siya help the client throughout tawagan the process. Additionally, it will allow SKT to verbalize what she wants to say to the student nurse (Maintains contact and forward) eye (Maintains eye contact *The client was very leans and very excited to excited to share what she share) does in order to have constant communication with her sibling. Ahh imessage? Ayan Oo, ganun nga siya Seeking Clarification ba yung parang pede pa siya ivideo messenger pero call dito, hindi ko kasi -A form of therapeutic through phone? siya ginagawan ng communication that can messenger kasi bata pa help the patient to engage kasi siya eh, alam mo and let them feel that you’ve desired to listen to naman sa facebook them. diba? (Maintains contact and forward) eye (Maintains leans contact and forward smiling) eye *The client’s nonverbal leans responses show positivity while about her relationship with her sibling and family and it shows that she protects her sibling about the bad effects of social media Tama, masaya naman akong marinig na may one way of communication na kayo ng kapatid mo Oo nga eh, magandang Giving recognition ideya talaga ang aking - Recognizing the efforts of pag-uwi ko sa amin. the client will definitely help to establish a good therapeutic communication throughout the process (smiled having contact) (Maintains eye contact *The client’s non-verbal and has a very relaxed responses show that there is a sign of relief in herself posture) while eye Edi pag may time ka Oo naman, ngayong na pede umuwi, uuwi feel ko na welcome na welcome ako sa amin ka sa inyo? ngayon, mas pag bubutihin ko pa ang mag-aral para pag kagraduate ko, ako na ang magpapa aral sa kapatid ko. (Maintains contact and forward eye (The client smiled while leans having eye contact and you can see on her face that she is determined to reach her goals) Exploring * Exploring will help to get a piece of adequate information to the client and will help the nurse to help the client throughout the process *It just shows that the client is at peace and free from stress, leading to a strong determination as her only goal is to finish college and find a job that will help her family Ito na nga pala ang huli natin na pagkikita sa interview, maraming salamat sa pag oopen up mo sakin. Tulad nga ng sinabi mo, pag namimiss mo yung kapatid mo, pede mo siyang tawagan. Maraming salamat din sa pakikinig, tamangtama tumatawag yung kapatid ko ngayon. Sige na sagutin ko na siya ha. Presenting Reality *It helps the nursingpatient relationship to be aware of the situation to not go deeper such as encountering transference and countertransference. (Smiling and maintains eye contact while waving to the client) (Smiling and maintaining eye contact and immediately answer the phone when she sees that her sibling is calling her The client’s nonverbal responses show that she is very excited on answering the phone to talk to her sibling. Brief information to the client: Client’s height is 5’3, she wears eyeglasses. She also looks like a fit and thin Chinita. References: Faubion, D. (2023). 30 Top Therapeutic Communication Techniques in Nursing + How to Use Them. Nursing Process. https://www.nursingprocess.org/therapeutic-communicationin-nursing.html
