BSN4A (GROUP 2) 49 XI. Nurse-Patient Interaction Nurse-Patient Interaction #1 Patient Name: L.J.

Sex: Male Age: 31 years old Date:June 19, 2012

Diagnosis: Substance Abuse (Methamphetamine and Marijuana)

Nurse Interaction Good morning

Client Interaction Good morning man

Nurse Inference GIVING RECOGNITION. The nurse recognizes the client as. GIVING INFORMATION. Informing the client of facts increases his knowledge about the topic. SEEKING INFORMATION. Seeking clarifications throughout interaction. GIVING INFORMATION. Informing the client of facts increases his knowledge about the topic.

Client Inference The client greeted the student nurse smiling. The client repeated the name as he looked on the nameplate The client appeared motivated as he stated his name.

Ako si Sheena, Student nurse sa La Salle

Hi Sheena

Ano imo pangalan?

Akosi L.J.

Ari kami diri astasa Friday para mag interact sa inyo kag magconduct mga activities Kamusta man ang stay modiri Bon?

Ah. Mayo kayparaindi man kami diri ma boring

The client showed excited upon hearing the information.

Okay gid ah. Gapakabuot nako galing kis-a ka boring giddiri. Kay naggamitkoshab umgasobrana 10 years. Amu na

ENCOURAGING EXPRESSION. Encourages the client to make his appraisal.

The client responded immediately with confidence.

Anoangrasonng aaarikadiri?

SEEKING INFORMATION. Seeking clarifications throughout

The client appeared his willingness to share his

BSN4A (GROUP 2) 50 gusto ko man magpaayodiri." Pilanaedadmo L.J aw? 31 nako interaction. experience.

SEEKING INFORMATION. Seeking clarifications throughout interaction. MAKING OBSERVATION. The client cannot make themselves verbalized/ understood.

The client remained focus during the interaction. The patient was calmed as he shared his insight regarding what he experience.

Willing kana man gali L.J. magbag-o. ikaw pa mismonagpushsa self momagpa rehab. Mayo naindi pa man ulihiangtanan Bastapakabuotk adiriparamatapos moasta phase 5 kagmakaumpisak aliwat. Take molangimobulon gkagpatisahamba l sang imo doctor kag nurse. Ginsharemosaa konsasubongnaa dlawangimo experiences kag feelings sang unakagsubong. Name L.J. kaynagparticipat ekasaaton interaction. Mabaliknaman kami buwassaaga. Thank you gid!

Huo willing man k okay kabalokoindigid mayo angshabu. Nag gamogidangakon nakabuhisugodp aggamitko

Gani, 3 months GIVING INFORMATION. Informing the client of facts nako di daan. increases his knowledge Kaya ko man about the topic. naindinamagamit liwatshabu. Kagginapatikoan g advised sang doctor kag nurse ko.

The patient appeared serious but determined to get well.

Mayo man gani may sturyahonko di. Salamat man kagbwasliwat ah.

SUMMARIZING. Seek to bring out the important points of the discussion and to increase theawareness and understanding of both participants.

The patient showed happy at the end of the interaction and seemed of looking forward for tomorrows activities.

BSN4A (GROUP 2) 51 Nurse-Patient Interaction #2 Patient Name: L.J. Sex: Male Age: 31 years old Date:June 20, 2012

Diagnosis: Substance Abuse (Methamphetamine and Marijuana)

Nurse Interaction Good morning, L.J. Kamusta imo tulog

Client Interaction Good morning man, Sheena Okay man ah

Nurse Inference GIVING RECOGNITION. The nurse recognizes the client as. ENCOURAGING EXPRESSION. Encourages the client to make his appraisal. SILENCE. Nurse say nothing but continues to maintain eye to eye contact and conveys interest. BROAD OPENING. Allowing the client to take the initiative in introducing.

Client Inference The client greeted the student nurse smiling. The client answered the question as he stare to the student nurse. The client appeared interested while asking the student nurse. The client remained calm but participative during the discussion. The client showed active upon answering the questions. The client answered immediately.

Kamusta imo tulog yah?

May gusto ka storyahan L.J.?

Pamangkot lang ang gusto mo mabalan sakun

Aside sa shabu sang una, may iban ka pa gid na substance na nagamit? Ano ang feeling after gamit mo marijuana? Okay, tapos?

Dawn naka try ko marijuana pero nalawayan ko. Daw gadula ko sa akun kaugalingon." Nataman gid k okay gindungan ko sa shabu. Gin ospital gid k

EXPLORING. Delving further into a subject or idea.

EXPLORING. Delving further into a subject or idea.

GENERAL LEADS. Giving The client encouragement to continue. continue to share his experience.

BSN4A (GROUP 2) 52 okay di kaya sang lawas ko Anon a realize moafter sang natabo? Indi mayo sa lawas ang paggamit sang shabu kag marijuana. Amo na ang rason ngaa gusto ko magparehab. Gusto ko man magayo na, amona ang rason ngaa gapakabuot na ko. Okay, sige bwas naman liwat. Thank you man! ENCOURAGING DESCRIPTION OF PERCEPTIONS. Asking client to appraise the quality of his or her experience The patient appeared to be spontaneous in stating his experiences to the student nurse.

Nakita ko L.J. nga determinado ka magayo. Adayuna lang kay indi pa gid ulihi ang tanan. Maayo gid na L.J. Ang ginstoryahan ta subong ang mga experiences mo sang una, thank you gid kay nagshare ka sa amaon. I hope bwas ma participate ka liwat sa amon nga ginpreparar nga activities.

MAKING OBSERVATIONS. 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 patient seemed to be determined while responding to the student nurse. The patient thanks the student nurse smiling.

BSN4A (GROUP 2) 53

Nurse-Patient Interaction #3 Patient Name: L.J. Sex: Male Age: 31 years old Date:June 21, 2012

Diagnosis: Substance Abuse (Methamphetamine and Marijuana)

Nurse Interaction Hello L.J., Good morning!

Client Interaction Sheena, Good morning man!

Nurse Inference GIVING RECOGNITION. The nurse recognizes the client as. MAKING OBSERVATIONS. Sometimes clients cannot verbalize. ENCOURAGING DESCRIPTION OF PERCEPTIONS. 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 take the initiative in introducing.

Client Inference The client seemed to have a good mood as he greets the student nurse. The client continued his emotion and wore a smile to the student nurse. The client was obviously had fun during the activity. The client appeared happy after the recognition. The client showed interest regarding the activities tomorrow. The client appeared to be excited for tomorrows event.

Mayo mood ni L.J. bah, nami gid imo tulog ay Ano mahambal mo sa activity ta kagina L.J.?

Mayo, mayo man akon tulog ah!

Sadya, enjoy gid ko kagina sang activity.

Kasagad magdrawing sa imo kagina L.J. May gusto ka istoryahan subong L.J?

Salamat

Bwas culmination noh?.

Huo L.J., culmination bwas. Sadya ni. Damu mga activities participate ka bwas ha. Ano

Yes, sige ah. GIVING INFORMATION. Ano talent ko Informing the client of facts man? Masaot na increases his knowledge lang ko guro ah." about the topic.

BSN4A (GROUP 2) 54 gusto mo etalent? May nabatyagan ka pa nga problema subong L.J.?

Okay man nabatyagan ko ah. May tion lang gid galling na gapangluya pa lawas ko. May times na gapangita lawas ko sang substance. Amo na ang rason nga galuya lawas ko. Tsakto, mo na gani gina control ko gid para mag ayo ko.

ENCOURAGING EXPRESSION. Encourages the client to make his appraisal.

The client was open in sharing his feelings to the student nurse.

Ano ang rason ngaa galuya lawas mo L.J.?

EXPLORING. Delving further into a subject or idea.

The patient appeared to be honest regarding his feelings but remained calm.

Amo na kilanlan mo gid self-control kag discipline para indi ka na magbalik sa dati. Paayo ka gid, L.J. Ginsturyahan ta parti sa culmination tab was ka gang ga bother sa imo. Salamat gid L.J. Kitanay ta liwat bwas ha.

GIVING INFORMATION. Informing the client of facts increases his knowledge about the topic.

The patient agreed to what the student nurse have said

Salamat man, sige kitanay kita bwas

SUMMARIZING. Seek to bring out the important points of the discussion and to increase the awareness and understanding of both participants.

The patient smiled as he thank the student nurse.

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 institutions policy. And lastly, they should pray to God for th e 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

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 patients 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.

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 7th Edition:

Lippincott Williams and Wilkins. Psychiatric Mental Health Nursing.4th ed.2008.Lippincott Williams & Wilkins.China.Shiela L.Videbeck Roth, L.S. (2010). Mosbys 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-ACTIONBACKGROUND-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

BSN4A (GROUP 2) 58 WHO. (2012). Substance Abuse. Retrieved August 9, 2012, from World Health Organization: http://www.who.int/topics/substance_abuse/en/