UNIVERSITY OF SANTO TOMAS – COLLEGE OF NURSING

Espana Boulevard, Sampaloc, Manila, Philippines 1015

Tel. No. 406-1611 loc.8241 | Telefax: 731-5738 | Website: www.ust.edu.ph

Interaction Process Analysis

I. Patient’s Personal Data and MSE
Name: L.V Age: 58 Marital Status: Married
Address: Valenzuela city-- but originally from Leyte
Date of Admission: 2012 Gender: Female
Birthday:
II. General Appearance:
Patient is wearing clean NCMH uniform, looks clean in appearance and
manifests no physical symptoms. Patient stands straight; has normal gait.
Facial expression is appropriate, maintains eye contact but sometimes look
elsewhere. Patient looks healthy.
III. Behavior during the initial interview:
Patient is very cooperative during the interview. She responds when asked.
She seems a little awkward during the initial interaction but is responsive
when being asked
IV. Short Term and Long-Term Objectives
Short-term: At the end of the 30-minute interaction, patient should be able
to:
• Be oriented on the interactions about to take place during the period
of stay at NCMH.
• Establish trust with the nurse.
• Verbalize basic information and feelings about self
Long-term: By the end of the 4-hour shift, the patient will:
• Manifest progress with self and have improved relationship with other
people.
• Be able to verbalize hidden feelings about self and others.
V. Venue, Date and Time of Interaction
Venue: National Center for Mental Health – Pavilion 10
Date: April 16, 2018
Time: 7:00AM-11:00AM

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 Verbatim Accounts Client Analysis
Student nurse
April 16, 2018 “Lolita, Lolita Greeted the patient and introduced self.
Student Nurse: “Magandang umaga po! Villamayor.” Told her the purpose of interacting with
Ako po si Nica Salazar, ang magiging her and until what day the student nurse
student nurse nyo po ngayon hanggang will be with her.
May 14, 2018. Kami po ay galling sa
University of Santo Tomas, nandito Patient seemed a little shy and does not
po kami para mas makilala kayo ng look at the student nurse’s eyes. To start
husto. Kayo po, ano po ang pangalan “Ayos naman.” establishing rapport, the student nurse
nyo?” acknowledged her by asking for her name
SN: “kamusta po kayo rito?” and her status.

SN: “Kwentuhan nyo naman po ako *Smiles* Asked basic information about
tungkol sa inyo” the patient as the get the gist of
SN: “Saan po kayo nakatira?” “Sa Leyte” who she is.
SN: “May anak na po ba kayo? May “oo, tatlo. Puro lalaki.”
asawa na po ba kayo?” Patient does not ask questions
SN: “ilang taon na po kayo?” “58” and only talks when asked.
SN: “Alam po ba nila na nandidito “hindi” After knowing the basic information about
kayo?” the patient, the student nurse started
asking about family.

SN: “Gaano na po kayo katagal “Mga 10 years na”

ditto?”
SN: “Paano po kayo napunta ditto?” “dinampot”
SN: “Dinampot po?” “dinampot ako ng mga The student nurse clarifies the patient
pulis” statement.
SN: “ah dinampot po kayo ng mga “sa Valenzuela” The patient projects a positive feelings
pulis. Saan po?” when talking about her college life. She
SN: “ah. Bago po kayo mapunta ditto, “ayos naman” responded to the questions which is
kamusta po ang buhay nyo sa Leyte?” normal.
SN: “ano po ba ang natapos nyo sa “college”
pag aaral?”
SN: “Ah. Ano pong kurso nyo?” “Secretarya”
SN: “ano po trabaho nyo sa Leyte” “sa opisina”
SN: “yung asawa nyo po?” “doon din” The patient hints a conflict between her
SN: “ah bale doon po kayo *smiles* “oo” and her husband but does not give much
nagkakilala?” details about it and still smiles. This
SN: “nasaan na po sya ngayon?” “wala na. naghiwalay na can be seen as being covert.
kami eh”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 SN: “nadalaw nya po ba kayo rito? “hindi eh. Hindi nila alam The student nurse asked the patient about
na nandito ako” her family. The patient told the student
*looks uninterested* nurse about her family and how she missed
“inom lang ako ah” them
SN: “sige po samahan ko na kayo” *drinks water*
SN: “eh yung mga kapatid nyo po sa “hindi din. Pero sumulat
leyte o yung mga kamag anak nyo po ako sa kanila, pero walang
sa leyte? Alam po ba nila na nandito sagot”
kayo?”
SN: “ah. Kelan pa po ba kayo “Mga 6 na taon na.” The student nurse clarified the previous
nandito?” statement of the patient.
SN: “Ah Ma’am kanina po ang sinabi “hindi hindi 6 pala”
nyo 10 taon na kayo dito..”
SN: “ahh. Kamusta po kayo nung nag- “ayos naman. May award ako The student nurse acknowledged the
aaral pa kayo?” nung college. Best achievement of the client.
character.”
SN: “ay best in Character po kayo *patient giggles*
nung college? Ang galling naman ni
ma’am”
SN: bukod po sa pagiging secretarya “nagtinda din kami ng The patient remained calm while talking to
sa opisina, ano pa po nagging isda, tsaka labandera..may the student nurse. Her attention was on me
trabaho nyo?” tindahan din kami sari- and was smiling while we talked about her
sari dati” previous occupation
SN: “ngayon po, kamusta na po yung “wala na sarado na. kase
negosyo nyo?” nalugi eh”
SN: “ah kelan po pala kayo lumuwas “ah noon, lumuwas ako The student nurse clarifies the response
dito sa Manila?” napunta ako sa Valenzuela” of the patient to have a better
SN: “ah ano po nagging trabaho nyo “labandera” understanding of the patient. Patient is
sa Valenzuela” aware of what has happened to her
SN: “ano po yun nangangamuhan kayo “hindi nagpapgala gala ako
or on-call kayo?” tapos may nagpapalaba
sakin.”
SN: “ah saan po kayo tumutuloy dito “wala. Sa kalsada lang”
sa Manila?”
SN: “wala po kayong bahay?” “wala. Sa bangketa lang o
kung saan saan”
SN: “ah kaya po ba kayo dinampot ng “oo”
mga pulis?”
SN: “saan po kayo dinala ng mga pulis “dito”
nung dinampot kayo?”
SN: “dito napo agad?” “oo”
SN: “ngayon po kamusta naman kayo “maayos naman” The student further asked the patient if
she was experiencing any problems, or
dito?”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 SN: “hindi naman po kayo nalulungkot “hindi naman” “teka lang stressors in the hospital and that she
could express it through talking.
dito?” iinom lang ako *looks
The patient seemed bored or distracted and
uninterested anymore*
asked that she’ll use the comfort room.
“ihi lang ako ah”
SN: “sige po samahan ko na kayo” “ay wag na!”
*returns*
SN: “doon po ba kayo naliligo?” “oo”
SN: “paano po yun, isa isa po o sabay “sabay sabay”
sabay?”
SN: “ano po ginagawa nyo pag *silent* *scratches head* The patient intentionally avoided the
nalulungkot kayo dito, ano po yung feeling which projects ‘suppression’
mga bagay na nagpapalibang sa inyo?”
SN: “yung mga activities nyo po “gumagawa kami ng tissue The nurse revised the question as to not
dito, ano-ano po yun?” pouch tsaka keychain tapos force the patient to speak her feelings.
binebenta namin”
SN: “May mga kaibigan po ba kayo “oo” The patient has become sociable as the time
dito?” went by. The patient was indeed observed
SN: “okay naman po kayo dito, “oo” to be in the stage of rehabilitation phase
nakakain naman po kayo?
Nakakatulog ng maayos?”
SN: “ah sige po ma’am, puputulin po “sige. Salamat din!” The student nurse thanked the patient for
muna natin yung kwentuhan natin the simple conversation and Oriented the
ngayon.. pero bukas po, patient on what is
ipagpapatuloy po natin. Bukas din po going to happen the next day.
may mga activities po tayo kung saan Asked for her permission in
marami po tayong matutunan at mas order to have her cooperate.
makikilala natin ang isa’t isa. Sige
po ma’am. Salamat po sa oras nyo!”

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8
 Assessment Nursing Background Planning Intervention Rationale Evaluation
Diagnosis Knowledge
Objective: Impaired Social Insufficient Long-term Goal: 1. Spend time with  Your presence Goal partially
 Lacks eye Interaction or excessive After series of client. This may may help met. By the
contact related to quantity or interaction/nursing mean just sitting improve end of the
 Soft and absence of ineffective intervention, the in silence for a client's shift, the
low-tone available quality of patient will be able while. perception of patient was
voice significant others social to: self as a able to:
 Distracted or peers as exchange.  demonstrate 2. Develop a worthwhile  Client
 Demonstrates evidenced by attempts to therapeutic nurse- person. demonstrates
discomfort dysfunctional communicate client willingness
in interaction with continuously relationship  Your presence, and desire to
interaction peers, family, with eye through frequent, acceptance, and socialize with
 Shyness and others contact brief contacts conveyance others.
and an accepting of positive
Short-term Goal: attitude. Show regard enhance  Client
After 20-30-minute unconditional the client's voluntarily
nurse-client positive regard. feelings of attends group
interaction/ nursing self-worth. activities.
interventions 3. Provide positive
patient will be able reinforcement for  Positive  Client
to client's reinforcement approaches
 verbalize to voluntary enhances others in
express interactions with self-esteem appropriate
honest others. and manner for one-
feelings encourages to-one
 maintain eye 4. Teach repetition interaction
contact assertiveness of desirable
 will share techniques. behaviors.  Maintain eye
her past life Interactions with contact and
experiences others may be  Knowledge speaks
negatively affected of assertive confidently
by client's use techniques
of passive or could improve
aggressive client's
behaviors. relationships
with others

Prepared by: Nica Sharmaine C. Salazar, UST-SN

3NUR-8