Nursing Patient Interaction
Nursing Patient Interaction
PATIENT’S HISTORY
Mrs. Lydia Ariza is a resident of Naguilian,La Union, 56y/o is married
and granted with only son(Arnel Ariza). The patient is diagnosed with paranoid
schizophrenia. The patient had in and out of the hospital because of psychotic
illness.8 months Prior to admission the patient started to have behavioral
changes, poor sleep and irritable mood. Patient also verbalized that someone will
kill her. She is also uttering assaultive words and visual hallucinations. However
the is able to do household chores. There were no consultations done but instead
was given medications until the patient refuses to take it. The patient started to
talk incomprehensible words to herself. She stopped doing household chores and
was not able to take care of her herself.seh started to become violent and began
to hit her husband on his head. She was then brought to BGHMC was admitted
and was managed as a case of paranoid schizophrenia.
The patient was diagnosed with case of paranoid schizophrenia. She
had several admissions in this institution. There were no previous hospitalizations
due to general medical condition. There are no known allergies to food and to
drugs.
FIRST INTERACTION
A. Setting: psychiatric ward of BGHMC inside the female ward. We were with
the 5 other patient and 12 student nurses. Aside from that we have the
patient’s watcher, Arnel Ariza, son of the patient. She appears interested
to converse with us.
LEARNING OBJECTIVES
After one hour of nurse patient interaction student will be able to:
1. Build trust and rapport by demonstrating trust
2. Establish therapeutic environment and privacy
3. Establish mode of communication acceptable to both patient and to the
patent
NURSE PATIENT CLIENT’S NURSE INFERENCES MODIFICATIONS
INT. INFERENCES
N- magandang Giving facts or
hapon po ma’am relevant
siyak gayam ni information
Jennifer Long would help
ken isuna met ni facilitate
Cherry Ladinez. establish
Dakami ti rapport and
student nurse yo therapeutic
tadta hanggang communicatio
6pm. n
Greeting the
patient would
let patient
identify she is
part of the
interaction.
The patient
P- she nods and serious but is
looked at the not hesitant
floor to continue
with the
conversation.
N- kayat yo ba ti Shows
danum? initiative to
address to
patient’s
needs
Helps the
patient to
identify
solutions to
problems
P- wen nakung
kayat ko nga She addresses
maturog biological
needs
EVALUATION:
Objectives of the first nurse patient interaction were met. The student
nurse was able to establish rapport. Therapeutic communication also was
achieved. And lastly, we established mode of communication acceptable to both
the patient and the student nurse by talking in either Ilocano or in tagalong.