Nurse
Patient
Therapeutic Communication and Defense Mechanism
Verbal Magandang umaga tay, ako po ang student nurse niyo ngayon hanggang sa susunod na lingo po.
Verbal Magandang umaga din sayo
Ako nga pala si ga
Ako naman si go. haha
Giving information
Ano po pangalan mo tay? Tay hanggang sa susunod na linggo lang po kami dito sa synergy
Ako si Enrico Argame Argana
Asking the patient’s name
Nurse Gives the patient a warm greeting to create a positive atmosph ere ad establish a good rapport
Rationale
Observations
Greetings acknowledge client’ s presence as well as creating a goodstart and knowing client’ sdisposition.
Energetic
Patient
Fundamentals of Nursing by K ozier, B. p. 430
Happy Person Always singing Generous Cooperative
Kamusta po kayo tay?
Bakit ka naman po
Ai aKala ko matagal kayo dito
Focusing
Providing information that will help patients make better choices. Asking the name of the patient can help promote good nurse patient interaction Focusing on the termination phase would greatly help the patient to easily detach to the student nurse.
Sharing his food to others Kind Open person Helpful Attentive Talkative
Mabuti naman ako, kanina nung nagpapalit aq ng damit medyo nabatrip lang ako
Asks a question to seek viable information
Kasi sa kalagitnaan ng pagsasaya,
Exploring
Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague Exploring the feelings of the patient makes him more
almost knew all old Songs Joker Responsive
nabadtrip?
pinagpalit ako ng damit
comfortable and eager to share.
Active
Hindi na po ba kayo badtrip ngayon?
Ou hndi na mainit ulo ko
Verbalizing the implied
Rephrasing patient’s words to highlight an underlying message to clarify statements.
Talking with himself
Tay ilang taon nap o kayo?
Bumbay, hahaha
Asking question
Bumbay??
hahaha, 56 ang bumbay
Asking question
Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague
Ah..hahaha
(kaughing)
accepting
Accepting what the person said is very therapeutic because he/she thinks that you’re on his/ her side
Ano po ang hilig niyo tay?
Marami akong hilig, gaya ng sabong, billiard, pool at tsaka swimming
Asking question
Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague
ah, ako din tay magaling sa
(ngumiti) yun yung may pitsa, parang
Sharing
Sharing one’s experience shows that you are interested
paglalaro ng pool.
billiard pero flat lng.
on your conversation.
(Listening)
“I kissed your lips a thousand times” (kumakanta)
Active listening
paying close attention to what the patient is saying by observing both verbal and non-verbal cues.
Meron po ba kayong anak?
Anak?? Meron tatlo.
Exploring
Exploring the feelings of the patient makes him more comfortable and eager to share.
Tay kuwentuhan niyo po aq tungkol sa buhay niyo, ung mga nangyari po sa inyo
Nakakatakot yung nangyari sa akin
Exploring
Repression
Exploring the feelings of the patient makes him more comfortable and eager to share.
N: Bakit po nakakatakot?
: ewan ko hindi ko alam
Asking questions
Denial
Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague
(silent)
(kumakanta ng Let Me Try Again) : ang buhay parang isang awit lamang,
Silence
Planned absence of verbal remarks to allow patient and nurse to think over what is being discussed and to say more.
(natahimik)
may simula pero walang katapusan, ano man an gating kapalaran tanging Diyos lang ang nakakaalam. (kumakanta ng Sumayaw Sumunod)
Silence
Planned absence of verbal remarks to allow patient and nurse to think over what is being discussed and to say more. Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague
Tay mahilig pala kayong kumanta
ou naman, karaoke king ako eh. (kumakanta ng I did it my way)
Asking questions
Tingin niyo po ba may problema kayo?
ako wala pero sila marami
Exploring
Tay matanong ko lang po, Paano po kayo napunta dito tay?
Pinick-up ako sa amin ng 12 ng gabi sa bahay ng papa ko sa sto. Nino village.
Focusing
pursuing a topic until its meaning or importance is clear
sino po pumick-up sa inyo?
Si Doc Eric, Weng weng at Loy
Asking questions
Seeking information is used to know more about client’s feelings, thoughts and ideas. It
Denial
Exploring the feelings of the patient makes him more comfortable and eager to share.
is also used to make clear that which is no t meaningful or vague Bakit kayo pinick-up?
May sira daw ulo ko, I know all, natatandaan q naman lahat ng nangyari sa buhay ko.
Asking questions
Denial
Seeking information is used to know more about client’s feelings, thoughts and ideas. It is also used to make clear that which is no t meaningful or vague
Tay kinuryante po ba kayo ng albularyo?
oo kinuryente ako, may lumalabas ngang putik at dugo sa bibig ko.
Exploring
Exploring the feelings of the patient makes him more comfortable and eager to share.
Bakit po kayo kinuryente?
May sakit daw ako at may sira ang ulo ko.
Encouraging evaluation
Asking for patients views of the meaning or importance of something.
(listening)
(kumakanta ng Feeling. . for my life I feel it..)
Active listening
paying close attention to what the patient is saying by observing both verbal and non-verbal cues.
ang galing niyo kumanta, talo niyo pa aq tay , , hehe
(tumatawa)
Stating the observed
verbalizing what is observed in the patient to, for validation and to encourage discussion
Drug Name
Mechanism of Action
Indication
Contraindication
Side Effect
Nursing Consideration
Generic name: Chlorpromazi ne
Block dopamine receptors in the brain; also alter dopamine release and turnover.
•Acute and chronic psychoses, particularly when accompanied by increased psychomotor activity. Nausea and vomiting. • Also used in the treatment of intractable hiccups.
• Hypersensitivity. •Cross -sensitivity may exist among phenothiazines. Should not be used in narrow-angle glaucoma. •Should not be used in patients who have CNS depression.
•CNS: neuroleptic malignant syndrome, sedation, extrapyramidal reactions, tardive dyskinesia •CV: hypotension (increased with IM, IV) •EENT: blurred vision, dry eyes, lens opacities • GI: constipation, dry mouth, anorexia, hepatitis, ileus • GU: urinary retention • Hematologic: agranulocytosis, leukopenia • Skin: photosensitivity, pigment changes, rashes
• Assess mental status prior to and periodically during therapy. • Monitor BP and pulse prior to and frequently during the period of dosage adjustment. May cause QT interval changes on ECG. • Observe patient carefully when administering medication, to ensure that medication is actually taken and not hoarded. •Monitor I&O ratios and daily eight. Assess patient for signs and symptoms of dehydration. • Monitor for development of neuroleptic malignant syndrome
Brand name: Thorazine
Dosage: 200 mg
