PROCESS RECORDING

DEALING WITH PATIENT WHO IS SUFFERING FROM STRESS

LORDSON GEM P. IBON

BSN III-B
PERSONAL DATA
Patient’s name: DAVE JUSTIN TOMAS
Age: 35 y/o
Sex: Male
Civil Status: Single
Religion: Evangelic Christian
Educational Attainment: College Graduate
Date and Time of Interaction: March 18, 2021 at 5:00 PM
Milieu of Interaction:
The assessment was done inside the house specifically on their living room. The environment is conducive to
interview wherein the student nurse elicited information and the client shared his thoughts and be able to be
consistent in sharing ideas.
Objective:
It aims to elicit information about client’s experience on different stressors. The elicited information serves as data
by the student nurse to come up with a resolution to help the patient in determining coping strategies that suits to the
client.
Brief Description of patient and Milieu of Interaction:
The client was seen sitting on sofa, great and conversant. The client’s body build is mesomorph and the general
skin tone is brown. His apparent age is congruent to his actual age. He is seen wearing clean and neat clothing that is
appropriate to the weather. The assessment was done inside the house specifically on their living room. The
environment is conducive to interview wherein the student nurse elicited information and the client shared his
thoughts and be able to be consistent in sharing ideas.
 STUDENT NURSE’S RESPONSE PATIENT’S RESPONSE ANALYSIS
VERBAL NON-VERBAL VERBAL NON-VERBAL THEME THERAPEUTIC
ORIENTATION PHASE
Good morning, sir! Smiled while Good morning, Smiled, looked Content- oriented Giving
I’m Lordson Gem looking at the too sir! and nodded at the to person Recognition.
Ibon, third year patient student nurse Greeting the client
nursing student from by name,
MMSU. indicating
awareness that
you are showing
to the client that
you recognize him
as an individual
May I know your Leans forward I’m Dave Justin Looked at the Content- oriented Exploring. To help
name sir? Tomas sir. students nurse to person the client to
and gave a smile. examine the issue
Mood- happy
more fully. And if
there’s an issue in
not remembering
his full name.

How old are you sir? Smiled at him I’m 35 years old Smiled at the Interaction- open Exploring.
and lean sir. student nurse up with the nurse Informing the
forward patient of facts
Doing hand
increases his
gestures (open
knowledge about
 palm pointing to the situation and
self) puts an so that he knows
emphasis to self in what to expect.
introducing.
Giving information
also builds trust
with the patient.

How are you sir? Smiled at him I’m good sir, still Smiled and Mood- happy Using open
and lean alive and kicking. shoulders rose in a ended-question.
forward and sarcastic way. Nodding indicates
looked an accepting
sincerely to the response that the
patient’s eyes student nurse has
heard and
followed the
thoughts said by
the patient. It
doesn’t need an
agreement but is
non-judgemental.
WORKING PHASE
How do you feel right Smiled at him Sometimes, I’m Looked at the Content- describes Exploring. It can
now sir? Do you have and lean fine but most of student in serious the cause of his help to deal with
any pain you feel? Or forward and the time I’m and sincere stress issue more fully.
do you feel pressured looked stressed due to manner Any problem is
Mood- sadness
or stressed right now sincerely to the our business. It’s explored can be
sir? patient’s eyes so hard to gain Interaction- open better understood
money in this time up with the nurse if explored in
of pandemic. depth.
How many years Smiled at him It’s been 5 years Showing a sincere Content- Exploring. The
have your business and lean since our business face with a sad describing question specifies
started sir? forward and started sir, it was tone voice situations only the topic to
looked owned by my discuss and it
Mood- delightful
sincerely to the brother but invites the
patient’s eyes eventually they answers that are
went to abroad longer than one or
that why I handed two words.
over their
business, it’s been
2 years since I
handed this.
Oh, so 2 years since Looking at the Yes sir. Displaying a Mood- charming Restating. Asking
your brother left their patient with sincere face the question again
business to you sir? concern made the patient
knew that he
communicated
effectively. This
encourages the
patient to
continue.
You stated a while Looking at the I usually drink Smiled and Content- describes Exploring. It can
back sir that you patient serious alcohols and shoulders rose the different help to deal with
we’re stressed when and concern smoke. Usually, at while palm facing strategies in issue more fully.
it come to your night time I drink upward coping up stress Any problem is
business, how can alcohol. I just explored can be
Interaction- open
you manage your thought these better understood
up with the nurse
stress? vices would help if explored in
me to manage my Mood- guilt depth.
stress.
You mean sir, 1 bottle Looking at the Yes sir, when I’m Looks at the Mood- guilt Restating. Asking
of beer per night? patient serious, stress, I usually student nurse the question again
concern and drink 1, it also seriously. made the patient
shocked help me to sleep knew that he
early to get up communicated
early and go to effectively. This
work. encourages the
patient to
continue.
How many sticks of Shows concern I can consume half Smiled and looked Content- describes Exploring. It can
cigarette you can while shocked of the box of at the student the different help to deal with
consume per day sir? expression. Marlboro blue per nurse seriously. strategies in issue more fully.
day sir. coping up stress Any problem is
explored can be
Interaction- open
better understood
up with the nurse
if explored in
Mood- guilt depth.
Are there any Maintains eye Just watching on Shows a facial Content- Exploring. It can
activities that you do contact with TV or on my expression of enumerates help to deal with
to manage your patient while phone sir. happiness. positive stress issue more fully.
stress sir? showing coping strategies Any problem is
 sincerity explored can be
better understood
if explored in
depth.
TERMINATION PHASE
Sir, I’m encouraging Smiled at the Okay sir, thank Smiled while Content- displays Formulating a
you to have body spa patient while you for your waving to the positive thoughts plan of action.
and make pamper for holding his advices and I will student nurse. towards coping up This technique
yourself. There are shoulders do it next time. I may help the
positive coping will share the client to plan in
mechanisms which I good deeds to my Mood- happy, advance what he
can share it to you sir friends in delightful or she might do in
such as Physical business. Come future similar
exercise, relaxation, again! situations.
socialize and many Interaction-
more. These perceive full of Offering self. The
support nurse offers his
mechanisms will help
presence, interest
you to manage your
without making
stress and be able to
any demands.
cope up with positive
thoughts sir.
Summarizing. To
Thank you for sharing
bring out the
your precious time
important point
with me. Next time,
you discussed with
we will discuss all the
the client.
things that you
should apply on your
everyday lives in
order for you to
adapt, alter and
avoid stressors. But
stresses are
everywhere.
Thank you for sharing
all your thoughts
about this, sir! Have
a great day! I’ll come
again to hear any
problem you’ll be
venting out sir.