CASTILLO, JESSA MARIE B.
Diagnosis: Bipolar Affective Disorder
3BSN-B
TERMINATION PHASE
NURSE-PATIENT INTERACTION THERAPEUTIC APPROACH RATIONALE ANALYSIS OF THE DATA
& DEFENSE MECHANISM
Therapeutic Approach and
Defense Mechanism:
N: Hello po, kami po ulit. Kumusta po kayo? Kumusta po kayo Active listening. Fosters sense of trust, respect, and We gain patients trust to this point,
nung Thursday to Sunday? (March 19) understanding. she open and sharing stories that we
P: Dinalaw ako ng kuya ko, nagkwentuhan kami tapos didn’t ask.
dinalhan nya ako ng mga toiletries.
N: Ano po napagkwentuhan nyo?
P: Ah ano tungkol sa pamilya nya.
N: Pati po ung damit nyo po dala nya? Clarifying.
This is a helpful tactic that can help
P: Ah oo, pinadala ‘to ng sister-in-law ko. Nakilala ko rin ung Shares feelings and people present themselves well,
side ng SIL ko, ung family nya. Kilala ko rin magulang nya experience to nurse. highlight their credentials, and
ganon. engage the nurse.
N: Kumusta naman po kinakain nyo po dito?
P: Ayos lang, pinapakain pa rin nila ako minsan nung mga Shares information to nurse The more information you provide, Patient give information to our
fried chicken syaka mga meats. the better a nurse can understand question that can gain trust to the
your situation and accurately patient.
diagnose any health concerns.
N: Ano po ineexpect nyo sa mga susunod na araw? Changing answer to question. Changing answer to a question is a Patient changing answer to our
P: Alam mo sa SM Southmall may bingo dun nananalo sila ng natural part of intellectual growth question that is not relevant answer.
15k ganon to 1M. (laugh) Sa Wednesday ung socialization and development, reflecting an
natin? individual's capacity for reflection,
learning, and adaptation.
N: Opo, may gusto po ba kayong suotin ganon or suggestion Automatic Response of Laughing could also serve as a
po? laughing and not giving defense mechanism to mask
P: (Laugh) answer. discomfort or uncertainty.
Giving information with only may have specific boundaries or
have a certain person and triggers related to certain people or
N: Ano po ung mga dumaan po sa inyong problema na pwede situation again. situations. Only one specific person she
nyo po ishare? mentions and recognizing.
P: Ung mga pamangkin ko, love na love ko yun eh.
Pinagpepray ko lagi na mabuhay sila lalo na si Chris. Muntik
na nga sya mamatay non eh. Nagpray lang ako, naggrant
naman si Lord. Cooperative and silence to To strike a balance between active
observe. cooperation and respectful
N: Nakakatulog po ba kayo maayos? observation, adapting your
P: Oo naman. Nagising na ako ng 5 tapos nakain na ako ng 6. approach based on the individual's Cooperative when it comes to this
(silent) current state and preferences. kind of events.
Asking questions to nurse and Asking questions to nurse and
clarifying. clarifying.
N: Bale gang Wednesday na lang po kami. Patient have the initial reference
P: Oo nga eh, bale public school ba ang cabuyao? when is the last day that can we
N: Bale semi-private po pero may mga school din po na interact with them.
private. Giving recognition to the daily Express appreciation for their
P: Ah ganon ba. activities. contributions and efforts around the
house or in their personal life.
N: Ano po pinakanagustuhan nyong activities po?
P: Ung jeopardy, tapos ung lagi naming pag rerequest ng
songs. Nagustuhan ko nga rin ung ginawa nating salad,
sobrang sarap non eh.
Asking politely. Politeness demonstrates respect
for the other person's feelings,
P: Pwede ba ako magrequest sa inyo ng yellow pad. opinions, and boundaries. It
Pagsusulatan ko lang ng aking mga request sa family ko. acknowledges their autonomy and
N: Ay opo, dala po kami bukas. dignity, creating a more positive
and supportive interaction.
Appreciative and value the It assures them that their well-
care for them. being is a priority and that their
N: Ano po mararamdaman nyo po pag-umalis na po kami sa needs are being met with sincerity Indication of valuable to others and
Wednesday? and compassion. giving respect what they do to take
P: Ano, okay lang, mamimiss ko kayo. Maaalala ko kayo. care of her.
(silent) Natutuwa ako na nagkakaroon tayo ng activities.
Self-Disclosure. Normalizing the condition, building
trust, providing perspective,
N: Nagustuhan nyo po ba ung sa vlog po naming? offering support, modeling healthy
P: Ah oo naman, san kayo nagpunta non? coping, strengthening connection,
N: Sa mga robinson galleria po, enchanted kingdom po ganon. encouraging communication, and
P: Ah galing, ano ako sa luneta, starcity pero hindi ako mahilig empowering the individual to take
kasi sa rides hindi rin pala sama sa ganon. an active role in their recovery.
Allows you to gain a deeper
Asking personal questions. understanding of the individual's
experience but be a professional.
P: May boyfriend kana ba?
N: (silent) (laugh) Expressing appreciation shows
respect and acknowledges the
Excited and cooperative for the valuable role healthcare workers
event. play in a patient's recovery.
N: Hehe, ayun lang po sana po bukas magustuhan nyo po ung
gagawin namin para sa inyo.
P: Oo naman, excited na nga ako eh. Siguro susuotin ko na Providing meaningful support,
lang leggings syaka ung t-shirt ko nung pang 90s. reducing isolation, offering practical
Being valuable to others. assistance, providing Patient actively participate and more
encouragement, advocating for on to religious activities.
N: Ayun lang po, Salamat po. their needs, offering stability, being
P: Salamat din, lagi ko kayo pagpepray na sana a trusted confidant, and promoting
makapagtapos kayo at maging nurse. self-care.
