RLE 105: Nurse-Patient Interaction: Mariano Marcos State University

Mariano Marcos State University
COLLEGE OF HEALTH SCIENCES

Department of Nursing
RLE 105:
Nurse-Patient Interaction
Submitted by:
Ana Denise D. Quinajon
BSNIII-A, Group 3
Submitted to:
Ms. Myrel F. Garvida
Clinical Instructor
March, 2014
NAME: Joseph Jojo Alonzo

BIRTHDAY: December 2, 1962
AGE: 51 years old
GENDER: Male
ADDRESS: Brgy. 9, #256 Aglipay St., Cor Morales St
CHIEF COMPLAINT: Sleeping, talking incessantly and making noise all day and night.
DIAGNOSIS: Bipolar disorder, Manic with psychotic features, Alcohol and Drug abuse; Hypertriglyceridemia and Essential
Hypertension
DATE OF ADMISSION: June 21, 2012
ADMITTING PHYSICIAN: Dr. Medina
OVERVIEW:
Joseph Badula Alonzo is 51 years old and he was admitted at Medina Psychiatric Care Plus and Home Care last July 21, 2012
with a chief complaint of sleeping, talking incessantly and making noise all day and night and had an admitting diagnosis of Bipolar
Disorder Manic with Psychotic Feature, Alcohol and Drug Abuse; Hypertriglyceridemia and Essential Hypertension.
Before he was admitted, he already had a long history of treatment due to Myocardial Infarction and drug abuse. His family
locked him in a room outside their house due to continuous use of drugs, being destructive, and non-compliant to treatment. Based on
the chart, Mr. Alonzo had also been admitted to National Center for Mental Health seven times because of substance abuse. Upon
admission, his mental status examination revealed the patient to be hyperverbal, hyperactive, aggressive, assaultive, poor insight and
judgment, sexually preoccupied disorder with dependent personality.
Before my actual interaction with Mr. Alonzo, I performed measures to prepare myself in rendering care to my
patient emotionally, physically, and intellectually. These include self-awareness activities, reviewing on different communication
techniques both therapeutic and non-therapeutic, reading some books and articles related to possible cases that we will be
encountering during our exposure. After assuring that I and my group mates are completely prepared for our nurse-patient
interaction, our clinical instructor and two staff nurses oriented us about the possible patients, rules and brief background about the
psychiatric ward. The staff nurse assigned and gave us the charts of our patients and I got paired up with Ana Denise Quinajon, my
group mate, in handling a patient named Joseph Alonzo. After reviewing the chart of the patient, I have come to know the brief
description and background of the patient. I feel nervous as soon as the staff nurse warned us that our patient is a difficult one to
handle.
NURSE
VERBAL
Good morning Sir.
PATIENT
ANALYSIS
NON-VERBAL
VERBAL
NON-VERBAL
Standing in front the Good morning maam.
Looking directly with a (Giving recognition)
client; looking directly
at client.
faint smile
I was very hesitant in

approaching the client
because
during
the
orientation phase with

the staff, they said that
Mr. Alonzo is a hard
client to handle. But as
soon as he smiled at us,
my nervousness toned
down a bit. So we
decided to sit in front of
We are your student Smiling;
the client.
maintaining I am Joseph Alonzo. Im Nods while introducing (Giving information)
nurses for today sir. I eye contact with client.
sorry for my hands. Ive ourselves;
am
been suffering from this trembling hands.
and
my
side effect from my
contract. He kept on
Angelico
medications. I hope it
holding his hands. His
doesnt bother you.
medications
Ana
Quinajon
partner
Denise
and
is
Garaza. We will be here
looks
at I introduced ourselves
established
our
have
until 12PM. We are
affected his hands. I felt
studying
that
at
Mariano
he
became
Marcos State University
embarrassed with his
and we are in our third
hands.
year sir.
Its okay
understand
sir.
We Smiling;
maintaining Thank you, maam.
your eye contact with client.
Smiles and hides hands (Accepting)

under the table.
situation.
I felt blank. I didnt

know how to answer but
hopefully he wont be
embarrassed as we go
on with the interaction.

So, how was your day Lean forward to the Its okay so far. We Smiles; maintaining eye I dont know how to
today sir?
client;
smiling; jogged at the Centennial contact.
maintaining eye contact. this early morning.
start. I ended up asking

how his day was so far.
He answered casually
and
was
relieved
because somehow he is
now
less
tensed.
leaned forward to let the

patient know that I am
interested in what he is
How do you feel about With
your stay here sir?
open
going to say.
smiles; I see that he became
posture; My stay here is okay. I Faintly
maintaining eye contact. just want to go home unconsciously

soon. I feel like my hands
on
puts much comfortable now
table
and that he has shown his
family doesnt want to continues to tremble.
hands. He feels less
get me.
embarrassed with the

trembling of his hands. I
Go on sir.
Nods;
posture.
with
felt relieved.
open Ive been waiting since Frowns; hands continue (General leads)
December. Dr. Medina to tremble.
I want to explore more
already told me that I
of what he meant by
can go home. I already
his family doesnt want
called for my brother to
to get him so I asked
get me but they havent
for him to go on. I
got me out of here.
noticed that he is very

sad with the thought of
not going home yet. I
maintained
an
open
posture to let the client

feel that I am open to
How are you feeling Open
posture; I feel sad. I badly want Frowns; looks at hands.
that they havent got maintaining eye contact
to go home now.
what he has to say.

(Focusing)
I asked how he felt and
you out of here sir?
concentrated
on
his
energy in one point. I

felt emphatic with the
patient.
It
must
be
lonely not to see your

(Silence)
Open
family for so long.

posture; I really am fine now. Frowns; still looking at (Silence)
maintaining eye contact; Why dont they get me? hands.
I remained silent to give
leaning forward
Ive been here for too
room for the client to
long.
verbalize his feelings

more. It gives him time
to organize his feelings.
Im starting to feel sorry
Yes, I understand that Nods; maintaining eye (Silence)
Nods; frowns
for him.
(Accepting)
you really want to go contact; leaning forward
I felt the need to convey
home now sir.
my empathy. He just
nodded and remained
Since when did you Maintaining
eye December.
When
silent.
I Maintains eye contact; (Exploring)
have a call from your contact; leaning forward
called for them that I am plays with hands
Any problem or concern
brother sir?
good to go home.
can be better understood
So
what
are
you Maintaining
planning to do about it contact;

then sir?
eye Im planning to call Maintains eye contact

leaning them
forward; open posture
again
soon.
if explored in depth.
(Formulating a plan of
action)
Explain to them that I
I need to know what his
can really change my
plans
ways. Im better now.
problem.
are
I
for
his
hope
he
could really call his

brother soon and I hope
that he can know why
they havent got him out
We are about to begin Smiles; maintaining eye Yes, I will maam.
of here.
Maintains eye contact; (Giving information and
the activities we have contact; stands up
exchanged
prepared for you today
stands up and joins the Our
sir. I hope you will join.
group
smile; ending the interaction)

interaction
has
ended because its time

for our psychotherapy.
Im relieved that he was
able
to
convey
his
feelings regarding his
eagerness to go home.

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Mariano Marcos State University

COLLEGE OF HEALTH SCIENCES

NAME: Joseph Jojo Alonzo

I was very hesitant in

orientation phase with

We are your student Smiling;

nurses for today sir. I eye contact with client.

sorry for my hands. Ive ourselves;

been suffering from this trembling hands.

side effect from my

holding his hands. His

doesnt bother you.

Garaza. We will be here

until 12PM. We are

affected his hands. I felt

Marcos State University

embarrassed with his

and we are in our third

maintaining Thank you, maam.

your eye contact with client.

Smiles and hides hands (Accepting)

I felt blank. I didnt

on with the interaction.

smiling; jogged at the Centennial contact.

maintaining eye contact. this early morning.

start. I ended up asking

leaned forward to let the

posture; My stay here is okay. I Faintly

maintaining eye contact. just want to go home unconsciously

puts much comfortable now

and that he has shown his

family doesnt want to continues to tremble.

hands. He feels less

embarrassed with the

I want to explore more

already told me that I

can go home. I already

his family doesnt want

called for my brother to

to get him so I asked

get me but they havent

for him to go on. I

got me out of here.

noticed that he is very

posture to let the client

posture; I feel sad. I badly want Frowns; looks at hands.

that they havent got maintaining eye contact

what he has to say.

you out of here sir?

energy in one point. I

lonely not to see your

family for so long.

maintaining eye contact; Why dont they get me? hands.

I remained silent to give

Ive been here for too

room for the client to

verbalize his feelings

Yes, I understand that Nods; maintaining eye (Silence)