NURSING PROCESS RECORDING
(Nurse-Patient Interaction)
Student Name: Idea, Pamela A.
Date and Shift: June 2, 2024
Client Diagnosis: G3P2 PU 37 weeks
Nurse Communication Client Communication Nurse’s Thoughts and Feelings Analysis of the (Effectiveness,
(Verbal & Non-verbal) (Verbal & Non-verbal) Related to the Interaction Technique, Name and Rationale)
“Magandang hapon po.” (Just smiled at me while looking me I had a feeling that she’s a bit confused. Greeting the patient:
directly with a facial expression that
(Establishing eye contact while shows interest) It is necessary in order to have an
approaching in a friendly manner) appropriate start for the conversation.
“Kayo po si Ma’am Hydie Castro?” (She nods and shows restlessness Thinking about how to start the Identifying the patient:
posture) conversation and making sure that I am in
(I asked while keeping eye contact) the right patient. It is necessary to make sure that you are
assessing the right patient.
“Ako po si Pamela Idea, student nurse po “Sige po.” Introducing oneself and establishing
from Maryhill College. Ako po ang rapport:
magiging student nurse niyo ngayon ha.” (The client has a calm posture and has a
soft speech) It should be done when meeting the client
(Leaning forward the patient, with open for the first time in order to have an
posture) appropriate start for a therapeutic
communication and able to build trust.
“Kamusta naman po kayo?” “Okay lang po.” Trying to initiate the conversation. Broad opening question:
(Leaning forward, making eye contact) (The client seems a bit weak) Gives the
. client the lead in the
interaction, and it may also help in
establishing rapport.
“Ilang taon na po kayo?” “29 po.” Trying to initiate the conversation. Broad opening question:
Gives the
client the lead in the
interaction, and it may also help in
establishing rapport.
“Pang ilang anak niyo na po si baby?” “Pangatlo.” Trying to begin my assessment the Broad opening question:
conversation.
Gives the
client the lead in the
interaction, and it may also help in
establishing rapport.
“May masakit po ba sainyo?” “Oo, yung tahi ko.” Satisfied that she understood my question Broad opening question:
and I was able to begin my assessment.
Gives the
client the lead in the
interaction, and it may also help in
establishing rapport.
It can also help in assessing a patient.
“Ay gawa po nung ni-CS kayo ano. I needed to check her for any signs of Broad opening question:
Tingnan ko lang po kung may dugo pa bleeding so that I can add it to my
ha.” assessment, Gives the
client the lead in the
(I added and removed the binder then interaction, and it may also help in
proceed to checked her wound dressing establishing rapport.
for any bleeding)
It can also help in assessing a patient.
“Bukod po dun wala naman na pong ibang “Wala naman na, yung catheter ko lang Satisfied that she understood my question Broad opening question:
masakit sainyo?” gusto ko na din paalis. Sino kaya pwede and I was able to continue my
mag alis?” assessment. Gives the
client the lead in the
interaction, and it may also help in
establishing rapport.
It can also help in assessing a patient.
“Okay po, itatanong ko po ha? Balik po “Sige, salamat.” The client seems a bit weak and I want to Making sure that the client knows what
ako mamaya at kukuhain ko din po vital provide her the opportunity to rest. you are going to do:
signs niyo.”.
To ensure that they accept what the nurse
(Making sure that she knows and would do.
understood what I am going to do.)
“Sige po, salamat po. Balik na lang po “Salamat din.” I was happy and satisfied because she Showing gratitude:
ako.” showed interest on our conversation and
successfully did my assessment. It is necessary to show appreciation to
(Showing gratitude in a friendly manner) them.
