NPI 3

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    Date: January 27, 2012Setting: At around 4:00 pm in Quirino HillObjective: To help the client find solution to problem.

    Interaction Analysis Modification/EvaluationPatient Nurse

    SN: Ang gagawin natinngayon ay hahanap ngparaan para ma-iwasan angpananakit sayo ng gf mo.Client: Sige. Panu ba?

    Client agrees to theactivity for the day.

    SN explains to the clientwhat they are going to dofor that session to avoidanxiety.

    SN: Gawa ka ng listahankung panu ka binubugbogng gf mo. Tapos i-evaluatenatin ito.

    Client: Sige.SN: Tapos mo na?C: Oo.

    Client is willing to be partof it. He followsinstructions and does notshow any signs of

    reluctance.

    SN guides the client toachieve the goal of theactivity.

    SN: Sa tingin mo, ano angmga naging epekto sayong pagmumura sayo atpagpahiya niya sayo saharap ng mga kaibiganniyo?C: Nahihiya syempre.Bumababa ang tingin sa

    sarili at nababawasan ngpagkalalake.SN: Eh yung, pambubugbogniya sayo?C: Nagkakapasa.Napapahiya sa mgakaibigan. Nasasaktan.

    Client reflects on thesituation. According toSullivan a non-satisfyingrelationship produceanxiety which is a basis forall emotional problems.Because of the situation,client admits that his self-

    esteem is lowered.

    SN tries to let the clientevaluate the situation andmakes him realize effects ofthe situation. SN tries also toextract information byquestioning.

    SN: Aah. Ano ginagawa mopara maiwasan to?C: Ginagawa lahat ng gusto

    According to Adler, thereare psychologicaltypesThere is a leaning

    SN asks the client on how hemanages with the situation.

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    niya.SN: Ano pa ang mga pwedemong gawin?C: Pwede ding sabihin sakanya kung ano

    nararamdaman ko.

    type. They are sensitivepeople who havedeveloped a shell aroundthemselves which protectsthem, but they must rely

    on others to carry themthrough life's difficulties.They have low energylevels and so becomedependent. Client issubmissive to hisgirlfriend.

    SN: Ano kaya ang mgamagiging epekto ng pag-gawa mo sa lahat ng gustoniya? Yung positive atnegative ah.C: Yung positive, kontengawayan na. Yung, negative,hindi ko magawa minsanang mga gusto ko.SN: Eh yung pagsabi sakanya kung anonararamdaman mo?C: Pwedeng mabawasanyung paggawa niya sakin

    ng mga ganun. Tas yungnegative, baka mas lalosiyang magalit.

    Client evaluates the wayson how to prevent thesituation. He tries toequate which is morebeneficial to his situation.According to Skinner, thereis an aversive stimuliwherein a behavior ispunished. Because of thepunishment he may tendto do those behaviors lessand less.

    SN helps client weigh thepros and cons of the idea.

    SN: Ano pa ang mga pwedemong gawin para maiwasanyun?C: Ewan ko. Pwedeng waggumawa ng mga ikakagalitniya.SN: Tulad ng?

    Client tries to think ofother ways to resolve thesituation. He also tries tofigure out the reasons whyhis girlfriend is doing that.

    SN extracts information byquestioning. She istherapeutic in doing so.

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    C: Paginom na hindinagpapaalam. Pagpunta sakahit saan na hindi niyaalam. Pagsinungalin sakanya.

    SN: Bakit kanagsisinungaling sa kanya?C: Pag sinabi kongmagshashot kami ayawniya kasi baka dawmambabae ako.SN: Sa tingin mo bakit banya naiisip yun?C: Ewan. Siguro kasi maymga babaeng kasamaminsan. Pero di naman.

    Client knows that what hedid is wrong. He tries torationalize his side of thestory. According to Freud,this is a copingmechanism.

    SN tries to make clientevaluate actions. Butbecame untherapeutic sinceshe is challenging the clientby the use of the word why.

    She should restate thequestion.

    SN: Gaano ba kadalas itongpagsisinungaling mo sakanya?C: Paminsan-minsan lang.Pag may nagaya lang.

    Client is easily influencedby his environment.According to Adler,behaviors are also becauseof the environment.

    SN asks questions about thesituation to clarify things.

    SN: Ano nangyayari pagganun?C: Nagagalit siya tas yun nanaman.SN: So kasalanan mo?

    C: Oo. Pero sana pagusapanhindi saktan agad.

    Client admits thatsometimes its his faultwhy the girlfriend doesthose kinds of things.

    SN made the client realizethat what he did was alsowrong.

    SN: Ano pa pwede mogawin para di masaktan?C: Dumistansiya muna paggalit, kausapin nalang pagmejo kumalma na.SN: Ano magiging epekto?C: Pwedeng makapagusapng matino na walang

    Client thinks of other waysto prevent the problemfrom occurring. This lastidea shows that he is beingassertive.

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    murahan. Yung negative,baka mas lalong magalit.SN: kaya mo bang gawinang mga sinabi mo?C: Susubukan ko.C: Sige. Bukas nalang ulit.Salamat.SN: Ah. Sige. Bye.Goal: Met since client found ways to resolve probem.