npi edited

8/13/2019 NPI Edited

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Patients Name: Sta. Rita, Francisco Diagnosis: Schizophrenia, Undifferentiated

Age: 29 years old Institution: Mindanao Center of Psychiatry and Behavioral Medicine

Sex: Male Date & Time: February 19, 2013 @ 2:30 PM

INITIAL NURSE- PATIENT INTERACTION

Date and

Time

Nurse Patient Nurses Feelings

& Thoughts

Analysis Interpretation

Verbal Non Verbal Verbal Non Verbal

February

19, 2013

@ 2:30PM

Kabalo gyudka sa

imohangkondisyon?

Establishes

eye contactO uy kabalokaayo.

Bipolar manang akoang

sakit.

Cannot

maintain eye

contact

I had already

viewed the

patients chart

before having

the interaction

with the patient.

Having the idea

that his

diagnosis is

Schizophrenia,

Undifferentiated,

I pity the patient

because his

knowledge about

his condition is

wrong. As a

Illogical

Thinking

The patient

concluded that he

has BipolarDisorder but

when asked howhe got such idea,

he said that he

just knows it andjust concluded thecondition just by

himself withoutany consultation

and confirmationfrom his

physician. Suchmanifestation iscalled Illogical

Thinking.

Illogical thinking,according to

Kaplan is a formof thinking that

containserroneous


2/14

student nurse

interviewing

him, I asked him

how did he get

such idea and I

asked him to

elaborate his

feelings and

thoughts about

having Bipolar

disorder.

conclusions.

Niana man

ka na tong

ikatulo ninyona igsuon kay

namatay.Unsa iyang

gikamatyan?Close mo ato

niya?

Continues to

maintain eye

contact

Aw sa

tiunod gyud

wala nakokahinumdom

sa tanan. Lahinalang atong

storyahan.Kadtong sa

una ba kabalonaman gyudko na lahi ko.

Kadtong

nagadako nako di guyd

nako mafeelna mabelong

ko sa is aka

Looks away

from the

student nurse

I felt sad and at

the same time

uncomfortable

knowing that I

have to ask such

emotional andsensitive topic to

him. I didnt

force him to

answer my

question because

Blocking Patient refused to

respond to a

sensitive topicbecause this may

bring outemotional

memories fromthe past. He just

then asked me ifwe could justchange the topic

into what he feels

growing up. Hesaid that he feels

and he alreadyknows that he

doesnt belong to


3/14

grupo. it seems that my

question is too

sensitive for

him. This

question may

trigger some

emotions to him

and maybe some

of these

emotions wont

be very pleasing.

a group.

According to

Kaplan, suchmanifestation

wherein abruptinterruption in

train of thinkingis evident is

called Blocking.

Niana man

ka na naa kay

madungganna mga

tingog.Makadungog

ka nilakaron?

Conveys a

serious facial

expression

and maintains

eye contact

Oo

makadungog.

Ginatawag konila.

Looks at an

empty spaceI personally pity

the patient

because of his

disturbance in

perception. I

explored moreabout his answer

and I asked him

what they are

saying to him.

Auditory

Hallucination

Patient verbalized

hearing voices

calling out hisname. Such

disturbance inperception

wherein there isfalse perception

of sound, usuallyvoices, and alsonoises is called

Auditory

Hallucination.

Johnny, tara

didto ta oh

With pleasant

tone of voice;

Ay dili lang

ko. Diri lang

Looks away

from theI got very Negativism When asked to

move on the


4/14

kay akoang

kuhaon

imohangtimbang.

Kailanganman gud na

siya paramasiguro na

tama imong

timbang saimohang

katas-on.

maintains eye

contact

ko. Di ko

gusto

mahibal-anakoang

timbang.

student nurse disappointed on

his response. I

was assuming

that he would

follow my

instructions but

he refused it

because he said

that he doesnt

want to move

from his place

and that he

doesnt want to

know his weight.

Because, I

respect his

decision to

refuse from

having taken his

weight, I didnt

force him to do

so but instead I

allotted place

where the

weighing scalewas located,

patient refused tobe moved from

his place. He saidthat he doesnt

want to know his

weight.According to

Kaplan, patient

exhibitsnegativism.

Negativism is themotiveless

resistance to allattempts to be

moved or to all

instructions.


5/14

just continued

the interview.

Unsa diay

imongpaborito na

subjectJohnny?

Looks at the

patient witheye contact

Ako di man

gyud ta kogusto mag-

theology,gusto man ko

mag-

accountancy.Nindot man

angaccountancy

kay sigeg

solve ba.Nindot man

sad hiuon angtheok ay

challenging.Mao ganahan

ko ug

accountancykay mahilig

man kogmath gud.

With eye

contact to thestudent nurse

As the student

nurse tasked to

interview the

patient, I was

pretty confused

of his answers.

Basically, I

thought that he

would not get

into his point but

I still allowed

him to continue

answering and I

waited patiently

for him to arriveto the accurate

response.

Circumstantiality Patient responded

to my questionbut at first his

answers werevery confusing

and that it didnt

answer myquestion. But at

the end, hemanaged to get to

the appropriate

answer to thequestion. The

indirect speechthat is delayed in

reaching to thepoint, according

to Kaplan, is

Circumstantiality.

So ganahan

diay kag mathkay mag-

accountancy

gud unta ka?

Smiles at

patient;maintains eye

contact

Ang 100- 7

kay 93.Sunod ana

93-7.

Ummmm. Di

Seems

confused;looks at the

empty space

I really pity the

patient because

he said that he

Poor

Concentration

Knowing that

patient hasacquired

education until

third year college


6/14

Sige daw

testingan daw

nato imongskills sa math.

Iminus dawang 7 sa 100.

Tapos anganswer ana

iminus napud

sa 7.

naman ko

kabalo uy.

Maglibog nako.

wanted to be an

accountant but

when asked to

subtract 7 from

93, he could no

longer answer it

because he was

very confused.

Because I

wanted to give

him another

chance. I asked

him again to

subtract 7 from

93 but still he

could not give

an answer to my

question.

and he said that

he wanted to be

an accountant, Iwas assuming that

he has broadknowledge on

calculations. Butwhen asked to

subtract 7 from

93, he could notgive an answer to

that. According to

Kaplan, when aperson has

difficultyconcentrating on

mathematicalcalculations, that

person has Poor

concentration.


7/14


8/14

Patients Name: Sta. Rita, Francisco Diagnosis: Schizophrenia, Undifferentiated

Age: 29 years old Institution: Mindanao Center of Psychiatry and Behavioral Medicine

Sex: Male Date & Time: February 25 2013 @ 1:30PM

FINAL NURSE- PATIENT INTERACTION

Date and

Time

Nurse Patient Nurses Feelings

& Thoughts

Analysis Interpretation

Verbal Non Verbal Verbal Non Verbal

February25 2013

@

1:30PM@

patientsresidence

Unsa tongimohang

giingon

ganiha namag-ampo ka

sa bato nganay kandila?

Looks at thestudent nurse

with eye

contact

Kuan sacave man to

nagatoo gyud

kayo ko anana inig mag-

ampo kodidto gamit

ang kandila

nanakapatong

sa bato.Matinuod

man gyud na,

tinuod gyudna.

Stands upand look at

the student

nurse

I felt upon

listening to him

because I dont

share the same

beliefs with him.

Right after

saying that to

me, I told him to

elaborate his

thoughts and

beliefs aboutpraying at the

cave.

Bizarre Delusion Patient reallybelieves that

when he prays in

a cave, Godwould really grant

his wish to seethings which he

did not see

before. Accordingto Kaplan, such

weird and absurdfalse belief is

called Bizarre

Delusion.

Unsa paimong

gihuna- hunakaron. Sultihi

ko Johnny?

Maintainseye contact

Kabalo baka maam

na kanangsilhig

mulupad

Patient looksand points at

the broom

It felt weird and

strange knowing

that he was

Magical Thinking Patient wasthinking that the

broom would fly.This disturbance

in the form of


9/14

mana. Nah

mulupad

gyud na!

thinking that the

broom was

flying when I

fact it didnt. I

told him I didnt

see the broom

fly. It was just

there, placed

still and intact

on the floor.

thinking

according to

Kaplan is calledMagical thinking.

Magical thinkingis when a

personsthoughts,words, or actions

assume power.

Inig kanang

sa grupo saskwelahan or

sa dula unsaimong gusto

follower ka o

leader?

Continues to

maintain eyecontact

Syempre

leader! Diliman ko gusto

magsunud-sunod gusto

nako leader

gyud ko.Usahay gani

feel nakoGinoo ko.

Looks at the

student nursewith eye

contact

I was pretty

stunned on how

he answered my

question with all

of his

confidence and

arrogance. I

asked him more

about why he

sometimes feels

that he is God

and why he

Delusion of

Grandeur

When asked if he

is the leader orthe follower in a

group duringclass activities

and games,

patientimmediately and

proudly said thathe is the leader

and at times he

feels like he isGod. Evidently,

patient ismanifesting

Delusion of

Grandeur whereinKaplan had


10/14

always wants to

be the leader.

mentioned that it

is the exaggerated

conception ofones importance,

power or identity.Johnny, diba

naa man koygiingon na

mga butang

na imohanghinumduman

kaypagkatiud-

tiud akoa

kangpangutan-on

ato? Unsagani to?

Looks at the

patient;maintains eye

contact

Kuan. Mao

ba tong mgagulay? Hala

maam

nakalimotnaman ko.

Naglibog kokung unsa

to.

Seems

confused;scratches

head

Beforehand, I

told the patient

to remember

these 3 fruits

namely, papaya,

mango and

banana. Afterabout 3 minutes,

he could not

recall them. He

seemed to be

confused and

asked me if

those things

were vegetables.

In that very

instance, I pity

him because for

just 3 minutes he

Immediate

Retention

When asked to

memorize thosethree fruits, after

just 3 minutes he

could notremember them

all. According toKaplan, he

disturbance of

memorymanifested by the

patient isImmediate

Retention. Thishappens when the

patient cannot

anymore recallthe three things

that are similar toeach other in a

given time.


11/14

could no longer

remember them.

His inability to

recall things is

worse than that

with my

grandmother so I

really pity the

patient.

Unsa diay

imongpaborito nasubject

Johnny?

Looks at the

patient witheye contact

Ako di man

gyud ta kogusto mag-theology,

gusto man ko

mag-accountancy.

Nindot manang

accountancykay sigeg

solve ba.Nindot mansad hiuon ang

theo kay

challenging.Mao ganahan

ko ugaccountancy

kay mahilig

With eye

contact to thestudent nurse

As the student

nurse tasked to

interview the

patient, I was

pretty confused

of his answers.

Basically, I

thought that he

would not get

into his point but

I still allowed

him to continue

answering and I

Circumstantiality Patient responded

to my questionbut at first hisanswers were

very confusing

and that it didntanswer my

question. But atthe end, he

managed to get tothe appropriate

answer to thequestion. Theindirect speech

that is delayed in

reaching to thepoint, according

to Kaplan, isCircumstantiality.


12/14

man kog

math gud.waited patiently

for him to arrive

to the accurate

response.

Aw ganahandiay kag

math? Dati

gipasubtractman tika,

karonaddition

nasad daw.Unsay

answer sa 10

plus 10?


Kuan. Walanaman ko

kahinumdom.

Malibognako sa una

hawud manko ana.


with the

student nurse;seems

confused

I pity the patient

because when he

became

schizophrenic,

he already has

difficulty

concentrating on

things such as

calculating

numbers.

Although he had

not answered my

question at first,

I gave him

another chance

but still he

cannot answer

my question.

PoorConcentration

Because ofpatients mental

disorder, he can

no longerconcentrate on

things includingcalculations of

numbers, even thesimplest ones like

10 plus 10.

Patientmanifested Poor

concentration.According to

Kaplan, when a

person has a hardtime answering

mathematicalproblems using

concentration,

that person haspoor

concentration.


13/14

Isa ka

semana ra

diay angpinakadugay

nimo ngatrabaho?

Ngano man?

Maintains

eye contact

O isa ka

semana ra

gyud. Kuanman gud sila

man angnaay

problema,dili man

ako.

Maintains

eye contact

with thestudent nurse;

Upon hearing

these reasons, I

was very

bothered

because he

insisted that he

hadnt done

anything that

made him lose

his job but rather

he blamed the

co- workers in

his different

jobs. He insisted

that it was their

fault that he lose

his jobs.

Projection Patient insisted

and reasoned out

that he had donenothing wrong in

order for him toquit or lose his

job for just aweek. He blamed

the problem to his

co- workers, hewas saying that it

was their fault not

his. Patientexhibits

Projection.According to

Kaplan,Projection

happens when a

mentally illperson blames

others so that hewill be excused

the problem he

had created.


14/14

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