Process Recording: Termination Phase

Submitted by:

ORSOLINO, ERYKAH GHEIL

BSN - 318

Respectfully Submitted to

Alma Trinidad Taragua

FEBRUARY 13, 2023

Name of the Patient: Nina Rica Diongzon

Name of the Nurse: Erykah Gheil Orsolino

Observation prior to the interaction:

The nurse-patient interaction began on March 10, 2023, at about 8:00 am and lasted for
approximately one hour before coming to an end. Before the interaction, the patient is already
done with breakfast. She possesses a medium build, short hair, black eyes, fair skin, symmetrical
features, and wears corrective glasses. The patient is an adult female who is 30 years old. She is
well-groomed and free of offensive odors. During the course of the interview, she maintained a
cheerful demeanor, which gave the impression that she was enjoying herself. Since the patient is
now familiar with the nurse, the two of them can begin to establish a nurse-patient relationship.
The atmosphere was soothing and quiet. The living room was spotless and completely free from
distractions. The room remained comfortably cool and pleasant due to the electric fans. The
room is well lit and ventilated.
 TERMINATION PHASE (March 10, 2023)

Nurse Client Analysis Supervisory/

CI’s
Verbal Non-verbal Verbal Non-verbal Comment

“Hello and Good - Smiling “Hello po and - Smiled, looked Giving Recognition:
afternoon po Ms. - Maintains eye good afternoon and nodded at Indicating to the client
Nina” contact din!” the student that you recognize her as
- Open posture nurse an individual by using her
preferred way to be called
when greeting or
addressing her shows that
you are aware of the
client. The client
responded to the question
in a concise and clear
manner. It seems that she
has a positive outlook
with regards to the
conversation that will
take place today.

“You appear - Maintains “Yes nurse okay - Smiled at the Sharing Observations:
really happy and moderate eye naman po student nurse Commenting on the
relaxed po, contact masaya lang po - Doing hand patients' appearance,
kamusta kayo?” - Good and ako this past few gestures voice, or behavior. This is
open posture weeks” the nurse giving voice to
- In face to what she has observed,
face position to that sometimes patients
the client cannot verbalize or make
themselves understood or
the patient may not be
ready to talk. The client
gives off the impression of
being calm and joyful
toward the nurse; she
smiles as she expresses
her contentment and
happiness within this past
few weeks,

“Ano po ang - Maintaining “Iniisip ko yung - Feels cheerful Giving Broad Openings:
nasa isip nyo eye contact naging progress and happy This allows the patient to
ngayon? - Open posture ko nung tinigil - Maintains eye take the initiative in
ko na ang aking to eye contact starting a discussion about
 bisyo, sobrang the issue. It also facilitates
proud ko lang sa the patient's ability to start
aking sarili kasi conversation and come up
di ko akalain na with engaging topics to
magagawa ko discuss with the student
sya” nurse. The patient
describes the progress
she has made toward
quitting nicotine, and she
expresses a sense of
accomplishment and how
proud she is that she has
been able to do so,
despite the fact that at
first she was unsure
whether or not she will be
successful or not. As she
explains her progress
there is a hint of joyous
celebration that is
morphing in her face.

“Tumungo - Smiled at her “Para naman sa - Shows a facial Exploring:

naman po tayo and lean aking progress expression of This technique
sa inyong forward and sympre sa una happiness. encourages the client to
progress at yung looked sobrang hirap - Doing hand provide additional details
nararamdaman sincerely to the ngunit inisip ko gestures and information about a
nyo ngayon? patient’s eyes ang aking goal, (clasping both specific topic in order to
may mga times hands) expand their
talaga na understanding of it. This
muntikan na ako question encourages the
mag sindi ng patient to elaborate on her
sigarilyo ngunit remarkable progress
nilabanan ko towards nicotine
talaga sya. Hindi withdrawal. The client
ko ma explain explains that the progress
yung is not as simple as it
nararamadamam appears or sounds, as she
kong saya” stated that there were
times that she was so
close to smoking
cigarettes again, but she
thought about her goal,
and she stopped herself,
which is why she is happy
that she disciplined
 herself.

“Natatandaan - Face to face “Nako po nurse, - Smiling, Placing time or event in

niyo po ba yung with the client na alala ko nung glances briefly sequence:
nangyare nung - Open posture una talaga hirap - Fixes her hair Assessing the time frame
unang araw mo na hirap ako and leans back of an event and the order
sa pag tigil sa balisa at di ako in which it occurred over
pag yoyosi? makatulog ganon the course of time will
Ano-ano ang buti na lang help in understanding the
pinag kaiba nya talaga nilabanan subsequent progress that
sa ngayon? ko ang sarili ko has been made, regardless
at kinaya ko. of whether it had a
Napansin ko ren positive or negative
na maganda ang impact on the patient. The
naging epekto ability to put the client's
neto saken” experiences and the
nurse's care into context is
beneficial for both parties.
The client states that
during the first time she
tried to quit smoking, she
experienced severe
withdrawal symptoms
such as agitation and a
lack of sleep; however,
she persisted in her
efforts to quit smoking
despite these difficulties.
In addition to this, she
conveys that she is aware
of the positive effects that
quitting nicotine has had
on her.

“Talaga po ba, - Face to face “Eto napansin ko - Maintains eye Exploring:

maari nyo po with the client na mas naging contact Taking a more
bang sabihin - Open posture okay ang overall - Responded comprehensive approach
saken ano yung - Leans health ko, nonchalantly to the problem can be
mga napansin forward napansin ko lang - Open posture beneficial. In-depth
nyong mga pag na parang nag exploration of any issue
babago sa inyo?” radiate ako, mas can lead to a greater
malakas na ren comprehension of the
ang energy ko” issue overall. The client
stated that she had
observed the positive
 aspects of nicotine
withdrawal. She also
verbalizes that she
observes changes such as
increased body positivity
and heightened energy.

“Tama po ba ang - Eye to eye “Napansin ko - Moderate eye Restating:

pag kaka intindi contact lang na mas contact To encourage further
ko na nag radiate - Good and naging okay ako - In face to face explanation and detail
po kayo, kung open posture di na ako gaano from the patient, restating
position to the
pwede po sana - Hand/gesture balisa or iritable, their statements uses a
pa explain po movements para bang yung client variety of word choices to
kung ano ang overall aura ko - Good and open convey the same meaning.
ibig sabihin non” ay mas naging posture The nurse goes over one
maayos” point again that she
brought up during their
discussion of the overall
effects of nicotine
withdrawal. Specifically,
what she means about
radiating.

Seeking Clarification:
The process of eliciting
clarification involves
asking the client to
provide more specific
details about the topic
they provide. If a
customer says something
that isn't clear, it's crucial
that you ask them to
elaborate. The nurse
inquired about how the
client was feeling and
what the client meant
when she talked about her
aura and how she felt it
was radiating.

“I see, ano-ano - Eye to eye “Para di kona ma - Eye to eye Active Listening:
pa po ang pinag contact isip ang aking contact This gives the patient
kaka abalahan - Good and bisyo, iba-iba - Good and open encouragement to
nyo ngayon?” open posture ang inatupag ko posture continue on what she is
- Hand/gesture pag katapos ng - Hand/gesture saying. It also indicates
movements aking trabaho movements that the nurse is listening
tulad ng pag and following what the
yoga at crochet” patient is talking about
without taking away the
initiative for the
interaction. The student
nurse used brief verbal
affirmations like “I see,
to continue what she
wants to convey.

General Leads:
This is a follow-up
comment that encourages
the patient to continue
talking and expand on the
topic that they have been
discussing. The patient
responded to the student
nurse's question about
what is going on in her
life right now by stating
that in order to keep from
thinking about smoking,
she distracts herself with
a variety of different
coping mechanisms.

“Talaga po ba, - Maintains eye “Sinasapuso ko - Shows a facial Acknowledging:

masaya ako na contact with ang sinabi mo expression of Recognizing in a
na adapt nyo po patient while saken na pag happiness. nonjudgmental manner a
ang mga showing practice ng - Facee to face client's effort or change in
positibong sincerity. active with the student behavior will foster
coping communication nurse understanding and a
mechanisms” kasama sa aking relationship of trust with
asawa, pag ako the client. Recognizing
ay nahihirapan the client's acceptance of
na sa aking pag the following coping
tigil sa sigarilyo mechanism has resulted in
ay sinubukan ko a positive impact on his
ang sinabi mo na daily life. The client has
mag yoga o found that embracing the
crochet upang following coping
ibaling ang mechanisms, such as
 aking atensyon maintaining a positive
sa ibang bagay. communication with her
Masaya ako na husband, engaging in
ginawa ko yon yoga and crochet, and
dahil na adapt ko participating in these
na sya sa aking activities has been of
lifestyle at great assistance to her.
maganda ang She verbalizes that she
naging epekto sees positive effects of
neto sa akin, this on her lifestyle, and
nailalabas ko as a result, she is content
ang ang pagiging with the fact that she was
creative dahil sa able to incorporate that
crochet at ang into her lifestyle. She has
pagiging ma a genuine sense of joy
disiplina naman and gratitude for
sa yoga. Kaya everything that has
salamat nurse” occurred because it has
expanded her horizons.

“Masaya ako sa - Smiled at her “Masaya po ako - Smiled at the Summarizing:

nabuo nating and lean sa ating pag student nurse In most cases, providing
relasyon Sa forward and uusap nung mga while holding the patient with a concise
nakalipas na looked nakaraang araw, her shoulders summary of the nursing
anim na linggo sincerely to the kahit hindi lahat interactions and
heto na po yung patient’s eyes ay positibo anjan procedures they will
nagawa natin: kapa ren at undergo will be helpful.
nagkakwentuhan pinakingan ang All of the most important
ukol sa iyong mga aking information presented in a
problema kung problema kaya format that is simple to
gaano ito nag maraming understand, simple to
sanhi ng stress sa salamat!” remember, and simple to
inyo, napag follow.
usapan ren naten
ang mga
positibong
coping
mechanism na
apply nyo sa
inyong buhay
tulad ng
matimtim na pag
uusap kasama ng
iyong asawa, at
tyaka iba’ibang
physical
exercise, tulad
ng yoga. Eto
pong mga
mechanisms ay
makaktulong
upang ma
manage nyo ang
inyong stress
and be able to
cope up with
positive thoughts
Ms. Nina.”

Bago natin - In face to “Maraming - Maintains Suggesting Collaboration:

tapusin ang ating face position to salamat po, moderate eye The student nurse is
sesyon upang the client malaking tulong contact referring to and
mas magabayan - Good and po ang pag - Good and open encouraging the client to
ka, nais kitang open posture bibigay nyo ng posture other people in the
irefer sa isang referral para po - In face to face medical field as she is
doctor na si Dr. ay alam ko ren position to the planning to continue to
Toby Wallace at po ang gagawen client. improve her lifestyle.
psychiatrist na si ko pag katapos These strategies include
Ms. Molly Wong netong pag suggesting various
kung sakali ay uusap naten physicians who will
kinakailangan maraming undoubtedly assist the
mo pa ng in salamat po! patient in becoming
depth guide healthier in the long run.
about nicotine The nurse is interested in
withdrwal o gaining the input and
kaya bumalik analysis of other people
ang inyong urges so that she can better
sa pag assist the client in
sisigarilyo, achieving her goals.
upang mabigyan
ka nya ng gabay
at para ma
consider ang
mga alternative
coping
mechanism.
Ibibigay ko
saiyo ang
kanyang card.
I'm glad you
chose to spend
some of your
valuable time
with me.
Maraming
Salamat”