PROCESS RECORDING
ANALYSIS AND INTERPRETATION
Mang JM cooperates well and actively. He answered the questions according to his own intellectual capacity. He always laughed at his inmates whenever he felt that their answer was wrong.
According to Roy, through two adaptive mechanisms, regulator and cognator, an individual demonstrates adaptive responses or ineffective responses requiring nursing interventions.
Name of Therapy: Bingo Social Therapy
Place: Under the Tree (MMH)
Date: January 20, 2011
Time: 9:30 AM
Phase: Working Phase (Day5)
DEFINITION
This therapy is like the usual bingo we played. Instead of numbers, fruits and vegetables were used in the game. This therapy is used for assessing knowledge of the mentally-ill patients about fruits and vegetables.
OBJECTIVES
• To improve the socialization skills of the patient • To develop the self-esteem of the clients
• To assess the knowledge perception of the client about different fruits and vegetables.
• To assess the memory of the client
PROCEDURES
1. Orient the client about various types of fruits and vegetables. 2. Explain the mechanics and therapy simple briefly and clearly 3. Encourage the client to participate in the entire theory
4. During the working phase give recognition to the winning clients and provide prizes.
5. Summarized and evaluate the therapy
ANALYSIS AND INTERPRETATION
With this kind of activity, we used fruits and vegetables on every BINGO cards. Instead of numbers when we informed our client about the therapy, he was very excited. He was very eager to win and get the prize. During the therapy, he listened very carefully to every ball and wanted us to assists him in every pattern at the game. The therapy went good and he enjoyed the game and very thankful for winning it.
According to King, perceptions, judgments and actions of the patient and the nurse lead to reaction, interaction, and transaction (Process of nursing)
Place: under the tree (MMH)
Date: January 21, 2011
Time: 9:30 AM
Phase: Working Phase (Day6)
DEFINITION
The book that is use is about the animals and it is short that the client will not get bored reading it. It also have picture that show what the characters are doing. Story telling is done to assess the reading comprehension of the client and his ability to formulate his own moral lessons that he gain to the story.
OBJECTIVES
• To assessed the clients reading comprehension • To develop clients concentration
• To assess client memory status
PROCEDURE
1. First the facilitator will explain to the client the name of the therapy 2. The facilitator will tell to the client the short story they will go to read. 3. The two student nurses will show to the client the short story they will go to
read.
4. The client will read the tagalong versions of the story
ANALYSIS AND INTERPRETATION
Today, the therapy was all about storytelling. We let the client read the story and get lessons from it. During the therapy, we noticed that he had different ideas in deciphering the story. We asked him questions to review every detail of the story. Some of his answers were irrelevant to the situations and he will put some stories not related to the storytelling therapy.
He didn’t concentrate on the therapy because he had his own different stories that he wanted to discuss with us. He can recall some of details in the stories but a little different from the original one. We can say that he got bored reading the story and during the therapy. He’s only active discussing his own stories.
According to Pender, Identifies cognitive, perceptual factors in clients which are modified by demographical and biological characteristics, interpersonal influences, situational and behavioral factors that help predict in health promoting behavior.
Name of Therapy: Food Festival
Date: February 2, 2011
Time: 2:00 PM
Phase: Working Phase (Day7)
DEFINITION
Food festival is a therapy done in order for the client to have basic knowledge in preparing foods. This is done to assess the client’s ability in following procedures and to assess their memory while they are socially incline with other patients. This would help them to work independently and creatively.
OBJECTIVES
• To improve the socialization skills of the client • To develop the self-esteem of the client
• To assess the client’s ability in following procedures • To assess client’s memory
PROCEDURES
1. Prepare all the ingredients needed. 2. Discuss every detail of the therapy.
3. Inform the client about the each ingredient with their corresponding price. 4. Demonstrate the procedure.
6. Evaluate their works
ANALYSIS AND INTERPRETATION
On February 2, 2011 we conducted another therapy to help them work independently following procedure. The facilitators of the said therapy oriented them before doing every procedure. Mang JM looked excited for his turn to make his own version of buko salad. He was able to identify the total amount of all the ingredients needed in the therapy. While the facilitators were demonstrating every procedure he was listening very well and focused on every detail of the procedure while others were doing their turns in re-demonstrating the procedures he seemed bored and not interested while silently demonstrating every procedure, he did it very well and was given recognition for it. Before eating his meal, he offered his meal to everyone and he wanted to share his meal with us. He enjoyed eating his meal and appreciated it very much.
After the therapy, we conducted brief conversation about the recent activity. He was none initiating that time and was looking around his environment. He said that the food festival was good and it would help him get stronger for the day. Eye contact was lacking that time because his attention was drowned around his environment. His memory was good because he identified the ingredients of the salad with its corresponding prices. He returned to the dorm with gratitude and appreciation.
According to Peplau, interpersonal theory nurse assumes several roles which empower and equip her in meeting the needs of the patient .Teaching Role Gives
instruct ions and provides training; involves analysis and synthesis of the learner’s experience.
Name of Therapy: Dance Therapy Place: Canteen (MMH)
Date: February 3, 2011
Time: 1:30 PM
Phase: Working Phase (Day8)
DEFINITION
This therapy is done to assess the client’s movement and coordination, as well as his ability to memorize every step. This therapy is intended also to relieve their anxiety and to create recreation. This is also done to develop the client’s socialization to others.
OBJECTIVES
1. To develop the client’s self esteem
2. To improve the client’s interpersonal relationship with others and to reduce anxiety
3. To assess and develop his movement and coordination 4. To assess the client’s memory
5. To provide mental health care for the client.
6. To implement therapeutic plan necessary for improvement of mental illness. 7. To develop positive coping behavior through therapeutic communication.
ANALYSIS & INTERPRETATION:
On February 3, we conducted a therapy where in we taught the patient how to dance. We orient the patient about the therapy and showed them the dance. Mang JM seemed uninterested and very silent while watching the steps of the dance.
During the therapy, Mang JM showed flatness of affect and non initiating behaviors while we were teaching him every step. He can easily do the steps and memorized each very well though he seemed silent throughout the entire practice.
After teaching the steps Mang JM performed the dance in front of his fellow clients. We noticed that he had sudden change of mood while performing. He was happy and proud while dancing. We didn’t have a hard time assisting him in his performance because he memorized every step.
After the program, we had a conversation and review his reactions about the therapy. The conversation manifested that he didn’t enjoyed the practice of the dance and enjoyed his performance only.
According to Wiedenbach the Art of nursing includes understanding patient’s needs and concerns, developing goals and actions intended to enhance patient’s ability and directing the activities related to the medical plan to improve the patient’s condition.
UNIT VI
(Glossary)
Acute Dystonic Reaction- extreme contraction of the jaw muscles, which can result in dislocation of the jaw bones and difficulty in opening the mouth. These symptoms may be caused by an adverse reaction to an antipsychotic drug.
Affect- is the outward expression of the client’s emotional state.
Affective disorder- refers to disorders of mood.
Agnosia – is a loss of ability to recognize objects, persons, sounds, shapes, or smells while the specific sense is not defective nor is there any significant memory loss.
Akathisia- Motor restlessness ranging from a feeling of inner disquiet, often localized in the muscles, to an inability to sit still or lie quietly.
Alcohol Abuse- use of alcoholic beverages to excess, either on individual occasions ("binge drinking") or as a regular practice.
Alogia - Poverty of speech, as commonly occurs in schizophrenia.
Ambivalence- presence of two opposing feelings.
Amnesia - refers to the loss of memory
Anhedonia- loss of interest in pleasurable things.
Antipsychotic Drugs- class of medicines used to treat psychosis and other mental and emotional conditions.
Anxiety- is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. Anxiety is considered to be a normal reaction to a stressor. It may help a person to deal with a difficult situation by prompting one to cope with it. When anxiety becomes excessive, it may fall under the classification of ananxiety disorder.
Aphasia- loss or impairment of the power to use or comprehend words.
Apraxia- inability to carry out purposeful motor activities.
Autistic Thinking- preoccupation with inner thoughts, daydreams, fantasies, private logic; egocentric, subjective thinking lacking objectivity and connection with external reality.
Avolition- lack of motivation.
Blunting – is an objective absence of noral emotional rersponses, without evidence of depression.
Bradykinesia- neurologic condition characterized by a generalized slowness of motor activity.
Clang Association- the sound of the words gives direction to the flow of thought.
Concrete Thinking- predominance of actual objects and events and the absence of concepts and generalizations.
Defense mechanism- unconscious psychological strategies brought into play by various entities to cope with reality and to maintain self-image. Healthy persons normally use different defenses throughout life. An ego defense mechanism becomes pathological only when its persistent use leads to maladaptive behavior such that the physical and/or mental health of the individual is adversely affected.
Delusions- a fixed, false belief not based in the reality.
Denial- failure to acknowledge an intolerance thought, feeling, experience or reality.
Depression- a condition of general emotional dejection and withdrawal, sadness greater and more prolonged than that warranted by any objective reason.
Disorientation- a state of mental confusion characterized by inadequate or incorrect perceptions of place, time, or identity. Disorientation may occur in organic mental disorders, in drug and alcohol intoxication, and, less commonly, after severe stress.
Displacement- the redirection of feelings to a less threatening object.
Dopamine- monoamine neurotransmitter formed in the brain from the amino acid tyrosine essential for the healthy functioning of the central nervous system it has effects on emotion, perception and movement.
Echolalia- pathological repetition of words of others.
Echopraxia- the pathological imitation of posture/ action of others.
Family Conflict- conflicts that occur within a family-between husband and wife, parents and children, between siblings, or with extended families (grandparents, aunts, uncles, etc.)
Fantasy- conscious distortion of unconscious feelings or wishes.
Fixation- arrest of maturation at certain stages of development. Flat Affect – A severe reduction in emotional expressiveness.
Flight Of Ideas- shifting of ideas from one subject to another in a somewhat related way.
Fugue- a person suddenly, without planning or warning, travels far from home or work and leaves behind a past life.
Group Therapy- form of psychotherapy that involves sessions guided by a therapist and attended by several clients who confront their personal problems together.
Hallucination- false perceptions or perceptual experiences that do not really exist.
Illogical Thinking- thinking of something with out a logical reason or explanation.
Immediate Memory- what you can repeat immediately after perceiving it.
Immediate Recall- retrieval of events or information from the past.
Impulsive- characterized by actions based on sudden desires, whims, or inclinations.
Inappropriate Affect- an emotional tone or outward emotional reaction out of harmony with the idea, object, or thought accompanying it.
Insanity- a deranged state of the mind usually occurring as a specific disorder.
Intellectualization- over use of intellectual concepts by an individual to avoid expression of feelings.
Introjections- symbolic assimilation or taking into one’s self a loved/ hated object.
Labile Mood- when a person’s feelings or mood frequently fluctuates.
Mental Illness- is a psychiatric disorder that results in a disruption in a person's thinking, feeling, moods, and ability to relate to others.
Motor Hyperactivity- a general restlessness or excess of movement.
Motor Hypoactivity- abnormally inactive.
Mortality Rate- measure of the number of deaths in some population.
Occupational Stress- physical or psychological disorder associated with an occupational environment and manifested in symptoms such as extreme anxiety, or tension, or cramps, headaches, or digestion problems.
Paranoid Schizophrenia- characterized by persecutory (feeling victimized) or grandiose delusions, hallucinations, and occasionally, excessive religiosity(delusional religious focus)or hostile and aggressive behaviour.
Peer Pressure- social pressure by members of one's peer group to take a certain action, adopt certain values, or otherwise conform in order to be accepted.
Pharmacological Treatments- curing and treating illness that deals in the science of nature and action of drugs and medicines.
Phobia- an exaggerated and often disabling fear usually inexplicable to the subject and having sometimes a logical but usu. an illogical or symbolic objects or situation.
Prevalence Rate- total number of cases of a specific disease in existence in a given population at a certain time.
Prognosis- foretelling of the probable course of a disease.
Projection- attributing to others one’s unconscious wishes/ fear.
Psuedoparkinsonism- reversible syndrome resembling parkinsonism that may result from the dopamine-blocking action of antipsychotic drugs. Also known as drug- induced parkinsonism.
Psychotherapy- treatment of mental and emotional disorders through the use of psychological techniques designed to encourage communication of conflicts and insight into problems.
Rationalization- justifying one’s actions which are based on other motives.
Reaction Formation- expression of feelings that is the direct opposite of one’s real feelings.
Recent Memory- ability to recover information about past events or knowledge.
Regression- returning to an earlier level of development in the face of stress.
Remote Memory- ability to remember things that happened years ago. Repression- unconscious forgetting.
Schizophrenia- a form of mental illness in which there is a withdrawal from reality. It cannot be defined as a single illness; rather, schizophrenia is thought of as a syndrome or disease process with many different varieties and symptoms.
Self- Inflicted Injury- act of harming oneself.
Stress- body's reaction to a change that requires a physical, mental or emotional adjustment or response.
Sublimation- the rechanneling of unacceptable instinctual drive with one that is acceptable.
Substance Abuse- excessive use of a substance.
Substitution- replacing the desired unattainable goal with one that is attainable.
Suicidal Behavior- deliberate action with potentially life-threatening consequences.
Suppression- “Conscious forgetting” a deliberate process of thought blocking.
Tardive Dyskinesia- chronic disorder of the nervous system characterized by involuntary jerky movements of the face, tongue, jaws, trunk, and limbs, usually developing as a late side effect of prolonged treatment with antipsychotic drugs.
Undoing- an attempt to erase an act, thought, feeling or desire.
Violent Behavior- a person harms themselves or others.
Withdrawal- the act of taking back or away something. Word Salad- incoherent mixture of words and phrases.
UNIT VII
(References)
References
Books
NANDA 10th edition. Psychiatric-Mental Health Nursing 5th Edition
Octavino Eufemia F.and Balita, Carl E> (2008). Theoretical Foundation of Nursing> Balikan Prints and Binding Enterprises.
Videbeck, Sheila L. (2008). Psychiatric-Mental Health Nursing. Philadelphia. Lippincot. Williams and Wilkins. (5th Edition).
Electronics
Colburn, Rebekah. Understanding schizophrenia: A guide to the signs, symptoms and causes. (http://www.suite101.com/content/understanding-schizophrenia---brain- disorder-a214502)
Glickman, Ian Ph.D. Occupational Stress 12 – Burnout. (http://ezinearticles.com/? Occupational-Stress-12---Burnout&id=2246896)
Hambrecht, Martin and Häfner, Heinz. Substance abuse and the onset of
schizophrenia. (http://www.biologicalpsychiatryjournal.com/article/S0006-
3223(95)00609-5/abstract)
Hawes Liisa. The Ins and Outs of Peer Pressure. Calgary's Child Magazine
Calgary, Alberta, Canada.