Patient Analysis

Patient Analysis by Judith Ackerhalt




-Clients with low self esteem may imply that they are helpless, that they are not competent to handle their own problems or that they are inadequate as individuals. Pp.75



-Research findings suggest that clients are capable of identifying and making accurate statements regarding their needs and the treatment that they think will help to bring about desired changes. Pp.77

Ex. Kailangan ko ng ganito etc..

Dapat lagi ako may gamut,..



-Frequently clients underestimate their ability to tend for themselves. Consequently their initial request from nurses is to have them contact a relative, friend, landlord, or employer, In these instances, the clients expectation is that the nurse will accurately intervene in some problematic situation on their behalf. pp. 78

Ex Paki contact naman si ano….



-A nurse solicits discussion of clients concerns by asking them to clearly and directly state their wishes and expectations. pp. 79

Ex, Anu a bang nakkita mo na sanhi ng problema mo?

Sa tingin mo anung tulong ang pwede ko mabigay sau?



-Structuring- used to describe these activities aimed at establishing a working partnership with a clients on idea of what they can expect and tend to reduce anxiety engendered by ambiguity. pp. 80

Ex. Oh next week ganito papagawa ko sau ha

2 to 3 pm ang pauusap natin

10 beses tau maguusap



-It is considered unethical to record or share the contents of interviews without a client knowledge or permission. A simple and clear explanation of the purposes, routine, nature and confidentiality of these recording will help to eliminate clients suspicions. pp. 80

Ex. Ang mga information na makukuha ko sa inyo ay I sha2re ko sa mga ka team ko

Ang drawing nyo po ay pakikita ko sa mga ka team ko.

Nais kop o magpaalam na mgasusulat ako habang naguusap tau.



-Concreteness is used by the nurse when they are attempting to directly influence clients to focus on specific problems, to sharpen their observation skills, and to recall the significant details of past or current experiences despite the discomfort that might be felt.

pp. 82

Ex. Magbigay ka ng isang tao gumambala sa pagtulog mo

Anu ba mga problema naranasan mo sa Libis?

Anu ba mga ginawa sau ng tatay mo?

Anu ba ang away mo sa ginagawa ny tatay mo?



-Individuals who ignore or suppress potentially threatening information about themselves engage in a form of self deception which impedes problem solving pp. 82

Ex 33 lng ako

Wla ako sakit, epeilepsy lang sakit ko



-Individual tend to avoid anxiety by seeking input which maintains their self image. pp 82





Patient analysis by Joyce Travelbee



-The ill person’s inability to communicate often prevents him from forming social relationship with others. pp. 69

Ex. Ayaw makipagusap sa ibang tao



-Inability to form meaningful relationships with others eventually results in punishment of personality, diminished sensitivity and deterioration of social skills. pp. 71

Ex. Di nakikipausap sa tatay

Ayaw makipag communicate



-Disordered communication may be a reflection of underlying disturbances in thinking. It is recognized that disturbances in thinking are reflected in the individual’s behavior, in his actions as well as in his speech. pp. 70

Ex. Poor communication of patient



-When a child is blocked, thwarted, or not asserted in changing form autistic level to that of consensual validation. The individual may be unable to use logical thinking to solve problems and may, as a result may had thought disordered. Like inability to focus attention, inability to describe own participation to ones experience. pp. 70

Ex. cannot remember her participation on a particular life events.

Tingin ng tingin kung san san



-Inability to focus may be a result of anxiety level or it may also be a defense against involvement, a conscious desire to avoid disturbing topics and to remain on a superficial social amenity level. pp. 87

Ex Says topic by topic subject

Ang pogi mo naman, kapal salamin mo ah. May kanuka ka



-Communication is important because of its effect on the formation of the individual’s personality and character structure. The foundation of the person perception of self, the world and his place in it, is in part develop. pp. 85

Ex. Dapat makipagusap ka. Dapat may kakilala ka sa loob at kausapin mo sila



To help patient understand that he is a thinking, feeling human being who elicits responses from others and affect the behavior of others. pp 90

Ex. Participation in a experience

Oh anu mga ginagawa mo dati sa bahay nyo



Assist the patient to pay attention to and hear the messages communicated to him

Ex. Gracia makinig ka! pp. 92

Calling the attention of the patient



So the patient can view she is a responsible person- one who is freely to decide and communicate, that she is a equal partner in the relationship and that his cooperation is essential to achieved the desired goals. pp. 110

Ex. Gusto mo kipagparticipate? Okey lng ba sa iyo ang gagawin mo?



Nurse also communicates with the patient that she cares about him and that this caring is not conditioned by the fact that she is unable to make decision about participating. Pp. 110



Many ill individuals have difficulty describing participation in life experiences because of life stresses they are confronted. pp.90



The nurse gives the patient an opportunity to ask question about anything discussed with him, and informs him of the confidential nature of discussion pp.148.

Ex. Oh may tanung ka bas a pinagusapan natin

Any questions?



The patient whose concept of nurse is that of an individual who gives shots and pills and carries doctor orders may not be able to conceive of the nurse in any other capacity. pp. 148

Ex. Anu tingin mo sa mga nurse taga bigay ng gamut at naguutos ba?



A patient may also believe the nurse will persuade the physician to let him go home to transfer him to another unit, to stop electric treatments. Etc.. pp 148

Ex. Sana makalabas nako, tulungan mo naman ako



Assist the ill person to verbalize, focus, identify cause and effect, and perceive his participation in an experience. pp. 159

Ex. Anu ba ginagawa mo dati sa bahay nyo?

Anu ba mga ginagawa mo sa palengke?



Because of illness a withdrawn, depressed or confused individual may not notable to arrive to a decision. pp. 149

Ex. No decision making when being asked



Nurse who makes the decision for the patient communicates, in essence, that she cares about the patient and will help him whether or not he wants help. pp. 149

Ex. Ang paguusapan natin ngaun ay…

Ang gagawin natin ngaun ay….



The nurse also assist the patient to recognize the effect of his behavior on those with whom he comes in daily contact. pp. 157

Ex. Oh sa tingin mo anu nararamdaman nila pag di mo sila kinakausap



A depressed person may respond to comments or question by monosyllables or short phrases, or may be mute. pp. 188

Ex. opo

Okey naman

Ganun pa rin



Loss of love may be perceived as rejection and can arouse feelings of anger; anger may be turned inward resulting in depression. pp. 189

Ex. pinatay ng tatay ko ang kapatid ko



Individuals inability(or unwillingness) to engage in meaningful dialogue with others. The purpose of this behavior is to avoid closeness, to avoid thinking, to impress others, or for idiosyncratic reasons. pp. 192

Ex. ayaw makipagusap

Walang sense mga sinasabi



Patience perseverance and the ability to wait in silence are necessary to initiate relationship with individuals who use short phrase response pp. 198



Termination- the patient has the right to k now the reasons for the termination, whatever they maybe; the patient should be given dear unequivocal reasons for termination. Patient should be allowed and encouraged to express , his thoughts and feelings regarding termination. pp. 162



Patient analysis by Shiela Videbeck



At times, client may seen to be lost in his or her thoughts and not paying attention with the nurse. pp. 121



Religion- which is a organized system of beliefs about one or more all powerful, all knowing forces that govern the universe and offer guidelines for living in harmony with the universe and others. pp. 124



Contract for the relationship includes outlining the care the nurse will give, the times the nurse will be with the client, and acceptance of these conditions by the client. pp. 125



Sometimes clients begin discussing a topic of minimal importance because it is less threatening that the issue that is increasing that client anxiety. pp. 127



Some clients do not have the skill or patience to describe how an event unfolded over time without assistance by the nurse. pp. 126



It is important to assess the relationships of family members, identifying their areas of agreement and conflict can greatly affect the care of the patient. pp. 128

Ex. may dumadalaw ba sa iyo dito?



A confused person cannot make sense of his or her surroundings or figure things out even though he or she may be fully oriesnted. pp. 62

Ex Sino ulit ako?

Anu ulit mga gamot mo?