NCM 117

CARE OF CLIENTS WITH

MALADATIVE PATTERN OF
BEHAVIOR ACUTE/CHRONIC

ORIENTATION
 CARE OF MOTHER,
CHILD AND
ADOLESCENT
ORIENTATION
A. 1. Checking of Attendance
2. Decorum
a. Grooming- Complete Uniform
b. Complete paraphernalia
c. Attitudes- Surrender Cell Phone
3. Proceed to ARUGA For Orientation
ORIENTATION
B. Policies/ Rules and Regulation on OB
1. No Cell phone during duty
2. No Absences during Duty
3. Only Familiarize and Observation on the first day
4. No eating/talking during duty- you
have 15 minutes breaktime
ORIENTATION
B. Set up of the area

1. Different parts of ARUGA CENTER

2. Tour and Familiarize the area
3. Familiarize the area
4. Observation
ORIENTATION
CENTER Rules, Regulation and Policies
1. Protocols, policies, and Guidelines
2. CENTER Do and Don’t, Limitation in
Handling Materials/ Instrument
3. No eating, avoid necessary noise
4. Cleanliness after using the area
ORIENTATION
D. ATTENDANCE
1. Every duty must provide attendance sheet
before you enter the CENTER to be given to
Clinical Instructor who handle the group
2. See to it that no absences during duty- 1
duty is equivalent to 3 days It depend on the
reason presented, must present medical
certificate.
DECORUM
3- Factors consists of Decorum
A. ATTITUDES
A. Always maintain confidentiality
B. Maintain professionalism
C. Not allow to use agency Facilities and
materials
D. Always follow schedule, rules and regulation
E. Attitudes towards the co group, Classmates, clinical Instructor
and the patients must be considered.
DECORUM
[Link]
1. Wear complete uniform when going to
duty white shoes and stocking for female
and white shoes /white socks.
2. Jewelleries are not allowed during
duties like rings, earing and others
3. Hair must be fully well groom.
DECORUM
C. PARAPHERNALIA
1. All Paraphernalia must be brought to the area
2. Ball pens ( black, red and blue}, Band aid
scissors, plaster, sterile gloves and others.
3. Cell phone are not allowed during duty, may
be use during breaktime and lunch time.
4. Materials to be need during duty
must be bring.
ATTENDANCE
3 Categories of attendance
A. Absences – Equivalent to one absent-3 duties
if no medical certificate to present on the
next meeting,
B. Late’s- Call time is 30 minutes before the
time.
C. Breaks- 15 minutes break during snack
time and one hour during Lunch or dinner.
GRADING SYSTEM
DECORUM- 20%
Attitudes 5%
Grooming 5%
Paraphernalia 5%
Attendance 5%
PERFORMANCES - 80%
Knowledge- 40%
Skills- 40%
TOTAL- 100%
 EXAMINATIONS
A. Examination is part of skills for the day.
1. Written exam
2. written evaluation
3. Socialization
4. Process Recording
5. Day to day activities
B. Everyday there was an exam last hour of every
duty.
 EXAMINATION
C. Coverage of Periodical examination
1. Daily Activities
2. Process Recording
3. About Trust Walk
4. Therapeutic Communication
5. Different Therapies
6. Role of a nurse in Mental Health
 REQUIREMENTS

1. Process Recording
2. Day to day Diaries
3. Compilation of Picture for
documentation.
4. Reporting
 RESEARCH AND REPORT
Group 1 and 2
1. Student 1 Schizophrenia
2. Student 2 Early warning signs of mental disease on Elderly
3. Student 3 Mental disorder suffered by Elderly
4. Students 4 Alzheimer disease
5. Student 5 Role of the nurse in mental disorder
6. Student 6 Signs and symptoms of mental disease
7. Students 7 Dementia
8. Student 8 Psychosis
9. Student 9 List of Institution cater of mentally disorder
10. Student 10 Severe depression
 LECTURES
SELF AWARENESS

Self - awareness in nursing It is about

identifying the internal state , intuition,
preference and resources, an essential tool
that positively affects the patients by bringing
the relationship between the patients and the
nurses.
 IMPORTANT OF
SELF AWARENESS IN NURSING
1. It helps build therapeutic relationship
2. Understand patient better
3. It promote empathy and vital quality in the healthcare industry.
4. Increase self- awareness
5. Final thoughts
6. Observing the self and the need the nature of ever mind.
7. Getting feedback from one fear
8. Try to recall and face good and bad experiences
9. It better to tell past experiences to overcome the bad experiences.
 SELF AWARENESS

Write your self - awareness that correlate the past

experiences about the sadness, joyful, fears and sorrow.
Express the feeling of oneself in past experience to help to
obtain the necessary feeling toward the patient handle in the
area.
To determine the strengths and weaknesses of oneself.
Recognize destructive habits
Accept the self
Identifying the values of oneself
 TRUST WALK IN NURSING
Trust walk – Involve pair working together as one participant close the eyes
of participant and is lead through a play space by others participant.
Goal: To create physically and emotionally self - experience for the person
who is walking without sight.
Objectives:
1. Practice trusting one another in a simple task
2. Take responsibility for another safety
3. Discuss the rule of trust in the group
4. Find a friend who most you trust.
5. Learn to trust someone
 PROCESS RECORDING
Meaning of Process Recording
1. Tool used by the students, the field Instructor, the faculty
adviser to examine the dynamics of interaction in time.
2. An excellent teaching device for learning and refining
interview
And intervention skills.
3. Methods by which students record an educational tool that
access the communication skills of students seeking,
certification or degree in nursing.
 PURPOSES OF
PROCESS RECORDING
1. To helps students to conceptualize and organize on going
activities
With the patients.
2. To improve the quality of nurse patient Interaction.
3. To assist the student nurses to structure and evaluate the
interaction in conscious level.
4. To gain competency in interpreting and synthesizing raw
data
Under supervision.
 RESEARCH /REPORTING
Things to consider in reporting topics
1. Meaning of topics
2. Sign and symptoms
3. Etiology
4. Medical management
5. Nursing Management
6. Health teaching
7. See to it that the reporter will use visual aide like CARTOLINA, Manila paper
or LAPTOP.
.
 TYPES OF
PROCESS RECORDING

1. Verbatim Dialogue
2. Feeling and reactions
3. Observation and analysis
4. Final comments
 TERMINOLOGIES
1. Health – State of physical, mental, and social wellbeing, not just the
absence of disease and infirmity.
2. Mental Health – Cognitive behavioural and emotional wellbeing. A state
of mental wellbeing that enables people to cope with the stresses of life,
realize their abilities, learn well and work well.
3. Mental illness – Wide range of mental health conditions that affect the
mood, thinking and behaviour.
4. Conscious – Awake, thinking, and knowing what is happening around you
5. Coherent – Having mental faculties not dulled by sleep, faintness or fully
awake.
6. Stupor – State of which person is almost unconscious and the thought are
not clear, unable to act or think normally
 TERMINOLOGIES
7. Lethargy – Feelings of little energy or of being unable or unwilling to
anything.
8. Anxiety – Feeling of fear, dread and uneasiness.
9. Apathy – Lack of goal, directed activity, lack of interest and emotional
expression.
10. Depression – It is a common and serious medical illness that negatively
affects how to feel the way to think and how to act.
11. Impaired disorder – Loss of abnormality of psychological , physiological,
and anatomical, structures or functions.
12. Disorientation – Is an altered mental state, may not know the location and
identity.
13. Confusion – is the inability to think as clearly or quickly as to normally do.
 TERMINOLOGIES
14. Echolalia – The action of repeating what someone else say, non -
involuntary repetition of another individual speech.
[Link] – Are false belief that are based on reality. Thing that couldn’t
possibly be true.
16. Hallucinations – usually involve see seeing and hearing things that are not
exist.
17. Negative symptoms – Reduced or lack of ability to function normally.
18. abnormal motor behaviour – My show in a number of ways from “child” like
silliness to unpredictable agitation
[Link] – Panic disorder or anxiety disorder that involves intense o
avoidance of any place or situation where it is perceive that escape might be help
unavailable in the event of developing sudden like symptoms.
20. Impulsive – Implies acting under stress of emotions or spirits of the moments
impulsive act of violence.
 NURSE - PATIENT
INTERACTION
Meaning Of Nurse-patient Interaction
1. It is a professional and therapeutic relationship
created to enable nurses to access, plan, and deliver
health care and improve health care and aim is to
meet patient’s basic need.
2. It is a basic nursing care and improve health
outcome behaviour and attitudes.
3. It is important and effective person care
delivery.
 COMPONENTS OF
NURSE - PATIENT INTERACTION

1. Trust
2. Respect
3. Professional intimacy, empathy
and power
 4 PHASES OF
NURSE – PATIENT
INTERACTION
1. Pre - Interaction – First time contact
2. Introduction – Develop a relationship to
deliver care.
3. Working Phase- Nursing interventions takes
place problems and issues are identified
and plans to address these are put into
action.
4. Termination Phase – Last phase of
counselling during which the nurse and
patient meet.
 NURSE PATIENT
RELATIONSHIP
1. It is an interaction between a nurse and a
patient aimed at enhancing the wellbeing of
individual, family, a group or a community.
2. A professional and therapeutic relationship
created to enable nurses to assess, plan, of
nursing care and improved health outcome.
3. It is a basis of nursing care and improved
health outcome.
 EXAMPLES OF
THERAPEUTIC COMMUNICATION

1. Silence 9. Encouraging compassion

2. Accepting 10. Focusing
3. Giving recognition 11. Reflecting
4. Offering self 12. Summarizing
5. Giving broad opening 13. Using touch
6. Active listening 14. Offering hope
7. Seeking behavior 15. Seeking Clarification
8. Making observation 16. Sharing Humore
 EXAMPLES OF ORIENTATION
PHASE
1. Seek assistance
2. Introducing oneself
3. Building rapport
4. Explaining the step by step of conversation
5. Ask question
6. Conveys need
7. Respond to client
8. Give parameter of meeting
 EXAMPLES OF
ORIENTATION PHASE
9. Explain role
10. Gathered Data
11. Help client identify data
12. Reduces anxiety and tensions
13. Practices active listening
14. Focus client energy
 EXAMPLES
WORKING PHASE
Nurse
1. Parameters of the relationship was established
2. Trust to each other
3. Participates identifying problems
4. Begin to be aware of time
5. Respond to help
6. Identifies with nurse
7. Explores feelings
8. Increase focal attention
9. Testing maneuver decrease
 EXAMPLES OF WORKING
PHASE
NURSE
1. Maintain separate identity
2. Shows unconditional acceptance
3. Helps express needs and feelings
[Link] and adjust to need
5. provide information
6. Help client focus on cues
7. Uses word stimuli
8. Does not allowed anxiety to over whelemed client
9. Assesses and adjust to need.
 EXAMPLES OF
TERMINATION PHASE
1. Abandoned needs
2. Aspires to new goals
3. Becomes independent of helping person
4. Integrated illness
5. Establish ability to stand alone
6. Teaches preventive measures
7. Terminates Nurse Client Relationship
 NON
THERAPEUTIC
COMMUNICATION
Includes words, phrases, actions and tone that make a
patient feel uncomfortable, increase the stress and
worsen the and even physical wellbeing
Type of communication that does not have and setting
of exact date and time, no place to set up.
Form of communication that can prevent block or
significantly hinder the effective conveyance of message
feeling.
 EXAMPLES OF NON
THERAPEUTIC COMMUNICATION
1. Attacking and depending 9. Depending
2. Getting angry
3. Castin Judgement
4 Judging or criticizing
5. Ignoring and Denying another presence
6. Not listening
7. Arguing
8. Disagreeing
 DIFFERENT
THERAPIES
IN ACTIVITIES
1. Singing Group
2. Dancing therapy
3. Music and Arts
4. BIBLIO Therapy
5. Occupational therapy
6. Play therapy
7. Newspaper therapy
 DIFFERENT THERAPIES
IN ACTIVITIES
MUSIC AND ARTS
1. Music and Art – It is an effective methods of
treatment for mental disorder.
2. The methods of creating art and creating music
promote inner perception, open path of access, and
enable forms of expression, to interact with one’s –
self and one’s environment without having to
speak.
 DIFFERENT THERAPIES
IN ACTIVITIES
COMMUNITY GROUP SINGING
1. It appear to have significant effect on mental health,
related quality of life, anxiety and depression, and it may be
useful intervention to maintain and enhance the mental of
older people.
2. It can promote health and wellbeing widely for people
for all ages.
3. It Is effective for bonding large group, making it ideal
behaviour to improved social life.
 DIFFERENT THERAPIES
IN ACTIVITIES
DANCING THERAPIES
1. The psychotherapeutic use of movement
and dance to support intellectual, emotional,
and motor functions of the body.
2. It is a great stress reliever, not only
because it is great, physically for the body
but also emotionally.
 ADVANTAGES OF
DANCING THERAPY
1. Giving people the ability to express emotions.
2. Relief stress
3. Increase physical fitness and gross motor skills
development.
4. Improved confidence and self- esteem.
5. Encourages creativity and imagination
 BIBLIO THERAPY
1. It is a creative art therapy that involves
story telling or the reading of specific text.
2. It uses an individuals to the content of books
and poetry and other written words as therapy.
3. Is an approach to menta health treatment that
uses books to provide guidance and address mild
to moderate symptoms of disease
 OCCUPATIONAL
THERAPY
1. It is focuses on teaching resident the skills that
they need to ensure greater independence within in
the facility, rather than helping the to attain the
skills needed to function outside of one.
2. The purpose of occupational therapy is not
simply to give our patients something to do but
rather to tailor treatment to the patient.
3. Benefits the clients the skills of living
independently.
 NEWSPAPER
THERAPY
[Link] a latest news mentally ill patient or elderly is
an effective and efficient rehabilitative therapy for people
with mental illnesses.
[Link] basic information to the clients about places
or events outside goals.
A. To give information to the clients on what happening
outside
B. To provide latest news today
C. To encourage verbalization of emotions and reaction
about the news.
 PURPOSES OF
NEWSPAPER THERAPY
1. To test and develop memory.
2. To be aware of the news in and out of the Country.
3. To be able to talk and give reasoning.
4. To be able to exchange ideas.
5. To develop interpersonal relationship.
6. To assess level of intelligence of the clients.
7. To encourage clients express/verbalize feelings regarding
the topics.
 PLAY THERAPY
1. It is a form of psychological treatment that can
involve playing, with toys and games.
2. It can be useful for treating mentally ill patient.
3. Is a method of therapy that uses play to
uncover and deal with psychological issues.
4. Is a form of therapy that uses play activities to
help elderly
Mental and emotional issues.
 CASE STUDY
PART OF CASE STUDY
1. Title page
[Link]
3. Introduction
4. Clinical Summary
5. History/chief complains/ Present history
6. Physical Assessment includes vital signs, weight
7. Head to toe assessment
8. Review of system
 CASE STUDY
PARTS OF CASE STUDY
9. PROCESS RECORDING
A. Nurse patient Interaction
B. Phases of NPI
10. Different therapies on Activities
SCHEDULE OF ACTIVITIES
3 DAY – APRIL 23, 2024
RD

All Students group 1 and 2

1. Introduce students to staff, personnel and patients.
2 . All students will introduce herself/himself to all.
3. Giving of assign patient
3. Familiarize the set p of the Area and tour of the area.
4. Trust walk - Group 1 facilitator Participant - group 2
5. Perform daily Exercise – facilitator by group 1
6. Singing group – facilitator by group 2
7. Dancing therapy all groups and the patients
SCHEDULE OF ACTIVITIES
4TH DAY APRIL 30, 2024
Facilitator Group 1 Participant group 2
1. Vital sign
2. Medication
3. Rosary time
5. Daily Exercise students and patient
6. Dancing therapy
7. Singing group
8. BEBLIO therapy
9. Music and art
 SCHEDULE OF ACTIVITIES
5TH DAY – May 7, 2024
Facilitator – Group 2 Participant- group 1
1. Vital sign
2. Medication
3. Rosary time
4. Daily Exercise
5. Singing group
6. Occupational therapy
7. Dancing therapy
8. play therapy
9. News paper therapy
SCHEDULE OF ACTIVITIES
6TH DAY – MAY 11, 2024

Case presentation
 SCHEDULE OF ACTIVITIES
DAY – 7TH May 14, 2024
SOCIALIZATION
Facilitator group 2
Participant group 1
Must use all therapies and there is a
program.
 SCHEDULE OF ACTIVITIES
8TH DAY MAY 15, 2024
Socialization
Facilitator Group 2 Participant group 1

All Therapies must be considered there was a

program involve