XAVIER UNIVERSITY ATENEO DE CAGAYAN COLLEGE OF NURSING

Project Proposal on Remotivational Therapy

In partial fulfilment of the requirements in NCM 105 School Year 2012-2013

Submitted by: Caballero, Tusian Casino, Cherry Castillo, Brinjelou Consolacion , Gilson Jamero, Christina Jamola, Anna Kiamco, Elaiza Omamalin, Allynne Pelino, Miguel Precillas, Erik Rosales, Nina Salino, Beatrice

Submitted On: February 2013

REMOTIVATIONAL THERAPY Objectives: 1. To stimulate the patients to be fellow explorers of the real world 2. To let patients develop feelings of acceptance. 3. To develop the patients ability to communicate and share ideas and experiences with other people. 4. To promote group harmony and identification and let the patient feel that he is part of the group 5. To let patient discover a reason to value himself and increase his self respect. 6. To stimulate the patient to think about something and talk about his feelings. Indication: It is a small group therapeutic modality in nature, designed to help client by promoting self-esteem, awareness and socialization. It is objective in nature and used in an effort to reach the unwounded areas of the patients personality and get them moving back into reality. It aims to bridge the fantasy world of the psychotics to the real world.(National Remotivational Therapy Org.Inc.)

Process: The duration of the therapy is 45-60 minutes for once or twice per week and lasts up to12 sessions which consists of 8 to 10 people grouped in a circle. The subjects to be considered are; Geography, History, Science, Literature, Industry,

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Sports, Hobbies and Nature and those that are not considered are; Religion, Politics, Love, Sex and Family Problem. In this therapy the facilitator asks

questions which is related to the topic at hand. One question leads to another which is referred to as bounce questions. The facilitator creates an environment where the patients feel safe, in this environment the facilitator does not judge whatever the patients say. Thereby a trusting relationship is established between the patients and the facilitator this is done by following the five steps of the therapy.

Steps: 1. Climate Of Acceptance (5 minutes) a. The facilitator who is at the center of the group introduces himself and greets each patient by name. b. The facilitator must ask the patients to introduce themselves. c. After the introduction the leader may comment on the patients appearance or may give a pleasant compliment. It is okay to touch the patients in an appropriate way ( hand shake or laying a hand on the patients shoulder) Goal: Create a pleasant and relaxed atmosphere

2. Bridge To The Real World (15 minutes) a. The facilitator should ask bounce questions which are short and easy to answer

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b. The facilitator should ask for anybody who knows a poem about the topic of discussion c. Questions are from general to specific. There should be three to four questions with four possible answers. The patient can or cannot reply if they choose so or some patients may not know the answer which will lead the facilitator to proceed to the next individual by asking the same question. d. The facilitator reads his own poetry to the group e. The facilitator let the patients read the poetry by showing the visual aid.

3. Sharing The World We Live In ( 15 minutes) a. The facilitator stimulates about 8-10 questions leading to the topic. The questions are not emotionally based but objective in nature. The question should answer; What, When, Where, Why and How b. The facilitator should try to explore the topic under discussion. The other patients in the group can add to the conversation.

4. Appreciation Of The Works Of The World ( 15 minutes) a. The facilitator asks a transitional question because this step is integrated with Step 3. The questions should be objective and answer; What, When, Where, Why and How b. The facilitator should make sure to relate the patients so they will be able to think of themselves in relation to the topic

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5. Climate Of Appreciation (15 minutes) a. The facilitator should try to ask a summary about the topic that was discussed b. The facilitator should express his appreciation to the patients for coming to the session and remind them of the next session and what topic will be discussed. Materials: Manila Paper and Marker (Visual Aid for Poem) Name Tag Pictures of Nature Detachable Model of Nature Mono block chairs Microphone Cassette (Music)

Flow of Activities: 1. Climate Of Acceptance Gather the patients in one room where there are mono block chairs that are formed in a circle Before proceeding to the chairs let the patients register and get their name tags Assist the patients towards their chairs The facilitator introduces self and greets each patient by name

The facilitator instructs patients to introduce themselves by first stating their name, how they are feeling and what they expect for this activity.

The facilitator compliments each patient about their appearance, jewelry, clothing, make up, etc.

Before proceeding to the next step the facilitator must assess if the patients are already comfortable and relaxed with the environment

2. Bridge To The Real World Introduce the topic: NATURE The facilitator must prepare 3-4 questions with 4 answers (from broad to specific) List of Questions: 1. Mga higala, kabalo ba mo unsa ning litrato sa akong gi hawiran na papel? kung kabalo mo, pataas ug kamot." Answer: - Lasang/Gubat -Dagat -Kalikasan -Tanom 2. "Unsa man ang mga butang nga makita nato sa kalikasan? kung kabalo mu pataas ug kamot." Answer: - Kahoy -Bulak -Bukid -Isda 3. Unsa may color sa kahoy na inyong gaka kita? Kung kabalo mo pataas kamot

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Answer: - Green - Brown - Yellow - After asking broad to specific questions, ask the patients if they know a poem about nature - After letting the patients read their own poetry, the facilitator will now be the one to share a poem. (Either Bisaya, English or Tagalog)

POEMS: Tanman sa Ilalom sa Adlaw (Beth Padillo) Ang mga dahon nagpaabot nga bisbisan Sa silaw sa adlaw, human sa mga adlaw Sa katugnaw og madagayaong ulan. Mga bulak nga misugod sa pagbuklad Nanggayo sa kainit sa adlaw aron matuman Ang pagbuklad sa iyang mga gihay. Ania usab ang hagawhaw sa kasingkasing Nga unta ang adlaw sa langit mopakita Sa iyang panagway aron sa pag dan-ag Gubat (Moises Santiago) Malawak na dibdib ng sangkalikasan may pusong maliblib ng kahiwagaan; Madawag sa tinik ng kasiphayuan;mababa, matarikang mga halaman; May mahalumigmigna himig ng buhay. May sapa at batis na umaaliw-iw sa kristal na tubig ang buntong-hinaing; Sarisaring tinig ng galak at lagim; may lamig at init ng dusa at aliw.

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Anupa't kinapal na napakalawak ang kahiwagaang hindi madalumat; sa sangkatauhan ay guhit ng palad ng bawat nilalang ang nakakatulad; Ganda't kapangitan ang buhay sa gubat. Trees (Joyce Kilmer) I think that I shall never see A poem lovely as a tree. A tree whose hungry mouth is prest Against the sweet earth's flowing breast; A tree that looks at God all day, And lifts her leafy arms to pray; A tree that may in summer wear A nest of robins in her hair; Upon whose bosom snow has lain; Who intimately lives with rain. Poems are made by fools like me, But only God can make a tree.

-After reading the poem to the patients, let one patient read the poem written on the visual aid 3. Sharing The World We Live In - The facilitator stimulates about 8-10 questions leading to the topic. The questions are not emotionally based but objective in nature. The question should answer; What, When, Where, Why and How QUESTIONS: 1. 2. 3. 4. 5. 6. 7. Asa gina tanom ang kahoy? Unsay mga gagamiton para mu tubo ang mga kahoy? Aha makita ang mga klase-klaseng mananap ug kawayan? Asa ga tubo ang mga prutas? Unsa inyong nakita sa kalikasan? Kanusa mu last naka kita ug kalikasan? Asa mu nakakita ug kalikasan?
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8. Katong pag adto ninyo sa lugar na nay kalikasan nag unsa mo dadto?

-The facilitator should try to explore the topic under discussion. The other patients in the group can add to the conversation. 4. Appreciation Of The Works Of The World -The facilitator asks a transitional question because this step is integrated with Step 3. The questions should be objective and answer; What, When, Where, Why and How QUESTIONS: 1. Unsa man ang mga butang nga atung dadon dapat sa kalikasan/gubat/lasang/kakahoyan? 2. Kinsa man atung ubanon ug kung mu adto tag kalikasan/gubat/lasang/kakahoyan 3. Unsa imo kailangan sa pag kuha ug prutas o pag putol o panit sa prutas? 4. Asa pa ang lugar nga para saimo tsada adtuan? 5. Unsa atong bahaton na mayo arun? -The facilitator should make sure to relate the patients so they will be able to think of themselves in relation to the topic 5. Climate Of Appreciation -The facilitator should try to ask a summary about the topic that was discussed Dialogue: Ang ginoo nag himo sa kalibutan para ma puy-an sa mga tao. Ang kanindut sa kalikasan na atong gaka kita kay dili mawala. Ang kalikasan kay dapat tigaan ug importansya kay daghan kini pulos labi na sa mga tao ug hayop -The facilitator should express his appreciation to the patients for coming to the session and remind them of the next session and what topic will be discussed.

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- Before saying goodbye the facilitator should reinforce how the patients feel and ask them if their expectations are met. -The facilitator will end the session by saying goodbye.

Evaluation/Expected Outcomes: The facilitator evaluated the patients reactions with the guidance of the CIEvaluation report which will be attached to the respective chair of the physicians note. After the activity the patients would have been able to communicate and share their ideas and experiences with the group and the facilitator about the topic under discussion. The patients are expected to open up their thoughts and feelings and develop feelings of acceptance and self worth through exploring their value in the real world.