Working Phase
Working Phase
“Naiintindihan ko “Minsan pag sinisipag ako Maintains Head down Sharing The client
po na nagaalala tumatayo ako at nag- open Empathy– The answered in
kayo sa inyong stretch ng aking katawan posture, ability to appropriate
mga pamilya at tapos lumalanghap ako ng with sincere understand and manner but
iniisip nyo kung sariwang hangin” voice tone accept another seems anxious.
kamusta na sila. person’s reality,
Hmm maaari ko to accurately
po bang malaman perceive feelings,
kung ano ang and to
inyong ginagawa communicate
kapag hindi kayo understanding.
makatulog ng
maayos?” Encouraging
expression-
asking the client
to appraise the
quality of his or
her experiences
“Kapag “….. Hmmm oo ganun na Leaning Contemplating Restating- The client took
nakakapagbanat nga” forward repeating the awhile to
po kayo ng Shifts gaze main idea answer but
katawan at expressed conveyed a
nakakalanghap ng congruent
sariwang hangin message.
ay nakakatulog na
po kayo ng
maayos . Tama po
ba ako? ”
“Kung ganun po “Mabuti naman kung Maintaining Eye contact Giving The client
sa tingin ko po ganun, ano ba mga gagawin eye contact information - answered
makakatulong natin ngayong araw?” Smiles briefly making available appropriately
kung isasagawa the facts that the and appears
na natin ang mga client needs fine now.
aktibidad natin
ngayong araw
para po sa inyong
nararamdaman.”
“Para sa huling “Hmm yung calisthenics! Maintains Eye contact Giving The verbal and
araw po ngayon ng Exercise yan no? Ginagawa eye contact information -
non- verbal
ating therapy, ay naming yan dati eh” Smiles making available cues were
may apat na Open the facts that the
congruent to
aktibidad po posture client needs each other. The
tayong isasagawa. client shared
Ito ay ang Focusing- her idea about
Calisthenics concentrating on the activity.
therapy, a single point
occupational
therapy,
psychodrama
therapy at ang
pinakahuli ay ang
culinary therapy.
Sa aking mga
nabanggit, saan
ka dito pamilyar? ”
“Tama ka po Ate “Base sa aking sariling Use of hand Eye contact Restating- The client was
M! Dahil dyan yan karanasan, napalaking gesture, eye repeating the able to explore
po ang unang tulong ng pageehersisyo contact Use of hand main idea her thoughts
isasagawa nating para sakin, kasi gestures expressed appropriately.
aktibidad para sa napapanatili nitong Cues are
araw na ito. Para malakas at masigla ang congruent.
po sa inyong aking katawan. Kapag ako Giving
dagdag na ay hindi information -
kaalaman, ang nageehersisyo,pakiramdam making available
calisthenics ko ay ang bigat ng katawan the facts that the
therapy po ay ko kaya wala akong client needs
binubuo ng iba’t nagagawa sa maghapon. Sa
ibang uri ng lola ko naman, Exploring-
ehersisyo na hindi nirekomenda sa kanya ng delving further
ginagamitan ng doctor na malaking tulong into a subject or
mabibigat na sa kanyang sakit ang araw idea
equipment upang araw na pageehersisyo.”
mas madali itong
isagawa. Madami
po itong maganda
dulot sa atin.
Nabanggit nyo po
kanina na
nakakatulong po
sa inyo ang
pagbabanat ng
katawan kapag
hindi po kayo
makatulog ng
maayos. Isa po ito
sa maiiituring na
magandang
epekto ng
pageehersisyo.
Bukod po dito, sa
inyong sariling
pananaw at
karanasan, ano po
ang iba pang
epekto ng
pageehersisyo?’’
“Tama po kayo “Hmm yung masisigla na Eye contact Maintain eye Giving The client
dyan ate m! may kasabay na tugtog” contact information - answered in
Napakahalaga making available appropriate
talaga ng araw Smiles the facts that the manner.
araw na client needs
pageehersisyo lalo
na ngayong Seeking
panahon ng information-
pandemya, seeking to make
makakatulong ito clear that which
upang mailayo is not meaningful
tayo sa iba’t ibang or that which is
uri ng sakit vague
katulad ng mga
nakahahawang
sakit dahil
pinapalakas nito
ang ating
resistensya.
Anong klaseng
ehersisyo po ang
inyong ginagawa?
“Kung ganun po, “Wala na, naiintindihan ko Smiles, Maintains eye Giving Verbal and
simulan na po na ang gagawin.” uses hand contact information - nonverbal cues
natin ang ating gesture making available convey
aktibidad. Para sa Smiles the facts that the congruent
calisthenics client needs message.
therapy, ito po ay
binubuo ng
tatlong parte:
Warm up, Zumba
at ang pinakahuli
ay cool down. Ang
gagawin nyo
lamang po ay
sundin ang mga
galaw na aking
gagawin. Bawat
steps po ay may
kanya-kanyang
pangalan upang
mas madali ninyo
ito matandaan.
Sasayawin po
natin ito sa bilang
na 1-8 at kasabay
ang masiglang
tugtog. Bago po
tayo magsimula sa
warm up, may
nais pa po ba
kayong linawin? ”
Warm up Exercise…
“Sa inigawa po “Oo handang handa na” Standing up Standing up Giving The client
nating warm up information - replied in
exercise, Lean making available appropriate
nakatulong po ito forward the facts that the manner.
na ihanda ang client needs
ating katawan sa
ating isasagawang Seeking
mga exercises. information-
Ngayon po ay seeking to make
dadako na tayo sa clear that which
ating Zumba is not meaningful
exercise. Muli, or that which is
gagayahin nyo vague
lamang po ang
aking gagawin
kasabay ng
pagbibilang ng 1-
8. Handa ka na po
ba?”
Zumba exercise…
“Ngayon po na “Oo sige napagod ako dun Standing up Standing up Giving Verbal and
natapos na natin ah.” information - nonverbal cues
ang Zumba Use of hand Gasps making available convey
exercise. Dumako gestures the facts that the congruent
naman po tayo sa client needs. message.
Cool down.
Mahalaga po ito Seeking
upang mairelax information-
natin ang ating seeking to make
mga muscles at clear that which
ang ating katawan is not meaningful
upang hindi po ito or that which is
sumakit. Para po vague
sa cool down ay
gagawin lang po
ulit natin yung
mga galaw kanina
sa warm up.
Malinaw po ba sa
inyo?”
Cool down…
“Ngayon po ay “Oo sige” Use of hand Eye contact Giving The client’s
maaari na po gesture information - response is
tayong umupo. Nods making available congruent to
Ngayon po na Regularity the facts that the the context.
naikalma na natin of voice client needs.
ang ating
katawan. May
isang technique po
akong ituturo
sainyo upang
maikalma po
ninyo ang inyong
isipan. Ito po ay
tinatawag na
breathing
exercise. Sa
exercise na ito ay
hihinga lamang po
tayo ng limang
beses. Lalanghap
lang po tayo ng
hangin sa ating
ilong at ilalabas
ang hangin sa
ating bibig. Ganito
lang po ang
gagawin natin,
inhale…. Exhale…
at uulitin lang po
natin ito ng limang
beses. Handa ka
na po ba?
Breathing exercise…
“Ayan po. “Ah ganun ba sige gagawin Open Smiles Making The client
Mukhang narelax ko din yan” posture, observation- understands
po kayo ah. hand Use of hand verbalizing what and is willing to
Nabanggit niyo din gesture, low gesture the nurse do the
po kanina na voice tone perceives technique
nahihirapan po taught by the
kayo matulog. Restating- student nurse.
Maaari po ninyong repeating the
gawin ang main idea
breathing exercise expressed
na ito upang
maikalma ang Giving
inyong isipan na information-
nakakatulong sa making available
pagkakaroon ng the facts that the
maganda at client need
mapayapang
pagtulog sa gabi”
“Sa katatapos na “Napagod ako pero ang Maintaining Maintains eye Seeking The client
aktibidad na ating sarap pa rin sa eye contact contact information- understands
isinagawa, maaari pakiramdam. Parang Use hand seeking to make and responded
nyo po bang Nawala ang antok ko. Smiles gestures clear that which appropriate to
ibahagi ang Madadali lang pati ang mga is not meaningful the context.
inyong steps kaya mabilis ko sya or that which is
nararamdaman?” nagawa. Mabilis ko din ito vague
matatandaan kasi may mga
pangalan ang bawat steps. ”
“Mabuti naman “Sa tingin ko, oo madali Maintaining Smiles Giving Verbal and
kung ganoon Ate lang kasi sya gawin.” eye contact information - nonverbal cues
M. Sa tingin nyo Smiles making available convey
po ba ay kaya nyo the facts that the congruent
po ito isagawa sa client needs. message.
araw araw?”
“Maarin nyo din po “Ay magandang idea yan, Maintaining Use of hand Giving Nonverbal cue
itong gawin sige gagawin ko yan” eye contact, gestures information- is appropriate
kasama ang iba, leaning making available to the content
pwede nyo po ito forward Eye contact the facts that the of the message.
ituro sa kanila client need
para sabay sabay
po kayong
sasayaw, mas
masaya po yun”
“Nakakatuwa “Wala naman” Open Head shaking Giving The client
naman po na posture recognition- conveyed a
gusto niyo na recognizing congruent
makisama sa iba. Eye contact client’s efforts message.
May nais pa po ba
kayo ibahagi?” Seeking
information-
seeking to make
clear that which
is not meaningful
or that which is
vague
Encouraging
expression-
asking the client
to appraise the
quality of his or
her experiences
“Sinasabi ninyo po “Oo ganun na nga Eye contact, Smiles and Restating- The client was
ba nap ag namimmiss ko na ang luto open maintains eye repeating the able to
nakakatikim kayo niya” posture contact main idea verbalize her
ng adobo ay siya expressed perceptions
ang inyong appropriately.
naalala?” Encouraging It conveys a
expression- congruent
asking the client message.
to appraise the
quality of his or
her experiences
“Naiintindihan ko “Oo naman! Ano ba ang Eye contact, Eye contact, Sharing The client
po ang inyong lulutuin natin? open open posture Empathy– The answered in
nararamdaman. posture ability to appropriate
Nabanggit niyo po understand and manner.
kanina na hindi accept another
kayo marunong person’s reality,
magluto? Pero sa to accurately
tulong po ng perceive feelings,
aktibidad na ito ay and to
tuturuan ko po communicate
kayo kung paano. understanding.
Bago po tayo
magsimula, nais Restating-
ko lang po ipaalam repeating the
sa inyo ang main idea
magandang expressed
epekto ng
pagluluto.
Nakakatulong ito
na ipakita ang
pagiging
malikhain ng
isang tao sa
papamagitan ng
paggamit ng iba’t-
ibang sangkap
upang makabuo
ng isang masarap
na putahe,
nakakalibang din
itong gawin at
nakakalis ng
stress. Maaari ko
po bang malaman
kung handa na po
kayo?
“Dahil nabanggit “Wow adobo excited na ako Maintaining Eye contact Seeking The client’s
ninyo ang inyong magsimula na tayo!” eye contact information- verbal and non-
hilig sa adobo. Ito seeking to make verbal cues
ang ating lulutuin Uses hand clear that which shows her
para sa ating gestures is not meaningful anticipation
aktibidad ngayon. or that which is about the
Para sa ating vague activity which
putahe ngayon, is cooking of
ang kakailanganin her favorite
po natin ay kawali, food.
sandok, karne,
mga sangkap ng
adobo, kalan at
pinggan.
Gagabayan ko po
kayo kung ano ang
inyong gagawin.
May nais pa po ba
kayong linawin?
Cooking…
“Sa ating “Sobrang nagenjoy ako, Leaning Smiles Seeking The client was
isinagawang madali lang pala lutuin yun. forward, information- able to explore
pagluluto, maaari Natuto din akong maintaining Use of hand seeking to make her thoughts
nyo po bang magbalanse ng timpla at eye contact gestures clear that which appropriately.
ibahagi ang inyong magdagdag ng mga sahog is not meaningful Cues are
naranasan?” kapag hindi ko pa or that which is congruent
nakukuha yung gusto kong vague
timpla. Nakakatakam din
yung amoy ng niluluto.”
“Mabuti naman “Sa tingin ko oo, maaari mo Maintaining Eye contact Seeking The client was
kung ganun! Sa ba akong gawan ng recipe eye contact information- able to explore
tingin mo ba ay nito para sa susunod ay Smiles seeking to make her thoughts
kaya mo na itong magawa ko ng ako lang? ” Uses hand clear that which appropriately
lutuin nang ikaw gestures is not meaningful and asked the
lang?” or that which is nurse if she can
vague help her to
formulate a
recipe in
cooking adobo.
“Oo naman po Ate “Ay sige gagawin ko yan, oo Maintaining Eye contact Encouraging Verbal and
M! Maari din po sobra ang dami ko na eye contact, expression- nonverbal cues
kayong humingi naming natutunan at leaning Smiles briefly asking the client convey
ng tulong sa iba nalibang ako ng sobra” forward to appraise the congruent
kapag nais nyo po quality of his or message.
itong isagawa at her experiences
pwede nyo rin po
silang turuan
kung paano
magluto nito.
Nagenjoy po ba
kayo sa mga
activity natin
ngayon?
“Mabuti naman po “Oo yan ang mga ginawa Smiles Smiles Summarizing- The client was
kung ganun. Bale natin ngayong araw na ito” organizing and able to
para po sa mga Eye contact Eye contact summarizing up remember the
aktibidad na what was done activities
ginawa natin they’ve
ngayon, Seeking throughout the
nagsimula po tayo information- day
sa Calisthenics seeking to make
therapy kung saan clear that which
nagkaroon tayo ng is not meaningful
ehersisyo upang or that which is
sumigla at vague
lumakas ang ating
katawan.
Sinundan naman
po ito ng
Occupational
therapy kung saan
gumawa po tayo
ng picture frame
na gawa sa buri o
papel na ating
ibebenta upang
pagkakitaan.
Sinundan pa ito
ng kasunod na
aktibidad, ang
Psychodrama
therapy kung saan
nagkaroon tayo ng
pagsasadula ng
isang istorya at
ibinahagi po ninyo
ang inyong
karanasan na
katulad ng bida sa
kwento. Nagtapos
naman po tayo sa
Culinary therapy
kung saan
tinuruan ko po
kayo kung paano
magluto ng
paborito ninyong
putahe na adobo.
Tama po ba ako?”
“Bago po natin “Wala naman” Maintains Eye contact Seeking The client was
tapusin ang eye contact information- able to respond
therapy. May nais seeking to make in appropriate
pa po ba kayong Smiles clear that which manner.
itanong o ibahagi? is not meaningful
or that which is
vague
“Kung gayon po, “Okay sige, ingat ka! Maintaining Use of and Giving The client
dito na po Maraming Salamat sayo. ” eye contact gestures recognition- understands
nagtatapos ang recognizing and accepts
ating aktibidad Open client’s efforts readiness for
para sa ngayong posture separation.
araw. Masaya po Giving
ako sainyong mga information-
natutunan. making available
Maraming salamat
din po sa inyong the facts that the
pagbabahagi at sa client needs
kooperasyon nyo
Ate M! Paalala ko
lang po ulit last
day na rin po natin
bukas ha.”
“Paalam po!”
Evaluation: Objectives met. The client maintained her trust and rapport with the nurse through sharing her
experiences and thoughts to the nurse. The client was able explore client’s thoughts and feelings through the
different psychotherapies that was performed. The client verbalized her problem about having difficulty of
sleeping and it was addressed through engaging in various activities that has a goal of improving the mental
status of the client. The client also verbalized that she gained a lot of knowledge and enjoyed through actively
participating in the various activities. The client is anxious at times when they were talking about family because
she verbalized that she missed them but was able to respond to most questions appropriately and was able to
share her thoughts spontaneously. The client has improved and has more stabilized mind compared to the last
meeting. The client was able to start practicing new skills for behavioral change and self-enhancement.