NURSE PATIENT THERAPEUTIC COMMUNICATION RATIONALE/ANALYSIS

NURSE PATIENT THERAPEUTIC COMMUNICATION RATIONALE/ANALYSIS

NURSE PATIENT THERAPEUTIC COMMUNICATION RATIONALE/ANALYSIS
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION
 MECHANISM OF
DRUG CLASSIFICATION INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING RESPONSIBILITIES
ACTION

Generic name: Drug class: - although the - major depressive - patients hypersensitive to CNS Assess:
Quetiapine Atypical antipsychotics mechanism of action of disorder Somnolence - monitor mental status, onset of
drug or its ingredients
NMS (neuroleptic malignant extrapyramidal symptoms
quetiapine is not fully - schizophrenia - avoid use when risk of syndrome)
Brand name: Therapeutic: understood, several - udjunctive therapy torsades de pointes or - assist with ambulation if dizziness occurs.
Seizures
Seroquel Antipsychotics: proposed mechanism sudden death may be - supervise suicidal risk closely during early
Hypertonia
dibenzothiazepine exist. In schizophrenia, its increased, including in Dysarthria theraphy (as psychosis, depression lessens,
Dosage: derivatives action could occur from patients with a history of Agitation energy level improves, increasing suicidal
100mg/tab the antagonism of cardiac arrhythmias such as Extrapyramidal reaction potential)
Pregnancy Catergory: dopamine type 2 (D2) bradycardia, hypokalemia or Fatigue - monitor B/P for hypotension, lipid profile,
Route: C and serotonin 2A hypomagnesemia. Also avoid
EENT: blood glocuse, CBC or worsening
PO Blurred vision
(5HT2A) receptors. In use with other drugs that depression, unusual behavior.
Ear pain
bipolar depression and prolong the QTc interval and Epistaxis
- assess pulse for tachycardia (esp. With
Frequency: major depressions, rapid increase in dosage)
in patients with congenital Nasal congestion
HS quetiapine’s action may - monitor daily pattern of bowel activity,
prolongation of QT interval. Pharyngitis
be attributed to the Toothache stool consistency.
binding of this drug or its Precaution: CV - assess for therapeutic response(improved
metabolite to the use cautiously in: Palpations thought content, increased ability to
Peripheral edema concentrate,improved self-care)
norepinephrine -patients risk for falls,
Hypotension
transporter. including those with the - eye exam to detect cataract formation
HTN
- antagonizes dopamine, diseases, conditions that Syncope should be obtained q6months during
serotonin, histamine, may cause somnolence, GI treatment.
alpha1 adrenergic orthostatic hypotension, or Anorexia
receptors. motor or sensory instability. Nausea Patient/family teaching:
Vomiting - avoid exposure to extreme heat.
Gastroesophageal reflux - drink fluids often, esp. During physical
Therapeutic Effects: - patients with CV diseases,
GU:
- diminishes symptoms cerebrovascular disease, activity
UTI
associated with conditions that predispose - take medication as ordered; do not stop
schizophrenia/bipolar to hypotension, a history of SIDE EFFECTS taking or increasing dosage.
disorder. seizures or conditions that Frequent: -drowsiness generally subsides during
lower the seizure threshold, Headache continued therapy.
and conditions in which core Drowsiness - avoid task that require alertness, motor
Dizziness skills until response to drug is established.
body temperature maybe Occasional:
elevated. - avoid alcohol
Constipation
orthostatic hypotension - slowly go from lying to standing .
- patients at risk for Abdominal pain - report suicidal ideation, unusual changes
aspiration pneumonia. Dry mouth in behaviour.
Dyspepsia
Rash
Asthenia
Rhinitis
Tachycardia
Rare:
Backpain
Fever
Weight gain
 MECHANISM OF
DRUG CLASSIFICATION INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING RESPONSIBILITIES
ACTION

Generic name: Pharmacologic: - blocks uptake of - treatment of major - use within 14 days of CNS BEFORE:
Escitalopram Serotonin reuptake neurotransmitter depressive disorder Somnolence - assess for vital signs and urine output.
MAOIs
inhibitor serotonin at neuronal exhibited as Dizziness - assess signs of dehydration and
Trade name: presynaptic membranes, persistent, prominent
Cipralex Therapeutic: Precaution: Insomnia muscle weakness
increasing its availability dysphoria (occuring
(canadian), antidepressant use cautiously in: Fatigue - monitor neurologic status
at post-synaptic receptor nearly everyday for at
lexapro sites. least 2 weeks) -hepatic/renal EENT: -inform pt need and importance of the
Pregnancy Catergory: manifested by 4 or 8 impairement Blurred vision drug to him/her
Dosage: C Therapeutic Effects: symptoms: appetite - history of seizures Rhinitis
10mg/tab - antidepressant effect change, sleep pattern - concurrent use of CNS CV DURING:
change, increased depressants transient volume - perform the 15 rights of medication
Route: fatigue, impaired expansion - administer over 30 minutes
- high risk of suicide
PO concentration, feeling - concomitant aspirin Chest pain - monitor urine output and refer in
of guilt or CHF accordance with parameters set by
Frequency: - NSAIDs
worthlessness, loss of Pulmonary edema
ODHS - warfarin physician.
interest in usual
Tachycardia - ensure safety and report signs of
activities,
psychomotor BLACK BOS ALERT: GI electrolyte imbalance.
agitation or - increased risk of suicidal Dry mouth
retardation, suicidal ideation and behaviour in Nausea AFTER:
tendencies. children, adolescents, Constipation - check effectiveness of therapy
-treatment of young adult 18-24 yrs Diarrhea - continuously monitor neurologic
generalized anxiety with major depressive GU: status and urine output
disorder (GAD) disorder, other Renal failure - reassess signs/symptoms of
psychiatric disorders Urinary retention dehydration
OFF LABEL: F & E: - watch out for abnormal responses
- social anxiety
Dehydration - report to physician if any allergic
disorders in children
and adolescents,
Hyper & hypo kalemia reaction occurs.
developmental Hyper & hypo natremia - document findings.
disorders (including
autism) SIDE EFFECTS
-treatment of mild Frequent:
dementia-associated Dry mouth
agitation in non Nausea
psychotic patients Drowsiness
Insomnia
Diaphoresis
Occasional:
Tremors
Diarrhea
Abnormal ejaculation
Dyspepsia
Fatigue
Anxiety
Vomiting
Anorexia

Sinusitis
Sexual dysfunction
Menstrual disorder
Abdominal pain
Agitation
Decreased libido
 DATE: APRIL 24, 2024 DATE: APRIL 25, 2024
DATE: APRIL 23, 2024 ACTIVITY NAME: COLOR ME! ACTIVITY NAME: SHOOT THE BALL
ACTIVITY NAME: FIND DORY  Coloring is an activity that is therapeutic by putting one  Using a plastic ball and a cut-out board ring, patients will
 A maze activity which is a puzzle game where the person in a calm state through focusing on one activity, shoot the ball at a 3 different distance.
participant will track the location of a target subject. which is also do not provide pressured environment MATERIALS:
MATERIALS: MATERIALS:
⮚ Balls
⮚ Printed papers ⮚ Printed Papers
⮚ Basket
⮚ Crayons
⮚ Crayons MECHANICS:
MECHANICS:  The patients will be group into 3 or 4 teams and will be
MECHANICS:  The student nurses will provide printed materials of art asked to line up. Each one of the members will take turns on
 The student nurses will provide printed materials, which pieces which will be instructed to the patients to use the shooting the ball at a distance. The activity will have three
the patients will track the maze and find dory for 3 sets. crayons provided to color the printed materials. levels (easy, medium, & hard). The group with the highest
GENERAL OBJECTIVES: GENRAL OBJECTIVES: number of successful shoots within 5 minutes will be
 The goal for this activity is for the patient to focus on  The goal for this activity is to promote use of creativity and declared as the winner.
one activity at a time focus GENERAL OBJECTIVES:
SPECIFIC OBJECTIVES: SPECIFIC OBJECTIVES:  The goal for this activity is for the patients to have sense of
 This activity wants the patient to learn a behavior on enjoyment through playing
⮚ This activity wants to improve patient’s concentration focusing one activity at a time SPECIFIC OBJECTIVES:
ACTIVITY RATIONALE:  This activity also wants to provide a calm environment for
the patient through arts ⮚ This activity wants to promote participation of every member
 This activity needs concentration to be able to finish it
and this can help patients achieve full concentration on ACTIVITY RATIONALE: self-confidence and self-esteem as they can showcase their
one activity This activity is an individual work and can be a medium for enhanced unique dance moves
concentration for the patients. ACTIVITY RATIONALE:
⮚ This activity is interactive and fun which can promote

DATE: APRIL 26, 2024

ACTIVITY NAME: GROUP SHARING
 Group sharing is an activity where each participant
shares one’s story to the audience involved in the
activity.
MATERIALS:
⮚ No materials needed
MECHANICS:
 The participants for this activity will arrange themselves
in circle, facing each other, and each one will share their
experience for the past 2 weeks of being together.
GENERAL OBJECTIVES:
 The goal for this activity is to re-assess patient’s self-
perception
SPECIFIC OBJECTIVES:
 This activity wants to promote self-awareness and for
patients to open their emotions through writing
ACTIVITY RATIONALE:
This activity can help the participants assess their feelings which
can promote self-awareness
DATE: APRIL 15, 2024 DATE: APRIL 16, 2024 DATE: APRIL 17, 2024
ACTIVIY NAME: WHO AM I? ACTIVITY NAME: DROP THE BALL ACTIVITY NAME: ZUMBA
 An art activity that will be a medium for  A teamwork game, where the participants will work together  Zumba or exercise through dance is a recreational activity
introducing oneself to the participants, by to get the higher number of balls dropped on the cups. that could help patients exercise their physical body and can
creating an art piece to describe the self. MATERIALS: also be integrated with their emptions, cognitive functioning,
MATERIALS: and social interaction.
⮚ Balls
⮚ Crayons MATERIALS:
⮚ Disposable cups
⮚ Bond paper ⮚ Speaker
MECHANICS:
MECHANICS:  The student nurses will prepare a table where at the end of ⮚ Device for music
 The student nurses will provide blank sheets of paper and it are the disposable glasses which where the balls should MECHANICS:
crayons, which the patients will be instructed to draw land, the participants will be divided into 2-3 teams and will  The patients will be asked to perform an exercise activity
something that describes themselves, and will explain it to work together on flicking the balls on the table to the with music accompaniment and the guidance of the
everyone why he or she draw that piece. disposable glasses. The team with the highest number of students. This activity will take about 20-30 minutes.
GENERAL OBJECTIVES: balls dropped on the glasses win. GENERAL OBJECTIVE:
 The goal for this activity is to establish rapport with the GENERAL OBJECTIVES:  The goal for this activity is for the patient develop a positive
patients.  The goal for this activity is for the patients to have sense of body image
SPECIFIC OBJECTIVES: enjoyment through playing SPECIFIC OBJECTIVES:
⮚ This activity wants to establish creativity on their artworks SPECIFIC OBJECTIVES:
 This activity wants to promote active participation of each ⮚ This activity also aims to reduce stress, improve self-
⮚ This activity also wants to have a brief knowledge about member perception, and promote mobility needed by the body.
ACTIVITY RATIONALE: ACTIVITY RATIONALE:
every patient or participant involved in the activity.
This activity is interactive and fun which can promote participation This activity uses mind and body which is effective in improving emotions
ACTIVITY RATIONALE:
This activity will help connect the patient and the student nurses which and physical health of an individual.

DATE: APRIL 18, 2024

DATE: APRIL 19, 2024 DATE: APRIL 22, 2024
ACTIVITY NAME: MUSIC AND LYRIC ANALYSIS
ACTIVITY NAME: JOURNAL WRITING ACTIVITY NAME: TALK THERAPY
 This activity uses music's ability to improve the general well-
 Journaling is a type of activity that could increase self-  This activity is a simple sharing with the patients that also
being of an individual by simple listening to it.
awareness by assessing oneself. It is one of effective ways seeks to build rapport and trust with the student nurses. This
MATERIALS:
to express thoughts and emotions. activity will help them understand and express better their
⮚ Device for music MATERIALS: emotions or situation.
⮚ Papers MATERIALS:
⮚ Speaker  None
MECHANICS: ⮚ Crayons MECHANICS:
 The patients will be asked to form a circle and the student  The patients will be asked to form a circle. In an open
MECHANICS:
nurses will play and sign a song with them. After singing, the discussion, the student nurses will start-off the conversation.
 Each patient will be given a paper and crayons (for writing)
patients will be asked about their thoughts on the song or on The flow of the sharing will be an open discussion.
and will be asked to make a letter to himself or herself.
a specific lyric of the song. GENERAL OBJECTIVES:
Afterwards, there will be a short group sharing on what the
GENERAL OBJECTIVES:
patients have written. ⮚ The goal for this activity is to promote self-expression.
 The goal for this activity is to improve the general well being
GENERAL OBJECTIVES: SPECIFIC OBJECTIVES:
of the patients.
 The goal for this activity is to re-assess patient’s self-
SPECIFIC OBJECTIVES: ⮚ This activity wants to promote bond and stronger
perception
 This activity also aims to improve bond between patients
SPECIFIC OBJECTIVES: relationship between members and to better understand
and between patients and student nurses, improve mood,
 This activity wants to promote self-awareness and for their emotion or situation.
and general well being of the patients.
patients to open their emotions through writing ACTIVITY RATIONALE:
ACTIVITY RATIONALE:
ACTIVITY RATIONALE: This group activity will help facilitate a stronger bond between patients
Music is an effective medium in improving mental wellness, rescuing
This activity can help the participants assess their feelings which can and between patient and student nurses. Also, this can promote a safe
stress, and facilitate positive emotions. Also, lyrics analysis can help
promote self-awareness space for the patients in expressing oneself
promote cognitive thinking and patients will also be able to incorporate
their feelings or emotions.