322. Marn, a 42 year old, single client consulted clue to 11 '1>ai1!ft1l se11satio 11 011 the rigllt breast wrd because three relatives haue already,lied of cancer. " The !>Elin was dull, on and off and with an intensity of 2 to . 3 out of 10 on a pain scale. Since Mnnt w:1s vc1y comfortable while discussing her conccr·n, it was also easy to explain the apprnpriatc period in doing breusl e. xnmination. She was properly draped and positioned on the examining table. Palpation was done and no masses wece noted. She was also taught to do palpation and h Qw to ensure that the appropriate areas were covered. The nursing consultation also made us. reali7£ that clients nre used to having "something to bring" after a consultation. This, we l1ypothesized, was a product of a long history of consultin g with the doctor where one brings home a medicine prescription written on a piece of paper. To address this concern, nursing prescriptions were written. This includes reminders, pointers for care and instructions that they need to can-y out as part of the interventions. The schedule of the ne::-. 1: visit was also written down. As appropriate, client!; were made to experience interventions on a sensory level th. rough verbal instructions, aromatherapy, massage, and Reik. i. This worked well for clients e. '\-periencing various types of problems. Counseling and sound healing through the use of audio tape recordin gs were most useful for those having difficulty in making decisions. These interventions helped create a state of relaxation which tl1e clients thoroughl y enjoyed. The experience of relaxation was what they eventually decided to 're-create' on their O\'l'Tl. These sessions also helped them ach. ieve a state of mind that is devoid of too many tho1)ghts. rt gave them clarity on decisions that they needed to make. Students would often flock to the clinic for so,und healing sessions before taking their examinations. At the end of the consultation, the practitione r needs to have a review of the plan of action and agreements on management. This gives the client a nm through on what transpired and prepares for the closure of the visit. A subsequent visit is also planned and its purpose identified. rt is also very important to record the care given. The client's feedback on the treatment and care is documen ted. Proper documentation makes the nurse aware on the progress of the client and serves as a reference for a next visit. CHARGING CLIENTS A NURSING PROFESSIONAL FEE Since nursing pi:actice in the countcy is in settings where the nurse works in an institution for a salary, there was an initial apprehension on how to deal,vi. th clients who will self-pay for nursing services A review of literature was done to look into the costs of nursing services in independent pra. ctice. There was not much information to serve as basis for local costing. Most countries ha\fog independen t nurse pra<. 1. itioners charge the cost of se1vices through the national health insurance. This is based on their inclusion as legitimate providers of care in the health system and the e. icistence of prnvisions in the insurance system that covers their services as part of health care. This was not the case in our cow1try. The experience of holding a nursing consultatio n for a fee was something new. Some viewpoints on this are: people cannot afford to pay services because of the severe economic situation; nursing must be done as a service to humanity and must be given 