Conversation

Professional Nursing English: Conversation 1:Caring for patients after an operation,Rongrong Zhang,Talking to Your Patients,One of a nurses most important duties is to talk to the patients. Nurses with good bedside manner are able to listen, support, and reassure their patients; yet they also offer honest and open communication. It is not an easy balance to keep, but there are clear benefits for both the patient and the nurse.,Talking to Your Patients,Patients feel more comfortable and they have greater confidence in their nurses; Nurses gain more accurate information from their patients (and so reduce the risk of mistakes), and they build a more trusting relationship.,Talking to Your Patients,Therefore, you need to develop strategies for starting a conversation. How would you start a conversation with a patient?About the weather? About how the patient is feeling?About how many visitors the patient is getting?To cheer the patient up?,Talking to Your Patients,When we talk to patients, we use EMPATHY.What is empathy? It is a distinctly human emotion, and is the ability to understand and share the feelings of another person on a deep emotional level.,Talking to Your Patients,Empathy allows us to get closer to our patients and gain trust.You empathize with your patient, meaning you try to understand their thoughts and feelings.“I can understand how that would be hard.”,What do you think the nurses are doing in the picture?Do you have experienced of looking after patients in Recovery?,Complete the following sentences about Recovery using the words and phrases in the box,alert and oriented, anaesthetic, coronary Care Unit (CCU), Intensive Care Unit (ICU), oxygen mask, Post Anaesthesia Care Unit (PACU)Recovery, or _, is where patients go to wake up after an operation.In Recovery, nurses check that the patient is _-that they are awake and know where they are.Patients often need to breathe using an _until they recover from the _.If patients are too ill to go to the Ward, they go to the _.If a patient has heart problems, they go to the _.,Emile, the Recovery Nurse, is checking Mr Brodzik, a patient, after an operation. Listen to the conversation and answer the following questions (2.1),How does Emile know that Mr Brodzik is alert and oriented?How does Mr Brodzik feel?Is Mr Brodzik in pain?,Label the picture below using the words in the box,Blanket, Dressing, ice pack, IV cannula, light, pain relief, pillow, vomit bowl,Rachel, the Ward Nurse, is checking Mr Brodzik back on the ward. Listen to the conversation and tick the items below that you hear. (2.2),Blanket Dressing Drink of waterIce pack IV cannulaPain reliefPillowVomit bowl,Mr Brodziks knee hurts.Rachel is going to get Mr Brodzik some pain relief The dressing is comfortable.The IV cannula feels OK.Rachel gets Mr Brodzik a pillow.,Some of the information below is incorrect. Listen again and correct any mistakes in the following sentences. (2.2),In pairs, practice checking a patient back on the ward. Students A-Nurse. Student B-Patient. Please use the information below. Swap roles and practice again.,Speaking Time!,Speaking Time!,Charting and documentation: IV Prescription,In pairs, look at the chart below and discuss the following questions.What is the chart used for ?Who prescribes IV infusions?How many nurses check the IV infusion?,Listen to 2.4 and complete the following extracts from the conversation using the words in the box,Check, finished, IV Prescription, rate, run, sign, throughMylene, can you _this IV bag with me, please?Heres the _.Its for Mr Lenworth.Right, so the Normal Saline _ at six oclock.A litre went _.Yes, 5% Dextrose. Whats the infusion _?125 mils an hour. Its going to _ over eight hours.Thats it. Ill _ here.,Helena and Mylene continue discussing Mr Lenworths IV. Listen to 2.5 and answer the following questions.What does Mylene ask Helena?Which IV solution are they checking?When will the nurses put up the next IV infusion?,In pairs, practice checking the next litre of IV fluids on the following IV Prescription. Its 02.30 on 11June. Use the audioscript 2.5 to help you.,Medical focus: IV infusion equipment,Helena and Mylene are preparing the next IV infusion for Mr Lenworth. Listen to the conversation and answer the following questions. (2.6),Which IV fluid has been prescribed?What is the infusion rate?Where do the nurses write up the infusion?,Listen again and complete these extracts from the nurses instructions, using the verbs in the box. (2.6),Check, connect, prime, set, sign, start, wash, write upWe need to _ our hands.Well _ the IV solution against the IV Prescription.I am going to _the line._ the rate on the infusion pump.Ill _ the IV to Mr Lenworths cannula.Ill _ the infusion pump.To _ the IV Prescription.To _ the Fluid Balance Chart.,In pairs, practise explaining how to change an IV bag. Use the words and pictures in the previous exercise to help you.,Before you start, wash your hands. First, check the IV bag against the IV order. Next, prime the line of the giving set. Then, set the rate on the infusion pump. After that, connect the IV to the patientss cannula and then start the infusion. Finally, sign the IV Prescription and write up the IV infusion on the Fluid Balance Chart.,Time to Practice,Sample Conversation #1A new patient is admitted right before the end of your shift and you stop to check in on her.,Time to Practice,Sample Conversation #1: VocabularyOrthopedic surgeon-doctor who operates on bones,Questions,How long has Evelyn been a nurse for?What does Mrs. Chan come to the hospital for?When will Evelyn be back to work?,Time to Practice,Sample Conversation #2: Feeling QueasyMr. Adams isnt feeling well and wants some tea.,Time to Practice:Sample Conversation #2: Vocabulary,To feel queasy/nauseousTo feel sick to ones stomachTrayTo wake upTo feel terrible/awful/horrible,To get (go) back to sleepTo be to the toiletDiarrheaVomitBlanketTo get the chillsTo tuck someone inAnti-emetic medicine,Questions,Did the patient have diarrhea or vomit last night?What kind of tea did the patient order?The patient felt chill and asked for an extra _.The doctor has ordered _ if the was not helpful.,Time to Practice,Sample Conversation #3: Helping a PatientThe patient has a fever and wants the nurse to help with some other things.,Time to Practice:Sample Conversation #3: Vocabulary,FeverTo check someones foreheadRaised temperaturethermometer,To raise/lower the bedControlspillow,Time to Practice,Sample Conversation #4: Visiting HoursLets Review the names for certain family members in English.Mom, dad, brother, sister, grandparent, cousin,Time to Practice,Sample Conversation #4: Visiting HoursQuestions and Concerns of Family & Loved OnesAnd questions & responses for the nurse.,Time to Practice,Sample Conversation #4: Visiting HoursThe situation presented is that a family member wants to visit a patient, but visiting hours are over.,Time to Practice,Sample Conversation #4: VocabularyWhat words need more explaining?,Check Your Understanding,What is the mans relation to the patient?Brother Uncle Husband Son,Check Your Understanding,What is the mans relation to the patient?Brother Uncle Husband SonThe man is married to the woman patient.,Check Your Understanding,Why does the nurse send the man away?Because he isnt immediate family. Because the patient cant have flowers. Because the patient is in isolation. Because visiting hours have finished.,Check Your Understanding,Why does the nurse send the man away?Because he isnt immediate family. Because the pati