Read the text and do the following exercises

Surgery is the repair of a body with knives and stitches. Many innovations have made surgery safer. Now, complex operations are done through small incisions using instruments at the end of long tubes. It is precise and involves the minimum of invasion. It means less pain and recovery time is much faster.

Nurses (scrub nurses) who work in surgery are responsible for sterilizing equipment and ensuring that the operating environment is aseptic. Doctors and a scrub nurse wear a sterile gown, a cap, a mask and gloves while assisting doctors in an operating room. Surgeons have many tools to help them perform their tasks. Be assured these tools are sterile before each operation. Scalpels help surgeons make very precise incisions and other cuts, while clamps temporarily hold things together. When the patient wakes up, he will have sutures holding the incisions together. During the operation, one of the scrub nurse’s primary duties is selecting and passing instruments to the surgeon. After the operation the theatre nurse counts all the swabs, sutures, blades - anything that could be left inside a patient- and write it all up on the whiteboard. He/she removes tools and equipment from the operating area. He/she also completes any necessary documentation regarding the surgery. When patients leave the operating theatre, nurses monitor them very closely during the crucial post - operative period. Nurses check vital signs every few minutes until patient regains consciousness. Wounds are also checked regularly to monitor blood loss. They change the patient's bandages and clean any cuts or wounds with antibiotic fluid. A nurse should be good at talking to people to make a patient feel comfortable.

Answer the following questions

1 What is surgery?

2 What are some tools used in surgical operations?

3 What are the duties of a theater nurse before the operation?

4 How do the nurses care for the patient after the operation?

Match the words (1-6) with definitions (a-g)

1 forceps a tool with a sharp blade for cutting

2 a swab b a scissor - like tool for gripping tissue

3 a scalpel c a loose, sterile piece of clothing worn by people in the operating

                 theatre

4 a gown  d a tool for a holding a blood vessel closed to prevent bleeding

5 an incision e a piece of material, that is used to absorb blood during surgery

6 a clamp f  a cut made by a surgeon to allow access inside the body

7 sutures g stitches that are inserted to close a wound

Read the sentence pair. Choose where the words best fit the blanks

Surgeon /anaesthesiologist

A The ____________ will make sure you are unconscious during the operation.

B This ___________ has performed hundreds of reactions.

Pre- op/ post-op

 A An important _______ guideline is not to eat for 12 hours before surgery.

B In the recovery room a nurse will give you medications to take ________.

Recovery room/ operating room

 A Visitors can see patients in the _________ after surgery.

 B Please prepare the ___________ for the next procedure.

Resection /operation

 A The __________ of this tumour should save the rest of the patient's lung.

 B Please be here at 6:30 in the morning for the ___________.

In pairs, discuss the following questions

1. What would you talk to a patient about before surgery?

2. Do you have any experience of working in a surgical ward?

3. What are the challenges of working in a surgical ward?

4. How are patients prepared for surgery?

Тема 10.4. CaringfortheElderly / Сестринская помощь лицам пожилого возраста

Level A

Welearnthenewwords / Мыучимновыеслова

bedridden - [ˈbedrɪdn] -прикованныйкпостели

impairment - [ɪmˈpɛəmənt] -ухудшение, ослабление

immobility [ɪməʊˈbɪlɪtɪ] - неподвижность, обездвиженность

instability - [ɪnstəˈbɪlɪtɪ] - нестабильность, неустойчивость

gerontologist - [ʤerənˈtɒləʤɪst] -геронтолог

sleep disorder - [sliːp dɪsˈɔːdə] - нарушениесна

Weread / Мычитаем

Read the text and do the exercises after it / Прочитайтетекстивыполнитезаданияпослетекста

Elderly health care helps many people in their old age manage their health and stay active as active as possible. The medical problems associated with old age are classified by gerontologists under four: intellectual impairment; immobility; instability; incontinence. These problems are seriously disabling, and elderly people are often highly dependent on nursing care. Many are bedridden, and often suffer from depression, sleep disorders, problems with eating and skin breakdown. It is necessary to make sure that the patient's plan of care is clearly stated and monitor patient medication to prevent polypharmacy problem, including harmful drug interactions that can lead to dizziness, falls or strokes. Many elderly patients suffer from the lack of communication.