Admitting a client to the Unit

1. Check the client's identification band. Greet the client and relatives. Introduce yourself to the client and the client to his roommate(s).

2. Explain use of the bathroom and agency equipment (обладнання лікарні), such as the call system (система виклику), adjustable bed (функціональне ліжко), television, telephone, and so on. Explain agency routines, such as meal times, visiting hours, and so on.

3. Obtain the client's temperature, pulse, respiratory rates and blood pressure.

4. Help the client to undress, if necessary, and assist the client into a comfortable position in bed.

5. Take care of the client's clothing and valuables (цінні речі).

6. Do necessary recording (записи) on client's card, following agency policy (як заведено в лікувальному закладі). Begin the nursing history and assessment (оцінювання).

 

2. Post-Text Assignment:

2.1 Suggest the Ukrainian for:

check the client's identification band; the client’s roommate(s); adjustable bed; explain agency routines; client's card; nursing history and assessment.

2.2 Suggest the English for:

привітати пацієнта та його родичів; обладнання лікарні; температура, пульс, частота дихання; допомогти пацієнту роздягнутися; подбати про одяг та цінні речи пацієнта; зробити необхідні записи.

2.3 Choose the proper words:

1. The nurse must explain use of the bathroom and … (valuables, agency equipment). 2. You should explain agency… (routines, policy) such as meal times, visiting hours, and so on. 3. The nurse must do necessary … (tests, recording)on client's card. 4. You should begin the nursing history and … (assessment, admission).

2.4 Answer the questions:

1. What must the nurse check? 2. What should you explain? 3. What is an important part of the client’s admission? 4. What history should the nurse begin filling in? 5. What should you take care of?

2.5 Say if it is true or false:

1. The nurse should explain agency routines to the client.

2. Relatives feel better when they know the client is admitted, settled, and comfortable.

3. The client should take care of his clothing and valuables.

4. The client does necessary recordingon his card.

5. After the family has left the nurse continues the history and assessment.

4.Read and translate the text:

Case History

As soon as the patient is admitted to the in-patient department the ward doctor fills in the patient's case history. It must include the information about the patient's parents — if they are living or not. If they died, the doctor must know at what age and of what causes they died. The doctor must know if any of the family has ever been ill with tuberculosis or has had any mental or emotional impairments. This information composes the family history.

The patient's medical history must include the information about the diseases which the patient had both being a child and an adult, about the operations which were performed, about any traumas he had. The patient's blood group and his sensitivity to antibiotics must be determined and the obtained information written down in the case history. These findings compose the past history.

The attending doctor (лікуючий лікар) must know what the patient's complaints and symptoms are. He must know how long and how often the patient has had these complaints.

The information on the physical examination of the patient on his admission to the hospital, the results of all the laboratory tests and X-ray examinations, the description of the course of the disease with any changes in the symptoms and the condition of the patient, the administered medicines in their exact doses and the produced effect of the treatment—all these findings which compose the history of the present illness must always be written down in the case history.

The case history must always be written very accurately and consist of exact and complete information.

4.1 Answer the questions to the text:

Who fills in the patient's case history? 2. What information must the case history include? 3. The patient's medical history must include the information about the diseases which the patient had, mustn’t it? 4. What must be determined? 5. What compose the history of the present illness? 6. How must the case history be written?

 

4.2 Say if it is true or false:

1. The doctor must know at what age and of what causes the patient’s parents died.

2. The doctor must know if any of the family has ever been ill with typhoid.

3. The attending doctor must know what the patient's complaints and symptoms are.

4. The information on the physical examination of the patient on his admission to the hospital composes the past history.

5. The case history must always be written very accurately.

6. The case history always consists of exact and complete information.

Grammar

Present Continuous

 

Present

I He (she) We

am reading is reading are reading

now.

Exercise 1

Make the following sentences negative and interrogative:

1. He is reading a newspaper now.

2. They are working at the hospital at present.

3. My friend is writing a letter now.

4. They are preparing their lessons at the moment.

5. She is speaking English with her friend.

6. He is reading and translating the text now.

 

Exercise 2 Розкрийте дужки, вживаючи дієслова у Present Simple або у Present Continuous.

1. Her baby always (to sleep) after breakfast.

2. He can’t talk to you now. He (to go) out.

3. The programme (to start) at nine o'clock every night.

4. I am sorry, but my friend (to wait) for me.

5. They (to go) to the beach now.

6. Your grandmother (to sit) in the garden now?

7. She (to cook) dinner now?

9. They (to go) to the cinema very often.

 

Exercise 3 Розкрийте дужки, вживаючи дієслова у Present Continuous.

1. Не (to read) a book now.

2. She (to do) her home work.

3. My friend (to sit) at the table now.

4. I still (to write) a test.

5. They (to play) football.

6. It (to snow) now.

 

Exercise 4 Поставте питання, починаючи їх словами, поданими в дужках.

1. She is explaining a grammar rule. (What?)

2. He is having dinner now. (Who?)

3. My sister is writing a SMS. (What … doing?)

4. It is still raining. (Is?)

5. We are drinking coffee in the kitchen. (Where?)

 

Lesson 2

Symptoms. Complaints

1. Pre-reading activities

1.1 Read and memorize the words:

Headache – головний біль;

to have a headache – мати головний біль;

to take a tablet for a headache – прийняти таблетку від …

Toothache – зубний біль;

to have a toothache – мати зубний біль;

Stomachache – біль у шлунку;

to have a stomachache – мати 6iль y шлункy;

Earache - біль y вyci;

to have an earache - мати біль у вусі;

to put a warm compress on the ear - накласти теплий

компрес на вухо;

Heartache - серцевий біль;

to have a heartache - мати біль у серці;

to have a bad (weak) heart - мати хворе (слабке) серце;

to have a healthy heart - мати здорове серце;

Sore throat - запалене горло;

to have a sore throat - мати запалене горло;

to gargle the throat - полоскати горло;

Bleeding - кровотеча;

to stop the bleeding - зупинити кровотечу;

the bleeding is from an arm (leg, nose...) - кровотеча з...;

Cough - кашель;

to have a dry cough - мати сухий кашель;

to have a bad cough - мати сильний кашель;

Cold in the head - нежить;

to have a bad cold in the head - мати нежить;

to have a running nose - мати нежить;

Fracture - перелом;

to have an open (closed) fracture - мати відкритий (закритий) перелом;

Sunstroke - сонячний удар;

to get a sunstroke - отримати сонячний удар;

to cool the body - охолоджувати тіло;

Fever - лихоманка;

to be ill - хворіти;

to keep (stay) in bed -залишатися в ліжку;

to catch a cold - застудитися.

 

1. Read the text. Get ready to describe different kinds of pain.

Pain

Pain is divided into two types: acute pain and chronic pain.

Acute pain is pain of sudden onset, lasting for hours to days. Acute pain has a clear cause. It could result from any illness, trauma, surgery or any painful medical procedures.

Acute pain signals that there is something wrong and motivates the person to get help.

Examples of acute pain include:

the pain of heart attack

acute appendicitis

bone fracture

muscle sprain and others.

Chronic pain is the pain that starts as an acute pain and continues beyond the normal time expected for resolution of the problem. It can last for a long time (for 6 months or longer). About 9% of the US population and 18% of the European population suffer from chronic pain.

Severity

Severe or excruciating (болісний, нестерпний)

Periodicity

Continuous pain that does not stop.

Intermittent pain that stops and starts again.

Brief or transient pain that passes quickly.

Quality

Sharp pain that is intense.

Dull pain that is not as intense or acute as sharp pain, possibly more annoying than painful. It is usually more diffuse than sharp pain.

Diffuse pain that covers a large area.

Shifting pain that moves from one area to another, such as from the lower abdomen to the area over the stomach.

 

3. Post-reading activities

3.1 Give the Ukrainian equivalents:

acute pain; chronic pain; covers a large area; moves from one area to another; severe pain; pain that stops and starts again; a clear cause; motivates the person to get help.

 

3.2 Give the English equivalents:

триває протягом 6 місяців або довше; біль, що починається раптово; страждати від хронічного болю; біль, що швидко проходить; не такий інтенсивний як гострий біль.

 

3.3 Answer the questions to the text:

1. How many types is pain divided into? 2. What is acute pain? 3. What is chronic pain? 4. What does acute pain motivates the person to do? 5. How long can chronic pain last? 6. What is shifting pain?

 

3.4 Say if it is true or false:

1. Chronic pain is pain of sudden onset.

2. Acute pain could result from any illness, trauma, surgery or any painful medical procedures.

3. Acute pain has a clear cause.

4. Continuous pain stops and starts again.

5. Shifting pain covers a large area.

6. Dull pain s not as intense or acute as sharp pain.

Grammar

Past Continuous

Past Continuous утворюється з допоміжного дієслова to be в Past Simple та дієприкметника теперішнього часу основного дієслова:

I was working We were working

He was working You were working

She was working They were working

It was working

Обставини часу, характерні для Past Continuous:

at …o’clock yesterday

when mother came home

from 5 till 6 yesterday

the whole evening

 

Exercise 1 Make the following interrogative and negative:

 

1. She was standing alone before the fire. 2. They were crossing the street at the wrong place. 3. I was listening to their conversa-tion."4. They were talking about our party. 5. George was prepar­ing for his examination the whole day. 6. She was playing the piano when you came in. 7. The children were doing their homework at six. 8. Their son was going to be a painter.

Exercise 2 Change the following into the Past Continuous.

1. The man is standing near the door. 2. Tom told a story. 3. The children swam in the river. 4. Is Mary wearing a white dress? 5. She went to the cinema. 6. They did not work in the garden. 7. We are not sitting by the window. 8. The workers built a bridge. 9. The girl tried on a dress. 10. The old man spoke in a low voice.

 

Exercise 3 Розкрийте дужки, вживаючи дієслова у Present Continuous або у Past Continuous.

1. Не (to write) а letter now.

2. He (to write) a letter at two o’clock yesterday.

3. She (to do) her lessons now.

4. She (to do) her lessons at this time yesterday.

5. My friend (not to sleep) now. He (to watch) television.

6. My friend (not to sleep) at eight o'clock yesterday. He (to

watch) television.

7. She (to listen) to the music at the moment?

8. She (to listen) to the music at this time yesterday?

Самостійна робота №1

1. Read and translate the text:

Anesthesia

If you are having surgery, your doctor will give you a drug called an anesthetic. Anesthetics reduce or prevent pain. There are four main types.

Local: numbs one small area of the body. You stay awake and alert.

Conscious or intravenous sedation: uses a mild sedative to relax you and pain medicine to relieve pain. You stay awake but may not remember the procedure afterwards.

Regional anesthesia: blocks pain in an area of the body, such an arm or leg. Epidural anesthesia, which is sometimes used during childbirth, is a type of regional anesthesia.

General anesthesia: affects your whole body. You go to sleep and feel nothing. You have no memory of the procedure afterwards.

The type of anesthesia your doctor chooses depends on many factors. These include the procedure you are having and your current health.

 

2. Answer the questions to the text:

1. What is the role of anesthetics? 2. What is the difference between local and intravenous sedation? 3. What does regional anesthesia do? 4. What doesgeneral anesthesia affect? 5. What does the type of anesthesia your doctor chooses depend on?

 

3. Say if it true or false:

1. Anesthetics reduce or prevent pain.

2. You fall asleep whenlocal anesthesia is used.

3. Epidural anesthesia is a type of regional anesthesia.

4. General anesthesia affects only one part of your body.

5. The type of anesthesia your doctor chooses depends on many factors.

 

Lesson 3

Medicine

1. Pre-reading activities

1.1 Memorize the words. This is necessary for nursing:

bed-pan - судно; stretcher - ноші;

enema - клізма; compress - компрес;

feeding-cup - cups - банки;

напувальник; hot-water bag - грілка;

syringe - шприц; thermometer -термометр;

to drop- закапати; mustard plasters -гірчичники;

sponge - губка; ice-bag - міхур з льодом;

to give a bed-pan (enema, feeding-cup, air-ring) to a bed-patient;

to put a compress (cups, hot-water bag, ice-bag, thermometer, mustered plasters, sticking plaster) on...

to carry a patient on a stretcher

1.2 Say it in English:

1. Поставте термометр лежачому хворому. 2. Дайте хворому напувальник з чаєм. 3. Поставте клізму цьому хворому. 4. Сестра повинна дати судно лежачому хворому. 5. Покладіть холодний компрес на голову. 5. Поставте банки на спину. 6. Поставте гірчичники на область серця. 7. Закапайте дві краплі в ніс.

 

1.3 Match the words-combinations:

important role підтримка здоров’я

to maintain and restore мистецтво лікування

the art of healing лікування захворювання

public life важлива роль

maintenance of health підтримати та відновити

treatment of illness суспільне життя

2. Reading activities

2.1 Read and translate the text:

 

Medicine

Medicine plays a very important role in our life. Its main task is to maintain and restore health of people by the prevention and treatment of illness.

Medicine is derived from the Latin words ars medicina meaning "the art of healing". It is a branch of the health sciences and is the sector of public life. It is both an area of knowledge, a science of body system and their diseases and treatment.

Traditional medicine is the sum of the knowledge, skills, and practices based on the theories, beliefs and experiences, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness.

3. Post-reading activities

3.1 Suggest the Ukrainian equivalents

plays a very important role; to maintain and restore health of people; the prevention and treatment of illness; the sector of public life; the sum of the knowledge; used in the maintenance of health; physical and mental illness.

 

3.2 Suggest the Ukrainian equivalents

головне завдання; попередження та лікування захворювань; мистецтво лікування; галузь науки; лікування; традиційна медицина; заснована на теоріях, віруваннях та досвіді; фізичні та психічні захворювання.

 

3.3 Answer the questions to the text

1. What role does medicine play in our life? 2. What is its main task? 3. What language is the word “medicine” derived from? 4. Traditional medicine is the sum of the knowledge, skills, and practices, isn’t it? 5. What is the sum of the knowledge, skills, and practices used in?

 

3.4 Say if it true or false

1. Medicine is derived from the Greek words.

2. Medicine means "the art of healing".

3. It is only a branch of the health sciences.

4. Traditional medicine is the sum of the knowledge, skills, and practices.

5. The main task of medicine is to take care of people’s.

Grammar

Future Continuous

Future Continuous утворюється з допоміжного дієслова to be в Future Simple та дієприкметника теперішнього часу основного дієслова:

I will be working We will be working

He will be working You will be working

She will be working They will be working

It will be working

Обставини часу, характерні для Future Continuous:

at …o’clock tomorrow

when mother comes home

from 5 till 6 tomorrow

the whole day tomorrow

 

Exercise 1 Make the following interrogative and negative:

1.She will be waiting for me. 2. They will be crossing the street. 3. I will be listening to their conversation. 4. They will be talking about our party. 5. George will be prepar­ing for his examination the whole day. 6. The children will be doing their homework at six.

 

Exercise 2 Change the following into the Future Continuous.

1. The man is standing near the door. 2. The children were swimming in the river. 4. Is Mary wearing a white dress? 5. She is going to the cinema. 6. They were not working in the garden. 7. We are not sitting by the window. 8. The old man is speaking in a low voice.

 

Exercise 3 Розкрийте дужки, вживаючи дієслова у Future Continuous або у Future Indefinite.

1.Не (to write) а letter tomorrow.

2.He (to write) a letter at two o’clock tomorrow.

3.She (to do) her lessons tomorrow.

4.She (to do) her lessons at this time tomorrow.

5.My friend (not to sleep) tomorrow. He (to watch) television.

6.My friend (not to sleep) at eight o'clock tomorrow. He (to

watch) television.

 

Самостійна робота №2

1. Read and translate the text:

complementary – додатковий

psychiatry – психіатрія

safe – безпечний