(Професійно-орієнтований
навчальний посібник)
Укладач: Дричик В.В. – викладач англійської мови, спеціаліст вищої кваліфікаційної категорії викладач-методист Ковельського медичного коледжу
Посібник являє собою збірник текстів для студентів IV курсу фахових медичних коледжів під час вивчення ними професійно-орієнтованого розділу програми англійської мови. Збірник складено згідно з програмою і навчальним планом дисципліни "Іноземна мова (за професійним спрямуванням)" по спеціальності 223 Медсестринство освітньо-професійна програма Сестринська справа для вищих медичних (фармацевтичних) навчальних закладів І-ІІ рівнів акредитації (К., 2011).
Професійно-орієнтований навчальний посібник призначений для використання на заняттях з англійської мови за професійним спрямуванням як навчального посібника з матеріалами для самостійної роботи.
Передмова
(Preface)
Заняття з "Іноземної мови за професійним спрямуванням" вимагають від викладача значної підготовки, творчого підходу, використання різноманітних прийомів для активізації пізнавальної діяльності студентів, формування в них інтересу до вивчення мови. З цією метою був складений збірник текстів з завданнями, який буде навчальним посібником на заняттях.
Збірник текстів розраховано для студентів IV курсу медичних коледжів під час вивчення ними професійно-орієнтованого розділу програми англійської мови. Збірник складено згідно з програмою і навчальним планом по спеціальності 223 Медсестринство освітньо-професійна програма Сестринська справа.
Суть роботи: вивчити лексичний матеріал по темах, розвинути навички усного і писемного мовлення, спілкування в межах тем збірника, які є завершальною ланкою програми спеціального курсу.
За структурою збірник виконаний традиційно. За тематикою розділи співпадають з темами навчальної програми.
Основні розділи збірника текстів:
Мета роботи: підготувати студентів до читання і розуміння літератури по спеціальності, основи якої вивчаються на ІV курсі, під час спеціального курсу; максимально розвинути навички усного і писемного мовлення, спілкування в межах тем збірника.
Збірник текстів призначений для використання на заняттях з англійської мови за професійним спрямуванням як навчального посібника з матеріалами для самостійної роботи.
Укладач: Дричик В.В. – викладач англійської мови, спеціаліст вищої кваліфікаційної категорії викладач-методист Ковельського фахового медичного коледжу
Contest
|
№ lesson |
Theme of the lesson |
Number of hours |
Pages |
|
1 |
Introduction to specialty. The profession of a nurse. |
2 |
6 |
|
2-3 |
Nursing in cardiology. Сare for patients of cardiological department. Participation of the medical nurse of the patient's examination. |
4 |
11 |
|
4-5 |
Nursing in surgery. Preparation of the patient for operation. Сare for patients in postoperative period. Surgical equipment. |
4 |
16 |
|
6-7 |
Nursing in dermatology. Сare for patients of burn department. Contagious skin diseases. |
4 |
22 |
|
8-9 |
Nursing in gastroenterology. Participa-tion of the nurse in laboratory research methods.Helminthomicoscopic research methods. Colonoscopy procedure. |
4 |
29 |
|
10-11 |
Nursing in the infectious department. Rules of personal hygiene of the nurse and the patient. Detection of symptoms of infectious diseases |
4 |
36 |
|
12-13 |
Nursing in ophthalmology. Vision testing procedure. Correction of visual defects. |
4 |
42 |
|
14 |
Nursing in oncology. Features of the nurse's work with cancer patients. |
2 |
47 |
|
15 |
Nursing in neurology. Patient care in the pediatric neurology department. |
2 |
51 |
|
16 |
Nursing in nephrology. Kidney transplantation. |
2 |
54 |
|
17 |
Nursing in Psychiatry. Identification and description of signs of mental disorders. |
1 |
59 |
|
Tasks for Individual Work |
|||
|
2-3 |
Electrocardiogram procedure. |
1 |
63 |
|
4-5 |
Septic and antiseptic. |
1 |
64 |
|
10-11 |
Pandemic. |
1 |
66 |
|
14 |
Types, symptoms, stages of cancer. |
1 |
68 |
|
15 |
Glasgow coma scale. |
1 |
72 |
|
16 |
Instructions for dialysis. |
1 |
74 |
|
17 |
Types of suicides. |
1 |
76 |
Lesson 1
Introduction to specialty. The profession of a nurse.
It’s the professional field dedicated to the treatment of patients dealing with illnesses or injuries. But there’s a lot more to nursing beyond the basic dictionary definition. Nurses need to blend textbook knowledge on how the human body functions and how to execute treatment methods with an understanding of the emotional side of their patients in order to be effective.
What do nurses do?
What are some common nursing job duties and responsibilities?
So what do nurses do, exactly? The short answer is: a lot. They tend to the needs of patients and their loved ones, assist physicians, prepare patients for procedures and generally keep healthcare facilities running smoothly. Of course, specific duties will vary depending on the facility where they work and the specific nursing role they’re in. Pediatric nurses, for instance, will spend more of their time explaining procedures to young patients and addressing the questions of their parents.
That said, there are several nursing responsibilities that apply in nearly any role. Duties like conducting patient assessments, educating patients, administering medication and treatments, and tending to the needs of patients and their families are common across the spectrum of nursing roles.
What is the nursing process?
No matter the specialization or role, the nursing process is a unified system for all nurses to follow. Essentially it is an approach to the scientific method that is modified for the nursing profession. The American Nurses Association breaks down the nursing process into the following five steps:
Assessment: This is the first step for nearly any problem-solving approach. This refers to the systematic approach to gathering information about a patient, including physical, psychological, cultural and economic factors that may influence their diagnosis.
Diagnosis: This step is the process of weighing the information collected in the assessment step and using clinical judgment skills to identify what ails the patient, as well as any potential complicating factors. This is the foundation for starting a care plan.
Outcomes / Planning: This is the process of outlining the steps needed for patients to make progress, as well as the milestones patients may reach along the way.
Implementation: This step of the nursing process is fairly self-explanatory — it’s the actions carried out to execute a patient’s treatment plan.
Evaluation: This step is used to check in on the patient’s progress following treatment and adjust care plans as needed.
Where do nurses work?
There’s two ways to look at this question – geographically and in terms of facilities. Geographically, the nursing profession has a fairly universal spread. People need healthcare in nearly any location, which is great news for someone seeking flexibility in their working location. Whether you prefer a bustling urban center or the wide-open countryside, there’s a variety of potential opportunities available for nurses.
Nurses can also work in a variety of facilities and settings. The most common places to find nurses are hospitals, clinics, specialized treatment centers, assisted living facilities and – in the case of home healthcare nurses – potentially even your own neighbors’ homes.
Vocabulary to the text "What is Nursing?
лікар
оцінка
підхід до вирішення проблем
навички клінічного судження
результати
ключовий момент
впровадження
пояснюється саме по собі
оцінка
відрегулювати
гнучкість
галасливий міський центр
широко відкрита сільська місцевість
домашні медсестри
Florence Nightingale (1820-1910) was the founder of modern nursing. She dramatically improved conditions for soldiers in field hospitals, and educated people about the importance of hygiene. She saved thousands of lives and became very famous. She later started her own training college for nurses, and wrote many books on nursing.
One hundred and fifty years ago, nurses were unpaid, untrained, and unpopular, but then Florence Nightingale made nursing into a profession. The methods she introduced in the 1850s were copied all over the world, and now nursing is a career with a three- or four-year training, qualifications, grades, unions, and pensions.
In Britain, every nurse is on a grade. The grade depends on experience and skills, and each grade has different responsibilities and pay. On the bottom grades are unqualified auxiliary nurses who do the routine work on hospital wards. On the top grades are nursing officers, who are usually administrators.
Auxiliary nurses are on the bottom grades, but student nurses get the lowest pay. However, students don’t stay at the bottom of the pay scale forever. When they qualify, they start working on a middle grade. As they get experience, they can get promotion and move up the ranks to become staff nurse, then sister (charge nurse if a man), and perhaps eventually nursing officer.
Many nurses work shifts, and often they work overtime to earn more money. After basic training, many nurses choose to do further study and become specialists. Nurses can specialize in many different fields - there are triage nurses working in Casualty, and psychiatric nurses who treat the mentally ill. There are health visitors who visit patients in their own homes, practice nurses working in GPs’ surgeries, and midwives who deliver babies.
Many of them say they do not get enough pay and respect for the work they do. They say that the work is physically and mentally hard, that they work long hours and get very tired. But they also say that there are many great rewards which have nothing to do with money.
Two of them are equal.
Rossitza Bontcheva is nineteen years old. She's studying for a diploma in nursing at Vazov Nursing College. She has exams next month, so at the moment she’s studying hard. She wants to be a nurse because she likes working with people and she’s interested in science, but she really doesn’t like doing paperwork. She'd like to be a paediatric nurse because she really enjoys working with children. She's worked on a children’s ward for three months as a work placement. One day, she hopes to work in a children’s hospital in India, which she saw on television.
She’s good at talking to people and making them feel comfortable, and she's very organized. In her free time she plays the guitar, and goes out dancing most weekends.
Write a text about your partner, using expressions from the box.
I am interested in …
I’ve worked…
I’d like to work …
One day, I hope to…
In my free time, I …
At the moment …
I really enjoy …
I really don’t like …
I’am studying …
I’m good at …
I’m very …
I want to be a nurse
because …
Next year, I …
I II
With magic touch to fevered brow,
To ease your pain her only thought,
Earnest, quiet, swift and calm,
Diving wishes, praise unsought.
On silent, willing feet, she goes
Your perfect comfort first she seeks;
Her only dreams are health for you,
As she her lonely vigil keeps.
Your life! What splendid recompense
For those three golden years she gave!
An autocrat, a selfless soul,
Your stern commander, yet your slave.
N is for notable, and willing to share
U is for understanding, she really cares
R is for reliable, right from the star
S is for sincere, with a loving heart
E is for energetic, so much to behold
"Nurse"
a special one is she
more precious than gold
Lessons 2-3
Nursing in cardiology. Сare for patients of cardiological department.
Participation of the medical nurse of the patient's examination.
Read and translate the text.
Cardiac nursing is a specialty focused on preventing and treating conditions related to the heart. Like other nursing specialties, a profession in cardiac nursing requires an understanding of normal cardiac anatomy and physiology, keen assessment and monitoring skills, vast knowledge about cardiac disease and conditions, and ongoing education related to recommended prevention methods and treatment options. Cardiac nurses may work in inpatient or outpatient settings, care for medical or surgical patients, and see patients through acute illness or help them manage chronic disease.
What Is a Cardiac Care Nurse?
Cardiac care nurses treat and care for patients with a variety of heart diseases or conditions. This can include patients suffering from coronary artery disease or congestive heart failure, or those recovering from angioplasty or bypass surgery. Cardiac care nurses monitor the hearts of patients of all ages and may help administer heart medications and perform stress-test evaluations on a regular basis, or take care of more urgent heart issues, such as assisting in defibrillation. This type of nurse works closely with a cardiologist to expedite quality care for heart patients.
Becoming a Cardiac Nurse
RNs who want to go into cardiac care nursing must first gain some hands-on experience. Nurses with a clinical care background are well poised to enter cardiac care, as they typically have experience handling acute injuries and illnesses. A medical-surgical background is also helpful, as many cardiac care nurses look after patients who have just gone through heart surgery. Communication skills are also a big part of the cardiac care nurse's job, as situations can be urgent and miscommunication between the patient and the care team could cause major problems.
Where Do Cardiac Care Nurses Work?
Most often, cardiac care nurses work in hospitals taking care of cardiac patients in post-op environments. They can also work in cardiovascular centers, private clinics, or home health agencies. Nursing homes, correctional facilities, schools, and the military are other places where cardiac care nurses may find employment.
Cardiac care nurses provide ongoing care to help patients manage heart conditions, such as administering medication and performing health assessments, as well as providing post-op care to patients who are recovering from heart surgeries. They perform stress-test evaluations, monitor heart activity and electrocardiograms, and insert IV drips. Pain management post-surgery is a big part of their job, as well as helping patients manage discomfort from heart issues.
What Are the Roles and Duties of a Cardiac Care Nurse?
Vocabulary to the text "Cardiac Nurse"
вимагати
оцінка
величезний
постійний варіант
стаціонарне лікування
амбулаторне лікування
застійна серцева недостатність
шунтування
оцінка стрес-тесту
невідкладні проблеми з серцем
практичний досвід
клінічна допомога
медико-хірургічна обстановка
врівноважувати
неправильне спілкування
післяопераційне середовище
виправні установи
кардіостимулятор
vaccine, annual physical, point of entry board,
certified, registered nurse, licensed practical nurse
record
A having a document saying that a person can do a job
B a medical worker who can diagnose illnesses
C medicine put into a person’s body
D a patient’s medical history, stored on a computer
E the rate at which a person moves through the health care
system
F to recommend a type of medication
Removing sutures
Before removing sutures, it is important to follow these directions. When removing sutures, put on an apron. If you have long hair, be sure it is tied back securely. (1) ______, explain to the patient that you are going to remove their sutures (the patient will probably use the word stitches). (2) ______, ask the patient if he or she is comfortable. The patient may ask if it will hurt. Reassure the patient that removing sutures doesn't hurt. (3) ______, wash and dry your hands. Then prepare some gauze, cleansing solution and a stitch cutter on a sterile tray. (4) ______, put your hand inside a sterile waste bag and use it like a glove to remove the bandage from the sutures. Turn the sterile bag inside out so that the bandage is now inside the bag. Put on sterile gloves. (5) ______, look at each suture and check for inflammation around them.
_____________ _______________ ________________ _____________
Correct the false sentences.
Heart disease is one of some leading causes of the deaths in the world. Every year, it is responsible for one in four deaths, killing more people than cancer. Taking care of the heart and the cardiovascular system should be a top priority for everyone – and the importance of heart health is not lost on the healthcare system.
Given that the heart and the system supporting it is so important, it should be no surprise that there are healthcare professionals of all stripes who specialize in cardiology. Cardiac care nurses treat and care for patients with a variety of heart diseases or conditions. If you are curious about what it’s like to be a cardiac nurse, then keep reading. We’ve detailed the specialty to help you see what makes cardiac nursing so vital.
Cardiac nurses, also called cardiovascular nurses or cardiology nurses, are registered nurses (RNs) who have specialized in the cardiovascular system. They work with patients who have heart problems by following the treatment plan a cardiologist assigns, monitoring patient progress and administering medication to help the healing process.
The daily tasks of a cardiac nurse can vary based on the work setting. Cardiac nurses working in acute care scenarios might spend a lot of time around the defibrillator, for example—responding to patients in cardiac arrest. Cardiac nurses working in a surgical setting will spend lots of time preparing patients for surgery and helping them recover afterwards. Another top skill employers seek is telemetry, a skill set for monitoring patient vital signs in acute care with an electrocardiogram or similar device. Advanced Cardiac Life Support (ACLS) is the third most-wanted skill for cardiac nurses.
stent, harden, cholesterol, smoking, bypass
A a heart condition in which fatty materials accumulate in
arteries and harden their walls
B a condition where the arteries become blocked and narrow,
which prevents sufficient blood from reaching the heart
C a surgical procedure that widens an obstructed blood vessel
by inserting a balloon and inflating it
D a term for a group of illnesses involving irregular electrical
activity in the heart
E a term for a group of illnesses that affect the heart
Read these notes and put the actions in the correct order.
____ Check the patients airway is open and clear.
____ Compare the patients vital signs with the anaesthesiologists report.
____ Check the identity of the patient.
____ Listen to the anaesthesiologist give their report.
____ Introduce yourself.
____ Take the patients vital signs every 15minutes.
A: Mr Liber, it's time to (1) remove your (2) stitches.
B: Will this hurt?
A: You may just feel a (3) pull. Are you sitting comfortably?
B: Yes.
A: First, I'm just going to clean your wound. There. It looks good. The cut (4) healed nicely – no signs of infection.
B: That's good news.
A: Now I'll just (5) cut the suture near the knot, like this. With these (6) scissors I'll just pull out the stitch. How was that?
B: Fine – no problem.
A: Great. Now I'll just clean the wound again ... and put some tape on your skin. Be sure not to (7) take off the tape.
B: OK. Can I take a bath?
A: It's better to shower for the first week to let it (8) get better.
B: OK, thanks.
a) stich cutter ____
b) heal ____
c) joined up ____
d) pull off ____
e) take out ____
f) snip ____
g) sutures _____
h) tug ____
Lessons 4-5
Nursing in surgery. Preparation of the patient for operation.
Сare for patients in postoperative period. Surgical equipment.
Read and translate the text "Surgical Nurse"
A surgical nurse is a nursing professional that is trained to be able to assist during both routine and difficult surgical procedures. These types of nurses can be found around operating tables all across the word, assisting surgeons with both elective and life-saving procedures.
With amazing advances in the world of medicine, surgical procedures are much safer and more common today than ever before. Nevertheless, they still require a knowledgeable and skilled team to pull off a successful surgery, as one slip or mistake during these procedures can mean the difference between life and death. This is why surgical teams only choose the most well-trained and competent doctors and nurses, whom are compensated very well for their expertise and time.
While a career as a surgical nurse may be rather lucrative, it’s still not for the faint of heart. It often requires long hours, stressful situations, and exposure to some of life’s more unpleasant sights. Despite this, many people each year pursue surgical nursing careers, not just for the salary, but for the personal rewards it brings.
If surgeons are considered leaders of a surgical team, surgical nurses can be thought of as the backbones of these teams. They are there from the very beginning of the procedure to the very end. In fact, without surgical nurses, it would be almost impossible for surgeons to do their jobs well. These specialty nurses assist with all sorts of tasks before, during, and after surgical procedures.
Besides assisting with just general surgical procedures, most surgical nurses choose to specialize in one area. This can be an area such as obstetrics, pediatric surgery, or cardiac surgery, among others.
As mentioned above, surgical nurses typically assist with all aspects of a surgical procedure.
Before surgery, a surgical nurse may be required to work closely with the patient. This may involve explaining the procedure, giving pre-procedure instructions, and reassuring the patient. A surgical nurse will also usually have a hand in prepping a patient for surgery. This might involve measuring and recording the patient’s vital signs, starting intravenous lines, administering any medications, assisting the anesthesiologist and nurse anesthetist, and sterilizing and marking the incision sites.
Once a surgical procedure has begun, surgical nurses – along with the rest of the surgical team – will rarely have time for a moment’s rest. They must be vigilant and on their toes at all times. Surgical nurses are often charged with tasks such as monitoring patients’ vital signs, passing instruments to the surgeons, and running surgical equipment during the course of a procedure. If a patient’s vital signs start to behave erratically, it is the duty of the surgical nurse to alert the other members of the team. In the event of an emergency, surgical nurses might also be required to perform life saving maneuvers.
Surgical nurses are also often charged with making sure that the immediate post-surgical care goes as smoothly as possible. They will often help transport the patients to recovery rooms or intensive care units, where they will then monitor them and care for them. A surgical nurse might be required to change a patient’s dressings, administer medications, and follow any post-operative care instructions given by the surgeon.
Surgical nurses can most often find employment in hospitals with surgical wards and operating rooms, as well as trauma and emergency care centers. Besides working in these areas, you will also often be able to find employment in recovery rooms and intensive care units.
Before you can become a surgical nurse, you will usually need to become a registered nurse. This involves earning your nursing degree and passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Experience working in an intensive care unit or recovery room is also recommended, but it may not be essential. You will also be required to obtain additional education – usually a minimum of a master’s degree – as well as complete an internship, residency, or fellowship in a surgical ward.
Vocabulary to the text "Surgical Nurse"
a Glasgow Coma Scale; records the conscious state of a patient
b Non-Adhesive Dressing
c measure of the amount of oxygen which is loaded or saturated into the red blood cells as they pass through the lungs
d from the Latin pro re nota: take whenever required
e observations which assess neurological function, include a GCS assessment
f road traffic accident
hurts throbbing hurt knife stinging
of thrombosis
Before Your Operation: What You need to Know
It is common to feel nervous before surgery. While there are risks involved in any operation, it is important for you to feel calm, and confident in your surgeons. This pamphlet will help you prepare for your procedure.
You will meet with several doctors pre-op to discuss the details of your operation. Surgical preparation depends on the patient and the procedure. A heart transplant is quite a different operation than the resection of a lung tumor or gall bladder excision. In any case, an anesthesiologist will speak to you about being put to sleep during the operation. You will likely be under anesthesia the entire time you are in the operation room.
Surgeons have many tools to help them perform their tasks. Be assured these tools are sterile, with replaceable parts changed between each operation. Scalpels help surgeons make very precise incisions and other cuts, while clamps temporarily hold things together. When you wake up, you will have sutures holding your incisions together. Your surgeon will tell you when these can be removed.
After the operation you will awake in the recovery room to begin the post-op healing process. This will involve regular medication and follow-up visits to your surgeon and other doctors.
Read the pamphlet on surgery once more. Then,choose the correct answers.
A to reduce the risks of surgery
В to get patients’ consent for surgery
C to provide instructions for post-op recovery
D to inform patients about the events surrounding surgery
A An anesthesiologist speaks to the patient.
В Surgical instruments are sterilized.
C A surgeon discusses the details of the procedure
D The sutures are put in place.
A to make very precise cuts
В to allow incisions to heal
C to sterilize surgical tools
D to make a patient unconscious
A the act of moving an organ from one body to another
В a medical specialty that involves the use of manual and instrumental
techniques to treat a disease or injury
C a medical method of preventing sensation, used to eliminate pain
D a stitch used to hold tissue together
E free of all living microorganisms
F the complete removal of an organ, tissue, or tumor from the body
G a device used to hold objects in place
H a very sharp knife used to make incisions and other cuts
A The________ will make sure you are unconscious during the operation.
В This ________ has performed hundreds of resections.
A An important _______ guideline is not to eat for 12 hours before surgery.
В In the recovery room a nurse will give you medications to take _________ .
A Visitors can see patients in the ________ after surgery.
В Please prepare the ___________ for the next procedure.
A The__________ of this tumor should save the rest of the patient’s lung.
В Please be here at 6:30 in the morning for the ____________.
Surgical nurses care for patients before, during and after surgery. Some nurses will prepare the patient for surgery, others serve during the actual procedure and additional nurses work in the recovery area. During the surgery itself, there are two main roles for nurses: scrub nurse and circulating nurse. There may be just one nurse in each of these roles, or there may be multiple, depending on the complexity of the case.
Scrub nurses literally scrub their hands and arms with surgical soap and don a surgical gown and gloves. They anticipate the surgeon’s needs, selecting and passing instruments and supplies.
The circulating nurse acts a runner and helps out wherever needed. This is the person who walks around the perimeter of the room and is the monitor of everything going on. They’re the helper for anesthesia, the help for the scrub person. They answer phones and beepers and bring you supplies. If you drop something, they pick it up and re-sterilize it and bring it back.
Surgical nurses are part of a well-orchestrated team that also includes staff doctors, anesthesiologists or nurse anesthetists, surgeons, surgery techs and maybe even residents or medical students. Everyone has a job, and everything has a place. That makes surgical nursing a great fit for nurses who love order and organization.
Surgery is a very controlled, disciplined environment. Complications do arise, but even during those moments, the sense of planning and protocol is palpable.
3. Teamwork is crucial.
One of the most important prerequisites for a surgical nurse is the ability to work in a team setting. For example, if you’re scrubbed in, you can’t go get your supplies out of the other room – you have to depend on the circulating nurse.
4. There’s a lot to learn – but also a lot of places you can go.
While nursing school provides a solid foundation, the bulk of what you need to know about tools and techniques comes from one-on-one training with a preceptor.
You have to put a lot of time in it, to learn all the different instruments and procedures. I can tell you it’s probably two years before you feel really comfortable in the OR.
Once you’re trained, however, you’ve got lots of options. There’s a ton of stuff you can do with it – outpatient surgery center, OR, be on call on the weekends.
Perioperative nurses can also choose to specialize even further, into orthopedic, cardiovascular, neuro or other surgical subspecialties.
5. It’s not the easiest specialty to break into, but it’s not impossible
It’s not very common for a new graduate to be hired for a perioperative nursing position. A more likely scenario is for a new nurse to gain a few years of experience and then transition into the specialty.
For nurses who are interested in making a similar transition into the OR, Prof. Armbruster suggests you take a few steps. First, express the interest. If you say it enough times, people might hear you and there might be a possibility out there. Next, prove to others that you’ve got the right stuff – meaning a collaborative personality and can-do attitude.
Do everything and anything they ask you to do in your current job. If they tell you to assist in this or that, go do it. Never say ‘no’ to anything. The more willing you are to do things, the more they’ll see that you’re willing and able to be trained in a whole other nursing area.
Vocabulary to the text "5 Things to Know about Surgical Nursing"
операційна сестра
месестра
вирішальний
операційна (кімната)
післяопераційна медсестра
бути прийнятим на роботу
спільний,
вміння робити, старанність, позитивний настрій
involve rapport normal anxiety reassuring avoid
a drug which blocks pain, other sensations before an operation is
performed
b safety measure which prevents patients from continually
obtaining analgesia by pressing a patient-control button
c patient-controlled analgesia
d surgical instrument which is inserted into the abdomen to
visualise the abdominal organs
f taking excess amounts of medication with serious health
consequences
e abdominal organ which stores bile
List of instruments & equipment
bandage; catheter; curette; drain; forceps; gag; hook; pipette; probe; scalpel; sling; splint; stethoscope; stretcher; syringe; thermometer; tourniquet; wheelchair
his mouth
needle
arm
people
inside the body
Lessons 6-7
Nursing in dermatology.
Сare for patients of burn department. Contagious skin diseases.
Dermatological Nursing"
What Is a Dermatology Nurse?
Dermatology nurses specialize in the treatment and care of a variety of skin diseases and conditions. Working in a wide range of settings, including hospitals, dermatology clinics and plastic surgeons' offices, dermatology nurses provide care for patients with psoriasis, skin cancer, burn wounds and acne among many other skin conditions. Dermatology nurses may also specialize in cosmetic dermatology, performing various procedures such as laser treatments and chemical peels.
Where Do Dermatology Nurses Work?
There are a number of settings in which dermatology nurses work, including:
What Does a Dermatology Nurse Do?
Dermatology nurses work with the medical team to assist in the diagnosis and treatment of different skin injuries and conditions. Dermatology nurses assist in performing skin exams, documenting current patient’s conditions, taking vital signs, recording medical history, and obtaining lab specimens and results. They work very closely with physicians on a daily basis and responsibilities can vary depending on the skill level of the nurse.
Dermatology nurses are responsible for educating patients and their caregivers on how to care for skin conditions and recover from treatments once the patient has returned home.
Some of the most common skin conditions they help diagnose and treat are:
COSMETIC DERMATOLOGY
Cosmetic Dermatology, while not entirely a new field, has become one of the fastest-growing medical fields in the last decade.
The goal of cosmetic dermatology is to attain and maintain healthy, natural skin. Treatments can range from deep cleansing, refreshing, rejuvenating, and restoring skin texture and tone, to reducing skin imperfections. These imperfections can be caused by:
(sun spots)
Cosmetic dermatology nurses will also assist with the following procedures:
injectables
An increasing number of general dermatology practices and branching into cosmetic dermatology due to the demand and endless financial possibilities.
For this reason, the growth in this aspect of the field is exponentially greater than conventional dermatology practices. A general rule of thumb is the increase in the number of services an office can provide to patients – the greater the opportunities for the nursing staff.
What Are the Roles and Duties of a Dermatology Nurse?
Assist in the performance of skin exams, and monitor and record a patient's medical history and test results
Provide pre- and post-operative care for patients undergoing treatment for a variety of skin conditions and diseases
Perform various cosmetic dermatology procedures, such as chemical peels
Assess, monitor and treat skin wounds, including burns
Educate patients on how to protect their skin and how to care for skin diseases and conditions at home
(sun spots)
(Intensive Pulse Light)
опікова рана
опікове відділення
бородавки
вугрі
імпетиго (висип на шкірі)
розацеа
псоріаз
родимки
вікові плями
родимки
дрібні та глибокі зморшки
мелазма (надлишок чорного пігменту в шкірі)
зміна кольору шкіри (сонячні плями)
папіломи
розтяжки
лазерне прибирання плям на обличчі
лазерне підтягування шкіри
ІІ. All these sentences describe patients and their conditions. Complete the sentences using the nouns in the box.
Nouns
accident ambulance biopsy consent effort examination excess injection intake
intolerance overdose paroxysm programme rash surgery tendency vaccination
whisper exercise recurrence
ІІІ. All the answers in this crossword are parts of the body.
Across
8. Similar to 1 across, but in the arm (5)
10. It grows on your head (4)
11. The upper chambers of 18 across (5)
12. Breathing organs (5)
15. They carry blood to 11 across (5)
17. See you (3)
18. The organ which moves blood around your body (5)
21. Cell in the nervous system which transmits impulses (6)
22. An organ which secretes substances which act elsewhere in the body (5)
24. A substance which stores energy (3)
25. It keeps your outside in (4)
26. Type of nerve ending (8)
27. For hearing with (3)
1. It cleans your blood (6)
2. A bag (7)
3. Without arms, legs or head (5)
4. A major artery (5)
5. Connected to 8 across, funnily enough (7)
7. Cavity in 16 down (5)
9. Narrow part of the body below the chest (5)
12. The major detoxicating organ (5)
13. The hard part of a finger or toe (4)
14. Cheekbone (6)
16. Protects the brain (5)
18. At the end of your arm (4)
19. The throat or neck, major artery (7)
20. Finger joints (8)
23. Bundle of fibres which take impulses from one part of the body to another (5)
IV. Test your medical abbreviations. Check the ones know in the dictionary.
V. Read and translate the text "Burn Care Nurse" and answer the questions
What Is a Burn Care Nurse?
Where Do Burn Care Nurses Work?
What Does a Burn Care Nurse Do?
What Are the Roles and Duties of a Burn Care Nurse?
A burn care nurse specializes in the care of patients who suffer from burn injuries, and in many cases, have also experienced other kinds of trauma. The burn care nurse treats and monitors burn wounds, and plays a critical role in the assessment of emotional and psychological trauma that so often accompanies a burn injury. This specialty calls for a wide range of clinical skills including triage, pain management, critical care, and trauma recovery.
Burn care nurses work primarily in the Burn Care Unit (BCU) or Intensive Care Unit (ICU) of hospitals. They may also work in a hospital's Emergency Room or Trauma Center, as well as in outpatient facilities that provide ongoing care and rehabilitation services for patients recovering from burn injuries.
Burn care nurses treat a wide range of patients who are suffering from different types of burn injuries, which may include chemical or electrical wounds as well as accidental and non-accidental traumas, such as an automobile or household accidents. Burn care nurses use a variety of equipment and techniques to clean, bandage, and monitor burn wounds, as well as educate the patient and their caretakers on the ongoing treatment and dressing of burns, pain management techniques, and how to prevent infection. They also play an important role in monitoring the patient's emotional wellbeing and recommending additional mental health care interventions when appropriate.
Roles and Duties of a Burn Care Nurse:
опікова травма
постійний догляд
оцінити
доглядач
громада в цілому
VI. Some words have more than one meaning. In the table below nineteen meanings appear in the column on the left. Match each meaning to one of the seven words across the top.
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cold |
degree |
fit |
light |
notice |
patient |
turn |
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A person who is in hospital or who is being treated by a doctor. |
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To an attach an appliance correct-ly, eg: an artificial hand. |
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A unit of measurement. |
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To see or observe. |
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To change into something different |
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Not heavy. |
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An illness, with inflammation of the nasal passages, in which the patient sneezes and coughs |
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The level of how important something is. |
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To move the head or body to face in another direction. |
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Being able to wait a long time without becoming annoyed. |
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A piece of writing giving informa-tion, usually put in a place where everyone can see it. |
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To be the right size or shape. |
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A slight illness or an attack of dizziness. |
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A sudden attack of a disorder, eg: epilepsy. |
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A thing which shines and helps one to see. |
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A title given to a person who has successfully completed a course of studies. |
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Strong and physically healthy. |
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Not warm or hot. |
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Nearer white in colour than black. |
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Your skin is your body’s armor, protecting it from harmful environmental forces. But sometimes, viruses, bacteria or fungi penetrate skin and cause infections. These infections are called contagious skin diseases. Here's a list of common contagious skin diseases, their causes and symptoms.
contagiosum
Lessons 8-9
Nursing in gastroenterology.
Participation of the nurse in laboratory research methods.
Helminthomicoscopic research methods. Colonoscopy procedure.
Read and translate the text "Gastroenterology nurse"
A gastroenterology nurse is a nursing professional that primarily treats patients suffering from diseases, disorders, and injuries of the digestive tract. Nurses in this profession commonly treat issues such as constipation, diarrhea, reflux, ulcers, food allergies, Crohn’s disease, ulcerative colitis, colon cancer, and rectal cancer, among others.
Gastroenterology is a field of medicine that focuses on the health of the digestive system, including the stomach and bowels. Diseases and illnesses of the digestive tract often produce very uncomfortable symptoms and will often affect the health of the body as a whole. For example, some gastroenterology disorders can affect the number of nutrients the body absorbs. Gastroenterologists and gastroenterology nurses focus on treating and caring for individuals suffering from diseases and disorders of the digestive tract.
Endoscopy is a common technique used to diagnose gastroenterological disorders. An endoscopy procedure involves inserting a fiber-optic tube with a camera into the bowels to get a view of the lining of the intestines. Gastroenterology nurses that specialize in performing and assisting with these procedures are referred to as gastroenterology/endoscopy nurses or simply endoscopy nurses.
Gastroenterology procedures (particularly endoscopy procedures) can be uncomfortable and stressful for the patient, so gastroenterology nurses must be skilled at the procedure (to minimize pain and discomfort) and possess a calming bedside manner (to help calm the patient)
When first meeting with a patient, a gastroenterologist and gastroenterology nurse will often review the patient’s medical history, symptoms, and vital signs. A gastroenterology nurse will also often be responsible for collecting samples and performing other diagnostic procedures, such as x-rays, ultrasounds, and barium enemas. Endoscopy nurses will assist during or perform endoscopy procedures.
Caring for and treating a gastroenterology patient is an important part of being a gastroenterology nurse. As a gastroenterology nurse, you will often help explain the different options available to patients as well as the benefits and risks associated with them. You may also help patients take medications and give them advice on nutrition. During surgical procedures, a gastroenterology nurse may also be asked to assist during surgical procedures as well.
During a career as a gastroenterologist, you will often be able to find positions in hospitals and well as private specialists’ office. Some clinics and long-term care facilities
might also hire gastroenterology nurses.
What is the role of the nurse in research?
They collect blood samples, administer vaccines, check lab work, and use critical thinking to assess a patient's health and review adverse events or treatment toxicities. Throughout, they ensure patients meet protocol goals. Another significant role of a research nurse is to collect data throughout the trial.
Vocabulary to the text "Gastroenterology nurse"
розлад
запор
Хвороба Крона
виразковий коліт
барієві клізми
вигода
тривалий догляд
харчування
A
1. The autonomic nervous system functions
...
2. Aspirin inhibits ...
3. Bacteria can mutate suddenly ...
4. The bones are joined ...
5. The blood vessel is a narrow channel......
6. The pituitary gland stimulates ...
7. The tip of the femur fits ...
8. The arteries provide ...
9. Bile circulates from the liver ...
10. The colon is divided ...
11. The chest expands ...
12. In holocrine glands ...
13. The prostate tends to enlarge ...
14. Impulses are transmitted ...
15. Ultrasound scanning provides ...
16. Oxygen is vital ...
17. The common carotid divides ...
18. The body has a natural instinct...
19. Blood groups are classified ...
20. Nasal congestion can be relieved ...
B
oxygenated tissues.
it.
nal gland.
Across
6. Chronic condition in which the liquid contents is backed up into the esophagus
9. Form of inflammatory bowel disease (IBD)
12. Converting food so that it can be absorbed into the blood and used by the body
14. Causes abnormal pain and discomfort
blood.
Down
1. A healthy person needs at least 64 ounces of fluid each day
2. A sample, such as tissue, blood, urine, stool, or sputum used for analysis
3. Form of inflammatory disease (IBD)
4. Can cause diarrhea or constipation
5. Aging, slowing of peristalsis, tooth loss, dry mouth, and poor absorbtion
7. Removing of waste products from food/fluids
8. Enlarged veins in the rectum
10. Taking food or fluids into the body
11. Raw sores in the stomach/sm intestines
13. Nursing assistant should encourage nutritious meals
15. Helps bowel elimination by strengthening abdominal and pelvic muscles
Colonoscopy is a procedure that enables an examiner (usually a gastroenterologist) to evaluate the inside of the colon (large intestine or large bowel). The colonoscope is a four-foot long, flexible tube about the thickness of a finger with a camera and a source of light at its tip. The tip of the colonoscope is inserted into the anus and then is advanced slowly, under visual control, into the rectum and through the colon usually as far as the cecum, which is the first part of the colon. Usually, it also is possible to enter and examine the last few inches of the small intestine (terminal ileum).
Colonoscopy may be done for a variety of reasons. The vast majority of colonoscopies are performed as part of screening programs to diagnose colon cancer. When done for other reasons, it is most often done to investigate the cause of blood in the stool, abdominal pain, diarrhea, a change in bowel habit, or an abnormality found on colonic X-rays or computerized axial tomography (CT) scan.
How often should one undergo colonoscopy depends on the degree of the risk for cancer and the abnormalities found at previous colonoscopies.
Prior to colonoscopy, intravenous fluids are started, and the patient is placed on a monitor for continuous monitoring of heart rhythm and blood pressure as well as oxygen in the blood. Medications (sedatives) usually are given through an intravenous line so the patient becomes sleepy and relaxed, and to reduce pain. Colonoscopy often produces a feeling of pressure, cramping, and bloating in the abdomen; however, with the aid of medications, it is generally well-tolerated and infrequently causes severe pain.
Patients will lie on their left side or back as the colonoscope is slowly advanced. Once the tip of the colon (cecum) or the last portion of the small intestine (terminal ileum) is reached, the colonoscope is slowly withdrawn, and the lining of the colon is carefully examined. Colonoscopy usually takes 15 to 60 minutes. If the entire colon, for some reason, cannot be visualized, the physician may decide to try colonoscopy again at a later date with or without a different bowel preparation or may decide to order an X-ray or CT of the colon.
Patients will be kept in an observation area for an hour or two post-colonoscopy until the effects of medications that have been given wear off.
Complications of colonoscopy are rare and usually minor when performed by physicians who have been specially trained and are experienced in colonoscopy.
Bleeding may occur at the site of biopsy or removal of polyps, but the bleeding usually is minor and self-limited or can be controlled through the colonoscope. Other potential complications are reactions to the sedatives used, localized irritation to the vein where medications were injected, or complications from existing heart or lung disease.
Colonoscopy is the best method available to detect, diagnose, and treat abnormalities within the colon.
Vocabulary to the text "What is a colonoscopy?"
давати змогу
товста кишка
товщина
сліпа кишка
дюйм
стул, випорожнення
до, раніше
судоми
кінчик товстої кишки
бути вилученим
оболонка товстої кишки
самообмежений
роздратування
термінальна клубова кишка
Look at the pictures and get acquainted with helminth microscopic research methods
A
1. The body needs to conserve ...
2. Blood clots occur in ...
3. Fluid collects in the tissue ...
4. Adrenaline extracted from the animal's
adrenal glands ...
5. The material used in sutures slowly ...
6. The heart has to beat more strongly ...
7. Shingles is caused by ...
8. After the age of 50 ...
9. Embolization is ...
10. Bone is ...
B
become smaller.
therapy…
region is ...
the arteries.
haemoptysis.
Across
Inflammation of the pancreas
Down
Lessons 10-11
Nursing in the infectious department.
Rules of personal hygiene of the nurse and the patient.
Detection of symptoms of infectious diseases
Read and translate the text "Infection control nurse" and answer the questions
As all nurses are trained to prevent the spread of infectious diseases, infection control nurses specifically specialize in preventing the spread of infectious agents such as that of viruses and bacteria. With no two bacteria alike, infection control nurses work diligently to prevent dangerous outbreaks from occurring in a hospital setting. All medical professionals are trained to take standard precautions that include hand hygiene, use of personal protective equipment, and isolation precautions according to the patient being cared for. Even so, such precautions do not completely eliminate the possibility for infectious agents to spread. It is an infection control nurse's job to perform and educate others on how to prevent and contain outbreaks and to prevent further incidents from occurring.
The expertise of an infection control nurse is needed in the following healthcare settings:
The role of an infection control nurse is to determine, prevent, and contain infectious outbreaks in the healthcare setting. Even in a sterile and sanitary environment, an infection can easily spread causing patients to become ill and possibly die. In order to prevent the spread of this infection to a large area, it is the job of an infection control nurse to not only contain these agents within a hospital community but also to prevent such illnesses on a larger scale.
With advanced skills and knowledge, the responsibilities of an infection control nurse include:
If you want to minimize your risk of infection and also enhance your overall health, follow these basic personal hygiene habits:
1. Bathe regularly.
2. Trim your nails.
3. Brush and floss.
4. Wash your hand.
5. Sleep tight.
Vocabulary to the text "Infection control nurse"
спалахи
запобіжні заходи
заклад тривалого догляду
готовність до надзвичайних ситуацій
поведінкове здоров'я
впровадження
чистити зубною ниткою
міцно
обрізати
невідповідність
внутрішньолікарняна інфекція
hygiene healthcare contact illnesses wash immune risk disease
sick family germs measures patient severe infections hands
Hand Hygiene of Nurses and Patient Safety
Hand hygiene is one of the most effective measures to prevent hospital acquired infections and improve ________ safety.
Infectious diseases are a particular risk to the very young, the elderly, those with a pre-existing________, and people with a compromised _________ system. Nurses need to wash their _______ not only to prevent them from getting sick, but to protect their patients from acquiring health-care associated_________.
Hand ________noncompliance is a major cause of nosocomial infection. Good hand hygiene plays a major role in reducing and eliminating the spread of _______and infections from patient-to-patient. Research has shown that while __________workers state largely favorable attitudes towards hand-cleaning practices, observed compliance rates are below 30%. It also helps in reducing the spread of infectious________, including colds, flu and other upper respiratory illnesses. Hand-to-hand __________ an spread mild conditions, such as the common cold, but also more _________ or life-threatening diseases. Nurses washing their hands not only prevent them from getting _______, but it also reduces the risk of infecting others. If they don't ________ their hands properly before coming into contact with others, they can infect their patients but also their _______ members.

Test your knowledge of hygiene by doing this quiz.
Match each of these items of hygiene equipment to a picture.
Each infectious disease has its own specific signs and symptoms. General signs and symptoms common to a number of infectious diseases include:
• Fever • Diarrhea • Fatigue • Muscle aches • Coughing
Early detection of infectious diseases plays a crucial role in all treatment and prevention strategies. The diagram below illustrates a typical series of events following exposure to an infectious agent and the inherent time delay to a confirmed laboratory diagnosis.
An incubation period follows the exposure event, where the infected person may be asymptomatic and unaware of their infection. Following the onset of symptoms, a variety of health behaviours and health encounters may occur depending on the severity of the symptoms. For example, searching for information on the internet, phoning NHS Direct or if symptoms are more serious, visiting their local GP or accident and emergency unit. There, an initial diagnosis will be made and samples may be sent off to laboratories for a definitive diagnosis. The time delay between exposure and confirmed diagnosis may be days, to weeks or months depending on the type infection.
Rapid and accurate identification of the underlying agent (the bacterium or virus) using diagnostic testing is essential to select the correct control measure, such as containment, confinement, antimicrobials and vaccines. This is particularly true for emerging diseases, where we find ourselves in a race to develop new controls as the disease spreads. In an outbreak situation, vigilant monitoring is vital to inform us where to focus effort and assess the effectiveness of interventions.
Worldwide, however, many infections remain undetected. Due to poor diagnostic tools, infection is often undiagnosed and therefore untreated, or diagnosed at the late stage when treatment becomes less effective. This results in on-going transmission of serious infections, for example HIV, and delay in the identification of emerging threats, for example pandemic influenza, leading to major human and economic consequences for millions of people.
Vocabulary to the text "The need for early detection of infectious diseases"
контактна подія
тяжкість
основний агент
пильний моніторинг
наслідки
виникаючі загрози
поточна передача
Informal Formal
allergic rhinitis
infectious parotitis
coryza
influenza
rubella
rubeola
pertussis
varicella
in the box on the right.
___________________________________________
____________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
________________________________________________
_____________________________________________
Lessons 12-13
Nursing in ophthalmology.
Vision testing procedure. Correction of visual defects.
Read and translate the text "Qualifications of an ophthalmic nurse"
An ophthalmic nurse specializes in the ophthalmology branch of medicine, which focuses on the health of the eyes. Ophthalmic registered nurses work under the direction and supervision of ophthalmologists, who diagnose and treat patients with disorders and diseases of the eye. The nurse provides care for patients before eye surgery, takes medical histories, and provides care to patients recovering from treatment. Ophthalmic registered nurses educate patients and their families on the care and home treatment of eye disorders and diseases.
Becoming an Ophthalmic Nurse
Ophthalmic nurses must obtain the education to become a registered nurse to work in ophthalmology. Nursing students complete coursework in anatomy, chemistry, nutrition, microbiology and nursing. Nursing education programs also include clinical training, which provides students with an opportunity to gain experience working with patients.
Skills and Knowledge
Ophthalmic nurses must have good communication skills to explain procedures and treatments to patients and their families. They must be knowledgeable about surgical procedures, pre-operative care, patient assessment and postoperative treatment. Ophthalmic nurses draw on their specialized knowledge of ocular anatomy and the instruments used in ophthalmology.
Registered nurses provide direct care to patients and must be caring, patient and compassionate when treating patients. Ophthalmic nurses also must have organizational skills to meet the needs of multiple patients in a physician practice, hospital or clinic.
Where Do Ophthalmic Nurses Work?
Ophthalmic nurses most often work in:
• Ophthalmologist offices • Hospitals • Eye care centers • Clinics
What Does an Ophthalmic Nurse Do?
Ophthalmic nurses assist in the assessment, diagnosis and treatment of patients with various eye diseases and injuries. They often assist with eye exams, record symptoms and perform vision tests. They also record patients' medical histories and perform physical examinations to uncover any underlying health issues causing symptoms in the eyes, such as diabetes. Ophthalmic nurses also play a critical role in patient education and treatment by administering medication such as eye drops and showing patients how to care for their eye injuries and diseases at home. The ophthalmic nurse also assists in contact lens and glasses fittings to improve a patient's vision. In cases in which eye surgery is required, ophthalmic nurses assist with surgical procedures and care for the patient before and after surgery.
What Are the Roles and Duties of an Ophthalmic Nurse?
Vocabulary to the text "Qualifications of an ophthalmic nurse"
нагляд
хороші комунікативні навички
бути обізнаним
очна анатомія
співчутливий
очні краплі
II. The words in this list are all verbs. What are the noun forms? Write them in the second column.
e.g. diagnose – diagnosis
Read and translate the texts "Vision testing procedure" and "Vision correction"
During a regular visit, you can expect your optometrist to perform the following tests to determine your eye health:
Vision correction
Vision correction refers to one of several methods used to improve blurred vision caused by refractive error. Some people need vision correction to correct a refractive error. A refractive error occurs when the eye doesn’t bend light correctly (refract) as it enters the eye, resulting in a blurred image. There are several disorders that involve refractive error.
The most common methods of vision correction are wearing eyeglasses or contact lenses. They help achieve clear vision by refocusing light rays on the retina, compensating for the shape of the eye. Refractive surgery is another vision correction option. During refractive surgery, such as LASIK, the eye's focusing ability is adjusted by reshaping the cornea (the front surface of the eye).
Natural Vision Correction: Does It Work?
For many people, the idea that you can correct your vision naturally -- without glasses, contact lenses, drugs, or lasers -- is more than a notion. It’s a long-held hope. A lifelong dream. It’s also a hot topic among eye doctors.
Natural vision correction is the belief that you can improve your vision with eye exercises, relaxation techniques, and an eye massage every now and then. Some people swear by it. Others say it’s nonsense. There's no proof the technique works, only wishful thinking. Natural vision correction doesn’t help nearsightedness, farsightedness, or other vision problems caused by disease. The American Association of Pediatric Ophthalmology and Strabismus also found no evidence that vision therapy corrects nearsightedness or keeps it from getting worse. Still, some people insist it does the trick.
Over the past 25 years, surgical techniques, tools, and procedures for vision correction have evolved rapidly.
For this procedure, an eye specialists creates a flap in the cornea to access the underlying tissue. No laser is used, and instead, the doctor makes an incision in the sub-layer of the cornea to reshape and correct vision. RLE (refractive lens exchange).
LASIK is the best known and most commonly performed. Many articles will use the term "LASIK" to refer to all types of laser eye surgery. Normally, images are focused on the retina in the back of your eye. During the LASIK procedure, a specially trained eye surgeon first creates a precise, thin hinged corneal flap using a microkeratome. The surgeon then pulls back the flap to expose the underlying corneal tissue, and then the excimer laser ablates (reshapes) the cornea in a unique pre-specified pattern for each patient.
Vocabulary to the text "Vision correction"
затуманений зір
помилка заломлення
давня надія
мрія на все життя
рогівка
точний
клапоть на рогівці
прийняття бажаного за дійсне
Word association. One word connects each set of four below. All the words have medical connections. What are they?
Lessons 14
Nursing in oncology.
Features of the nurse's work with cancer patients.
Read and translate the texts "Oncology Nurses"and "3 Things You Should Know About Oncology Nurses"
ONCOLOGY NURSES care for people of all ages who are diagnosed with cancer. Oncology is a challenging field in which nurses support patients, families, and caregivers through the stress of diagnosis and treatment, and the anxiety of many uncertainties brought on by the disease, including facing mortality.
What is an Oncology Nurse?
The oncology field today is different than in the early days of cancer treatment, with many more treatment options, better pain control, and reduced treatment side effects. The science is dynamic and continually evolving, with many new therapies on the horizon. Many people are making the transition from cancer patient to cancer survivor. In short, there is often hope for recovery, or for living with the disease. Oncology nurses have important roles to play all along the cancer care continuum.
As an oncology nurse, you’ll be on a path of career-long learning that offers challenges, financial rewards, and professional growth. If you have a desire to get to know patients and the nuances of their needs and care, oncology nursing may be a good career choice. You’ll often have the chance to develop deep relationships with people as you care for them throughout their cancer journey.
What Does an Oncology Nurse Do?
Oncology nurses care for individuals, families, and communities, and the role has expanded to include many aspects of care:
Oncology nurses work in many healthcare settings: hospitals, cancer centers, clinics, physician offices, home care agencies (including palliative and hospice care), hospice centers, and extended care facilities.
In many work settings, oncology nurses will learn safety precautions regarding caring for patients undergoing procedures and treatments where there is potential exposure to radiation and toxic substances, including chemotherapy.
3 THINGS YOU SHOULD KNOW ABOUT ONCOLOGY NURSES
1. Oncology nurses form close bonds with their patients
Oncology nurses play a key role in getting patients and caregivers through and beyond illness, often forming lasting bonds that continue for years after the last treatment. Patients remember nurses who showed them compassion after a biopsy, took the time to explain the side effects of treatment, and coached them through a difficult procedure. These nurses celebrate victories with patients, comfort them after they hear bad news, advocate for those who need extra help and support, and often facilitate communication between the rest of the medical team and caregivers.
2. Oncology nurses coordinate cancer care
Oncology nurses are essential partners who help patients navigate complex treatment protocols and manage symptoms and side effects. A person’s cancer treatment will weave through many phases, and he or she may see several different professionals from different medical specializations. Often, oncology nurses are the ones who provide consistent information and guidance across the treatment plan. They have the training to assess a person’s needs in both hospitals and outpatient practices. Nurses anticipate the needs of patients and family caregivers and work with case managers and social workers to ensure that patients have adequate support and professional help in their homes and communities.
3. Oncology nurses know their patients and advocate for them
Oncology nurses know their patients as individuals and often start a visit by asking them to tell about their life, their families, and their interests. The oncology nurses follow those patients and know a patient much better. There have been countless times when nurses helped clarify details about a patient’s situation that would have been missed otherwise.
Vocabulary to the texts "Oncology Nurses"and
"3 Things You Should Know About Oncology Nurses"
складна галузь
опікун
тривожність
смертність
людина, яка пережила рак
хворий на рак
техніка безпеки
тісний зв’язок
захищати
незліченну кількість разів
Across
Down
Decide which category/ies each part belongs to.
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№ |
Parts of the Body |
arm |
hand |
leg |
foot |
torso |
head |
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1 |
abdomen |
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2 |
achilles tendon |
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3 |
ankle |
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4 |
buttock |
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5 |
calf |
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6 |
cheek |
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7 |
chest |
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8 |
chin |
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9 |
ear |
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10 |
elbow |
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11 |
elbow |
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12 |
eye |
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13 |
eyebrow |
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14 |
eyelash |
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15 |
eyelid |
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16 |
finger |
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17 |
forehead |
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18 |
gum |
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19 |
hair |
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20 |
hip |
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21 |
knee |
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22 |
knuckle |
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23 |
lip |
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24 |
nail |
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25 |
navel |
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26 |
neck |
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27 |
nipple |
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28 |
nose |
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29 |
palm |
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30 |
rib |
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31 |
scalp |
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32 |
shoulder |
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33 |
sole |
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34 |
temple |
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35 |
thigh |
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36 |
throat |
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37 |
thumb |
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38 |
toe |
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39 |
tongue |
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40 |
tooth |
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41 |
wrist |
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A B
1. If you do a lot of exercise ...
2. A balanced diet should ...
3. Medicines should ...
4. A patient in shock should ...
5. Not taking any exercise is ...
6. Reading in bad light can ...
7. The administration of drugs must ...
8. The patient should fast...
9. A hard bed is good ...
10. You should have your main meal ...
11. AIDS can be transmitted ...
12. Bad posture can ...
13. People with fair complexions ...
14. Surgical instruments must ...
15. For patients who have problems with
sugar, ...
16. You should get into the habit of ...
17. Babies should ...
18. Vitamins help ...
19. You can obtain most vital amino
acids ...
20. A tourniquet should ...
bum easily in the sun.
cause back pain.
you develop strong muscles.
swimming every morning before breakfast
to keep fit.
be inoculated against diphtheria.
glucose is more easily digestible.
be kept out of the reach of children.
be kept warm and lying down.
at midday.
from midnight of the night before an
operation.
to restore strength.
for someone with back problems.
be sterilized before use.
be supervised by a qualified doctor or
nurse.
make the eyes ache.
provide the protein required by the body.
an unhealthy way of living.
be used to try and stop the flow of blood.
by using non-sterile needles.
from your daily diet.
Lessons 15
Nursing in Neurology.
Patient care in the pediatric neurology department
Read and translate the texts "What Is a Neurology
Nurse?" and "Patient Care in Child Neurology"
Neurology nurses specialize in the care of patients with nervous system diseases and/or disorders. They help manage the disease processes as well as assist in rehabilitation. Some neurological disorders neurology nurses may help manage are:
Stroke
Brain injuries
Spinal cord injuries
Epilepsy
Multiple sclerosis
Parkinson's disease
Encephalitis
Do you want to know what a neurology nurse does?
If you are a nursing student or you work in the field of nursing as a standard direct care professional, you may be interested in pursuing a specialty so that you can feel more fulfilled and earn more money over the life of your career. As a neurology nurse, you will work closely with a neurologist and his or her team to provide care to patients who are being treated in a neurology unit. Neurological nursing can be a very challenging specialty, but a great opportunity for professionals with the right skills.
Who Will Neurology Nurses Work With?
If you become a neurology nurse, you will need to specialize in neuroscience and treating patients who have been diagnosed with brain and nervous system disorders or who are showing symptoms of neurological problems due to a traumatic brain injury. Because anyone at any age can suffer from neurological problems, a neurological nurse specializing in treatment and care in this area of medicine can expect to work with patients in every age range. Because of the condition of many of the patients, it will take a professional who is able to maintain a high level of sensitivity and compassion for patients who cannot function normally or mentally focus. In some cases, patients may lack communication skills and motor skills.
What Are the Duties and Responsibilities of a Neurology Nurse?
When you are working as a nurse who specializes in treating patients who suffer from neurological diseases or damage of the brain or nervous system no day is the same. You may work with a patient who has a brain tumor one day, and a patient who was involved in an accident that resulted in traumatic brain injury the next. No matter what type of patient you work with, you will be helping the patient manage their pain so that they can recover and improve their mental, physical and cognitive abilities.
In a neurology unit, you may give immediate care to patients and post-operative care. You will assess patients, much like a general nurse does, and administer tests and medicine as ordered by the neurologist you report to. By the side of a neurological doctor, you will perform tests and procedures to monitor neurological activity or to treat a specific condition. You may also be the one who speaks with family to tell them about the patient’s condition or how they have progressed since they were admitted. Many nurses educate families on how to care for their loved one once they leave the hospital.
Patient Care in Child Neurology
Neurological problems in childhood can occur at any time, from birth to adulthood. Many can cause delays in development. They can affect the brain, spinal cord, peripheral nerves, and the muscles.
Some disorders such as cerebral palsy can be permanent but vary in severity, and other disorders such as epilepsy can disappear as a child matures.
Many neurological disorders can affect limited parts of the brain, or the entire brain. Some disorders, such as strokes, occur once and can have permanent consequences. Others, like epilepsy, are more chronic with recurrent electrical storms of the brain. And some disorders may cause slow deterioration of the brain, spinal cord or muscles.
Pediatric neurology is the medical field that focuses on children's neurological (nervous) systems. Pediatric neurological nurse practitioners care for children aged birth through teenager, who are undergoing examination or treatment for neurological issues.
Child neurology nurses work with neuroscience specialists. According to the Association of Child Neurology Nurses, child neurology nurses may work in hospitals, private practices, clinics, and academic facilities. Some of the cases CNRNs may be involved with include those of patients who were born with a nervous system issue, those who have had strokes or serious injuries, and patients who are suffering from a disease that affects their neurological functioning.
Vocabulary to the texts "What Is a Neurology Nurse?"
and "Patient Care in Child Neurology"
інсульт
травма головного мозку
травма спинного мозку
розсіяний склероз
дуже складна спеціальність
чутливість
пізнавальна здібність
when necessary. What is the disease or illness being described in each case?
deaf depressed exhausted obsessive painful persistent tender
viable bedridden crippled lame lethal level forbidden infested
inflamed premature severed subject
Lessons 16
Nursing in nephrology.
Kidney transplantation.
What Is a Nephrology Nurse?" and "Kidney transplantation".
Nephrology nurses work primarily with patients experiencing kidney problems as well as those patients who are at risk of developing kidney problems. They treat and care for patients throughout the lifespan from infancy to end of life. Some of the medical problems nephrology nurses may encounter and treat include End Stage Renal Disease (ESRD), Chronic Kidney Disease (CKD), renal cysts, kidney transplants and kidney stones among many other diseases and disease processes.
Where Do Nephrology Nurses Work?
Nephrology nurses have a wide range of sites they practice. Nurses may work in a hospital setting, clinic, physician's office, or home healthcare agency to assist patients with kidney health needs in their own homes, such as performing dialysis.
What Does a Nephrology Nurse Do?
Working with patients who are in varying levels of treatment for kidney problems, the nephrology nurse's duties may include prevention, education, and monitoring in a clinic setting all the way to acute treatment in a hospital.
In an outpatient setting such as a dialysis center, nurses perform dialysis. During dialysis, blood is cleansed using a machine removing waste and excess fluid in place of the kidneys. The nurse will perform assessments and monitoring during this procedure as well as provide education.
Nephrology nursing may also include acute care in hospital settings that include stabilization, assessments, symptom management, procedures, surgeries and education.
Nephrology nurses have fine-tuned assessment skills when assessing kidney function as it relates to health and establish effective treatment plans for their patients.
The Role of the Nephrology Nurse
Nephrology nurses are required to have both a general medical knowledge and specialized skill set to care for those afflicted with kidney disease. Nephrology nurses are commonly found fulfilling the following nursing positions:
Peritoneal and hemodialysis dialysis nurse
Nephrology can be a complex nursing specialty since so many people with kidney disease also suffer from a myriad of related health conditions, including diabetes, bone disease, infections, heart disease, hypertension, and mental health issues. In addition to direct patient care, nephrology nurses are responsible for educating their patients, teaching them how to improve their health, and how to manage other aspects of their lives while living with kidney disease. While many of the inflicted rely on transplants or dialysis, most do not. The majority of those with kidney disease are able to find a cure, manage the disease or find adequate treatment options. Kidney disease patients often rely on palliative type treatments. When patients select the palliative route to treatment, nephrology nurses are responsible for making sure that patients are aware of all other treatment options.
Nephrology Nursing Specialties
There are several specialties within the field of nephrology nursing. These include, but are not limited to, the following:
Transplantation
Hemodialysis
Conservative management
Renal replacement therapy
Peritoneal dialysis
Various extracorporeal therapies
It is not uncommon to find nephrology nurses, especially specialists, working in other areas of nursing as well. For example, a nephrology nurse who has an expertise in organ transplant may be involved in the treatment of patients with other conditions who require transplants.
Kidney transplantation.
Kidney transplant or renal transplant is the organ transplant of a kidney into a patient with end-stage kidney disease (ESRD). Kidney transplant is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantation depending on the source of the donor organ. Living-donor kidney transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and recipient.
Before receiving a kidney transplant, a person with ESRD must undergo a thorough medical evaluation to make sure that they are healthy enough to undergo transplant surgery. If they are deemed a good candidate, they can be placed on a waiting list to receive a kidney from a deceased donor. Once they are placed on the waiting list, they can receive a new kidney very quickly, or they may have to wait many years; in the United States, the average waiting time is three to five years. During transplant surgery, the new kidney is usually placed in the lower abdomen (belly); the person’s two native kidneys are not usually taken out unless there is a medical reason to do so.
People with ESRD who receive a kidney transplant generally live longer then people with ESRD who are on dialysis and may have a better quality of life. However, kidney transplant recipients must remain on immunosuppressants (medications to suppress the immune system) for the rest of their life to prevent their body from rejecting the new kidney. This long-term immunosuppression puts them at higher risk for infections and cancer. Kidney transplant rejection can be classified as cellular rejection or antibody-mediated rejection. Antibody-mediated rejection can be classified as hyperacute, acute, or chronic, depending on how long after the transplant it occurs. If rejection is suspected, a kidney biopsy should be obtained. It is important to regularly monitor the new kidney's function by measuring serum creatinine and other labs; this should be done at least every three months for the rest of the person's life.
Vocabulary to the text "What Is a Nephrology Nurse?"
насамперед
тривалість життя
дитинство
ниркові кісти
широкий діапазон місць
симптоматичне лікування
тонко налаштована навичка оцінювання
страждати
незліченна кількість пов’язаних станів
здоров’я
проблеми психічного здоров’я
лікування паліативного типу
консервативне управління
нечасто
epilepsy; gangrene; cataracts; Parkinson's disease; tuberculosis;
cystic fibrosis; cholera; diphtheria; cerebral palsy; AIDS; gastroenteritis
alive
allow
closed
deteriorate
ill
front
increase
kill
replace
rough
Lesson 17
Nursing in Psychiatry.
Identification and description of signs of mental disorders.
Read and translate the text "What is a Psychiatric Nurse?"
If you’re looking for a dynamic career path that blends psychology and psychiatry within the in-demand nursing field, then you could be the perfect match for becoming a psychiatric nurse. With roots in the late 19th century, psychiatric-mental health nursing is a rather new discipline that has developed to treat patients diagnosed with mental illnesses, such as schizophrenia, bipolar disorder, anxiety, substance abuse, and depression. Mental illnesses are often not considered true medical conditions by the public, but they can actually be more distressing than other bodily diseases. Psychiatric nurses specialize in mental health to help patients overcome their psychiatric disorder and the stigma associated with it for living their best lives.
What Psychiatric Nurses Do
As part of the psychiatric treatment team, psychiatric nurses begin by interviewing new patients to learn of their mental health history, symptoms, and living habits. Psychiatric nurses will then help psychiatrists and other physicians to develop a detailed treatment plan for providing the comprehensive mental health care patients require. During treatment, psychiatric nurses may provide supportive counseling, assist with everyday tasks like grooming, deliver medications, and help families better understand the mental illness. At times, psychiatric nurses must also respond to distressed patients in a non-threatening manner and use de-escalation techniques to help patients manage their anger. Some psychiatric nurses may organize social events for patients to connect and develop social skills for faster recovery.
Where Psychiatric Nurses Work
Psychiatric nurses can find employment opportunities in many different healthcare and community settings focused on mental health. Most will be found working in general hospitals, psychiatric specialty hospitals, substance abuse treatment centers, community mental health clinics, and outpatient treatment facilities. Some psychiatric nurses will work in correctional institutions to help treat criminal offenders who have been diagnosed with mental illness. Other psychiatric nurses may also find work in school systems to deliver care to children with emotional or cognitive impairments. Many psychiatric nurses work regular business hours, but those in inpatient facilities will need to work shifts to ensure 24/7 patient coverage.
What Are the Roles and Duties of a Psychiatric Nurse?
Identification and description of signs of mental disorders
Here are five warning signs of mental illness to watch for, especially when you have two or more of these symptoms.
Symptoms
This page lists some of the more common mental health issues and mental illnesses.
Good mental health is characterised by a person's ability to fulfil a number of key functions and activities, including:
Vocabulary to the text "What is a Psychiatric Nurse?"
затребувана сфера медсестер
психіатрично-психічне здоров'я
біполярний розлад
тривожність
зловживання наркотичними речовинами
допоміжне консультування
догляд
незагрозливий спосіб
методи деескалації
кримінальні злочинці
поряд
A
allergic
balanced
bedside
bone
brain
circadian
clinical
digestive
general
general
heart
malignant
milk
plastic
surgical
B
anaesthetic
attack
death
diet
intervention
manner
marrow
practitioner
reaction
rhythm
surgery
system
teeth
trial
tumour
1 Cardiac arrest. __________________
proportions. _____________
Find the word that is different, and circle it.
For example: callosum ------- cerebellum ------- colliculus ------ coccyx
Coccyx is the odd one out. It is a bone; the others are all parts of the brain.
|
1 |
aching |
bleeding |
nagging |
throbbing |
|
2 |
hand |
kidney |
leg |
liver |
|
3 |
ankle |
elbow |
knee |
forearm |
|
4 |
ear |
eye |
face |
nose |
|
5 |
nurse |
orderly |
surgeon |
patient |
|
6 |
bandage |
forceps |
probe |
scalpel |
|
7 |
hair |
lip |
nail |
tooth |
|
8 |
accident |
damage |
harm |
injure |
|
9 |
expiration |
inspiration |
respiration |
supination |
|
10 |
cataracts |
eyelids |
nearsightedness |
strabismus |
|
11 |
cure |
heal |
mend |
treat |
|
12 |
improve |
get better |
recover |
relapse |
|
13 |
iris |
lens |
palm |
pupil |
|
14 |
oval window |
semicircular canals |
tympanic membrane |
vertebral column |
|
15 |
copper |
iron |
nickel |
zinc |
|
16 |
break |
crack |
fracture |
wound |
|
17 |
innominate bone |
nasal bone |
occipital bone |
zygomatic bone |
|
18 |
liver |
heart |
pancreas |
spleen |
|
19 |
gums |
tongue |
palate |
lips |
20 bite chew swallow taste
Tasks for Individual Work
Read and translate the texts
Lesson 2-3
Electrocardiogram procedure.
An electrocardiogram is a simple, painless test that measures your heart’s electrical activity. It’s also known as an ECG or EKG. Every heartbeat is triggered by an electrical signal that starts at the top of your heart and travels to the bottom. Heart problems often affect the electrical activity of your heart. Your doctor may recommend an EKG if you’re experiencing symptoms or signs that may suggest a heart problem, including:
An EKG will help your doctor determine the cause of your symptoms along with what type of treatment might be necessary.
If you’re 50 or older or if you have a family history of heart disease, your doctor may also order an EKG to look for early signs of heart disease.
What happens during an electrocardiogram?
An EKG is quick, painless, and harmless. After you change into a gown, a technician attaches 12 to 15 soft electrodes with a gel to your chest, arms, and legs. The technician may have to shave small areas to ensure the electrodes stick properly to your skin. Each electrode is about the size of a quarter. These electrodes are attached to electrical leads (wires), which are then attached to the EKG machine.
During the test, you’ll need to lie still on a table while the machine records your heart’s electrical activity and places the information on a graph. Make sure to lie as still as possible and breathe normally. You shouldn’t talk during the test.
After the procedure, the electrodes are removed and discarded. The entire procedure takes about 10 minutes.
Getting ready for your EKG
Avoid drinking cold water or exerci-sing before your EKG.
Drinking cold water can cause changes in the electrical patterns that the test records. Exercise can increase your heart rate and affect the test results.
Interpreting the results of an EKG
If your EKG shows normal results, your doctor will likely go over them with you at a follow-up visit.
Your doctor will contact you immediately if your EKG shows signs of serious health problems.
An EKG can help your doctor determine if:
Your doctor will use the results of your EKG to determine if any medications or treatment can improve your heart’s condition.
Lesson 4-5
Septic and antiseptic.
The difference between antiseptic and septic is that antiseptic is any substance that inhibits the growth and reproduction of microorganisms generally includes only those that are used on living objects (as opposed to disinfectants'') and aren't transported by the lymphatic system to destroy bacteria in the body (as opposed to ''antibiotics ) while septic is a substance that causes sepsis or putrefaction.
What to know about antiseptics?
Antiseptics, or skin disinfectants, are chemicals for cleaning the skin and wounds. They can kill or prevent the growth of microorganisms.
Although antiseptics can be very useful, there are some questions around their safety for topical use, especially in the long term.
Keep reading for more information about antiseptics, including the types available, their uses, and current safety concerns.
Antiseptics can help prevent the growth of microorganisms on the skin.
Antiseptics are chemicals that people apply to the skin. They can reduce the number of microorganisms living on the skin, in wounds, and in mucous membranes.
Different types of antiseptic vary in cost, effectiveness, uses, and potential side effects.
Healthcare workers often use antiseptics before carrying out medical procedures, such as drawing blood and performing surgery.
Antiseptics are also available over the counter for cleaning and treating minor cuts. Some may also be suitable as a substitute for soap.
People can use antiseptics to clean areas of broken skin, intact areas of skin, and mucous membranes.
Disinfectants, antibacterials, and antibiotics have similar but slightly different purposes. The sections below will outline these differences in more detail.
People use antiseptics, such as peroxides, to kill microorganisms on the skin and mucous membranes. Whereas antiseptics destroy certain germs on the skin, disinfectants can remove them from objects.
Disinfectants and antiseptics are both made from chemicals. In fact, they often share similar active ingredients. However, disinfectants tend to have higher concentrations, which are not suitable for use on the skin or mucous membranes.
Antibacterials are also chemicals that people can use to clean areas of the skin. Soaps and sprays often contain antibacterials.
Antibacterial sprays are effective in killing or slowing the growth of bacteria. They do not kill or prevent viruses from growing, however.
By contrast, antiseptics can kill or prevent the growth of viruses, bacteria, and fungi.
Antibiotics vs. antiseptics
Antibiotics are a type of prescription medication that can treat bacterial infections.
Both antiseptics and antibiotics can treat bacterial infections. People can apply both types to the skin or mucous membranes.
However, a person can also take antibiotics orally, to treat a variety of infections inside the body.
There are several types of antiseptics. Some are safe to use at home, whereas others are only suitable for use in clinical or hospital settings.
Some common types of antiseptics include:
Antiseptics have several potential uses. Some of the most common include:
Lesson 10-11
Pandemic.
A pandemic is an outbreak of global proportions. It happens when infection due to a bacterium or virus becomes capable of spreading widely and rapidly.
The disease behind a pandemic can cause severe illness and spread easily from one person to the next.
As of March 2020, the world is currently dealing with a global outbreak of COVID-19. On March 11, the World Health Organization (WHO) advised that this disease has the characteristics of a pandemic.
Many governments have now restricted free movement and placed populations under lockdown to limit the spread of the pandemic.
According to the WHO, a pandemic involves the worldwide spread of a new disease Trusted Source. While an epidemic remains limited to one city, region, or country, a pandemic spreads beyond national borders and possibly worldwide.
Authorities consider a disease to be an epidemic when the number of people with the infection is higher than the forecast number within a specific region.
If an infection becomes widespread in several countries at the same time, it may turn into a pandemic.
A new virus strain or subtype that easily transmits between humans can cause a pandemic. Bacteria that become resistant Trusted Source to antibiotic treatment may also be behind the rapid spread.
Sometimes, pandemics occur when new diseases develop the ability to spread rapidly, such as the Black Death, or bubonic plague.
Humans may have little or no immunity against a new virus. Often, a new virus cannot spread between animals and people. However, if the disease changes or mutates, it may start to spread easily, and a pandemic may result.
Seasonal influenza (flu) epidemics generally occur as a result of subtypes of a virus that is already circulating among people. Novel subtypes, on the other hand, generally cause pandemics. These subtypes will not previously have circulated among humans.
A pandemic affects a higher number of people and can be more deadly than an epidemic. It can also lead to more social disruption, economic loss, and general hardship on a wider scale.
Writing in March 2020, the current pandemic has had an unprecedented impact across the globe.
COVID-19 is a disease that develops due to infection with a type of coronavirus. The virus started causing infections in Wuhan, China, before spreading internationally.
On the recommendation of the WHO, more than one-third of the world’s population is on lockdown. Several countries — including the United States, United Kingdom, India, and China — have closed their borders, affecting global travel and industry.
People in many countries have also lost employment as a result of “nonessential” businesses closing to restrict the spread of the virus. Restaurants, gyms, religious buildings, parks, and offices have closed in many places.
A pandemic can also increase the pressure on healthcare systems by raising the demand for certain treatments.
People with severe COVID-19 symptoms use more ventilators and beds in intensive care. As a result, resources may be in short supply for others who need this equipment.
However, countries have put in place measures to counter this. For example, the U.S. government has requested that companies, including Ford and General Motors, start making respirators, ventilators, and face shields to meet increased demand.
Authorities hope that these emergency manufacturing measures and the restrictions of movement — which have a worldwide economic and social impact — will slow the spread of the disease.
Countries are collaborating on sourcing medical equipment and developing a vaccine, even though it may not be available for months or even years.
A pandemic can occur when a type of influenza virus, known as the influenza A virus, mutates suddenly.
This change can result in what the body sees as a completely new virus. The major and abrupt change from a recognizable virus to a new one is called an antigenic shift.
On the surface of the virus are HA proteins and NA proteinsTrusted Source. If one or both of these change, a new influenza A virus subtype can result. Influenza viruses have an H figure and an N figure. Swine flu, for example, is also known as H1N1, while avian flu has the subtype H5N1.
If a flu subtype gains the ability to spread rapidly between people, a pandemic may result.
After the pandemic emerges and spreads, humans develop some immunity over time. The virus subtype may then circulate among humans for several years, causing occasional flu epidemics.
Various organizations around the world, such as the WHO and the Centers for Disease Control and Prevention (CDC), monitor the behavior and movement of influenza viruses.
Their findings help health authorities develop strategies for controlling the spread and impact of influenza.
The Spanish flu pandemic, from 1918 to 1920, claimed 100 million lives. Experts consider it the most severe pandemic in history. The Black Death was fatal for more than 75 million people in the 14th century.
Some pandemics that have occurred throughout history include:
Animals carry some viruses that rarely spread to humans. Sometimes, these viruses can mutate and become transmissible to and between people.
When an animal virus first passes to humans, health authorities focus on it as a potential pandemic. This transmission indicates that a virus is mutating and might become highly contagious and harmful.
Swine flu and avian flu are viral diseases that were common in pigs and birds, respectively, but not humans. This changed once an antigenic shift occurred.
In recent years, there has also been concern about viruses that experts have linked to camels (Middle East Respiratory Syndrome, or MERS-CoV) and monkeys (Ebola).
The WHO have a six-phase program for identifying potential flu pandemics:
According to these definitions, the COVID-19 pandemic is currently in phase 6.
Pandemics are diseases that break out on a global scale. Diseases that spread from animals to humans are often the cause.
From Europe’s Black Death during the Middle Ages to the Spanish flu around the time of the First World War, pandemics can change the course of society for many years to come.
The current pandemic, COVID-19, is causing disruption across the entire world.
Lesson 14
Types, symptoms, stages of cancer.
Cancer starts from a single mutated cell and gradually invades other tissue of body. When diagnosed with cancer doctor informs you about the stage of cancer. Staging of cancer refers to the size of tumor and how far it has spread at time of diagnosis. Cancer staging is multifarious and a decisive factor in therapy selection. Cancer staging can be clinical and pathological. Doctors work out a detail on physical exam, tumor biopsy, imagining reports, blood reports, genetic testing (clinical stage) and surgical findings (pathological stage) to assign a stage of cancer. Pathological stage is most accurate picture of cancer which determines patient’s prognosis. Staging of cancer gives a road map about aggressive spread of tumor in body. Staging process is not complete until all tests are done on tumor.
How Stages of cancer helps doctor?

To check eligibility criteria for clinical trials of new drugs; if available.
Symptoms of cancer
Cancer can cause many symptoms, but these symptoms are most often caused by illness, injury, benign tumors, or other problems. If you have symptoms that do not get better after a few weeks, see your doctor so that problems can be diagnosed and treated as early as possible. Often, cancer does not cause pain, so do not wait to feel pain before seeing a doctor.
Some of the symptoms that cancer may cause include:
Breast changes
Bladder changes
Bleeding or bruising, for no known reason
Bowel changes
Cough or hoarseness that does not go away
Eating problems
Fatigue that is severe and lasts
Fever or night sweats for no known reason
Mouth changes
Neurological problems
Skin changes
Swelling or lumps anywhere such as in the neck, underarm, stomach, and groin
Weight gain or weight loss for no known reason
Cancer occurs due to the uncontrolled growth of cells and forms an extra mass called tumour. Cells of cancer can affect various organs and can also spread in the bloodstream. Therefore causes blood cancer. Do you know more than 100 types of cancer are there? Let's solve a quiz related to cancer and its types.
1. Name the most common type of Cancer that kills men in the world?
A. Lung Cancer
B. Prostate Cancer
C. Liver Cancer
D. Colon and Rectum Cancer
2. Name the cancer that starts in the skin or the tissues that line other organs?
A. Leukemia
B. Pancreas
C. Carcinoma
D. None of the above
3. Name the cancer that occurs in bone marrow and creates blood cells?
A. Sarcoma
B. Myeloma
C. Lymphoma
D. Leukemia
4. The abnormal growth of cells in the body is known as...........
A. Cancer
B. Malignancy
C. Both A and B
D. Only A
5. The most common types of treatment of Cancer are
A. Chemotherapy
B. Surgery
C. Radiation Therapy
D. All the above
6. Name the cancer of connective tissues or the cancer that occurs in the connective tissues in the body?
A. Lymphoma
B. Sarcoma
C. Carcinoid
D. Medulloblastoma
7. Name the most common cancer in the world, due to which womens died?
A. Breast Cancer
B. Ovarian Cancer
C. Rectal Cancer
D. Vaginal Cancer
8. Stomach Cancer is also known as....
A. Gastric Cancer
B. Oesophageal Cancer
C. Diaphragm Cancer
D. Duodenum Cancer
9. When a thin membrane that covers chest and abdomen start to multiply in a rapid and uncontrollable way, then what type of cancer is formed in the body?
A. Mesothelioma
B. Mycosis
C. Merkel Cell Carcinoma
D. None of the above
10. Name the Cancer which is known as The Silent Killer?
A. Stomach Cancer
B. Liver Cancer
C. Lung Cancer
D. Brain Cancer
Answers
Lesson 15
Glasgow coma scale.
The Glasgow Coma Scale (GCS) is a clinical scale used to reliably measure a person's level of consciousness after a brain injury.
The GCS assesses a person based on their ability to perform eye movements, speak, and move their body. These three behaviors make up the three elements of the scale: eye, verbal, and motor. A person's GCS score can range from 3 (completely unresponsive) to 15 (responsive). This score is used to guide immediate medical care after a brain injury (such as a car accident) and also to monitor hospitalized patients and track their level of consciousness.
Lower GCS scores are correlated with higher risk of death. However, the GCS score alone should not be used on its own to predict the outcome for an individual person with brain injury.
There are four grades starting with the most severe:
NT (Not testable). Examples for this would include severe damage to the eyes, sedation from drugs, and paralysis.
There are five grades starting with the most severe:
NT (Not testable). Examples for this would include intubation, deafness, language barrier, sedation from drugs, and paralysis
There are six grades starting with the most severe:
NT (Not testable). Examples for this would include spinal cord injury, sedation from drugs, and paralysis
Lesson 16
Instructions for dialysis.
Hemodialysis nurses provide care to patients with chronic kidney disease requiring hemodialysis. Hemodialysis involves teamwork, in which nurses work with certified hemodialysis technicians in giving direct patient care and coordinate their care with the health care team (nephrologists, dietitian, social worker, etc.). Hemodialysis nursing skills involve not only teamwork, but good assessment skills, technical skills, therapeutic communication, collaborative skills, documentation skills, good attention to detail, and leadership qualities. Patients receive dialysis three times a week; patients receive their treatment on a Monday-Wednesday-Friday schedule or Tuesday-Thursday-Saturday schedule. The day begins with arriving to the unit upon opening at 6 a.m. and ensuring all safety checks with the water treatment and dialysis machines/equipment were completed by the certified hemodialysis technicians. First shift patients are assessed upon arrival at their scheduled times. In the unit, one nurse is assigned to work with one technician to care for our ‘chair side’ stations, and the other nurse is assigned with another technician to the ‘bed side’ stations. After the nurse perform the patient assessment and document accordingly in the computer system, the nurse weigh the patient and calculate the goal of fluid removal for the treatment. Then nurses proceed to initiate dialysis treatment, monitor the patients during treatment, obtaining vital signs every half hour, and discontinue treatment when completed. Post-dialysis, nurses assure that the patients’ vital signs are stable, patients have been weighed, and they are safely escorted out of the unit. Then they clean and disinfect each station before the next shift’s patient arrives. Hemodialysis nurses must monitor patients during treatment, assure dialysis prescription is followed per MD order, administer prescribed medications, ensure vital signs are stable before treatment and before discharging from the unit, coordinate with MDs as needed, refer patients to MDs, dietitian, or social worker as needed, refer patients to vascular access center to implement ‘fistula first,’ provide patient education, monitor patients’ monthly lab results, adjust dialysis medications per company protocol, etc. At the end of the work day, they make sure that the unit is tidied up and that all equipment was disinfected and ready for use for the following day.
Note:
безпосередній догляд за пацієнтом
навички спільної роботи
перевірки безпеки
запланований час
сидяче місце для діалізу
лежаче місце для діалізу
впровадити

Lesson 17
Types of suicides.
Література
Матеріали Internet сайтів
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