, .
1. surgical a) administrations
2. doctor's b) regimen
3. past c) card
4. patient's d) treatment
5. bed e) worse
6. get f) history
1. a) recover from(flu)
2. b) case history
3. c) course of treatment
4. d) treat for (flu)
5. () e) follow a diet
6. () f) correct diagnosis
1. health history
2. diagnose a disease as
3. doctor's order
4. management for
5. need treatment
6. undergo treatment
PMH, HPI, PH, SH, FH, IMP
1. Every nurse must write data the patient's card.
2. A client was ill flu and was treated this illness.
3. A patient underwent special course treatment and soon he recovered his disease.
4. He recovered illness because he was made correct diagnosis his disease.
5. Due severe illness you must undergo surgical treatment and be hospitalized.
6. Sick man was administered necessary treatment flu, diet and bed regiment.
,
1. Physician treated a patient for flu.
2. A patient was treated by family physician for cold.
3. Doctor cured a client of disease.
4. A client was cured of severe illness.
5. Patient recovered from pneumonia.
6. Patient followed physicians appointments.
7. Nurse carries out doctors administrations.
8. Cardiologist made a diagnosis.
9. A patient was made correct diagnosis.
10. General practitioner made diagnosis of a patient.
9. 7 ( )
1. Family practitioner treated the family for flu. - The family was treated by family practitioner for flu.
Last summer Nina, my room-mate/ was taken ill. The poor girl felt ill she had fever, pains in her side and it was clear that she needed the services of a doctor. I called the health center and made an appointment with the doctor. In an hour or so the doctor a middle-aged woman in a white gown came in. Before diagnosing the disease she asked Nina to strip to the waist, examined her throat, felt her pulse, listened to her heart and lungs and took her BP. The following dialogue took place between them:
D: I see you've taken your temperature. What is it?
N: It's 38; 7 (thirty eight point seven) And I feel bad, Ive got a headache and a sore throat. It hurts me when I swallow. Besides, I am afraid I have got a pain in my side.
D: Let me examine your side. Things do happen.
N: And what if it's appendicitis? It would mean a surgery, doctor, eh? Do say something!
D: There, there! No tears. Take it easy. Everything will be all right.
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N: I hate being in the hospital and staying in bed.
D: Does it hurt when I press here?
N: Oh, yes! It is terribly painful!
D: Well, my dear I'm sorry to say you have flu and besides something is wrong with your appendicitis. If you have a new attack, you must be admitted to the hospital and operated on.
N: Oh! It's too bad. Poor me!
D: Don't worry. Let's hope for the best. Now Ill administer you some pills and a mixture. You are to take a tablespoonful of it three times a day. I believe that some injections of glucose will also do you a lot of good.
N: And what should I take for my headache?
D: I'll give you a tablet. Here it is. Good-bye, cheer up!
N: Good-bye, doctor. Thanks a lot!
So, Iwent to the pharmacy to buy drugs. We followed the doctor's appointments and in a week my friend got better. Then I took her to the health center where she had X-ray of her abdomen and her blood test. Everything was all right and soon she recovered.
1. Nurse wrote down correct final diagnosis and doctors administrations in the patient's card, and client underwent necessary treatment in the IPD.
2. Patient was made a diagnosis of flu and was appointed special course of medication for flu to avoid complications after disease.
3. Physician makes his administrations, nurse must carry out these administrations and patient follows them every day.
4. In treatment all clients follow special diets, bed regimen and other necessary doctors appointments for recovery from disease.
5. Patient with TB needs special courses and modern methods of therapy with further rehabilitation in sanatorium.
1. , , .
2. , .
3. .
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5. 5 , , .
1. DIAGNOSIS. PATIENT'S HEALTH HISTORY. ADMINISTRATIONS. TREATMENT
1. What is the difference between make a diagnosis and was made a diagnosis?
2. What is the difference between PMH and PH?
3. What is the difference between treat for (flu) and cure of (flu)?
4. What is the difference between carry out doctor's appointments and follow doctor's orders?
5. What is the difference between recovery and rehabilitation?
If you fell ill and have high temperature you must ring up your local hospital and call in a family practitioner. The doctor asks you about your complaints and provides medical examination. He takes your blood pressure, takes your temperature, listens to your heart and lungs, examines your throat, administers laboratory tests of blood, urine and gastric juice, writes out a recipe and appoints proper treatment and medical procedures. If you are seriously ill doctor writes out you a sick leave and you follow a bed regimen and special diet. It is necessary to fill in the patient's card correctly; to write down the diagnosis of the disease, administrations made by the family practitioner, the course of the disease and the results treatment. A nurse goes out to the calls too, gives injections and carries out all necessary doctors appointments.
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1. Something is wrong with my legs: all my joints ache, when I bend my knee it hurts me and I suppose it is complication after quinsy.
2. A patient complained of stomach pains, indigestion, vomiting, fever, diarrhea and lack of appetite; he was very pale and weak. After special assessment doctor diagnosed his disease as gastroduodenitis.
3. If you feel acute heartaches or chest pains, rapid pulse and high blood pressure you must call in an ambulance car as soon as possible because it can be heart attack, hypertension crisis or even myocardial infarction.
4. If you got into a road-traffic accident (RTA) you must be admitted to the emergency department immediately and an ER surgeon will x-ray you because you can have serious injures, hematomas, sprains, dislocations or fractures.
5. A patient suffered from acute thoracic aches, cough with rales and sputum, high temperature, perspiration and weakness; so he consulted a doctor and was appointed chest x-ray and laboratory analysis of blood and sputum because it could be a case of pneumonia or TB.
6. If you have problems with your health, feel ill you must be examined and assessed by the physician, made correct diagnosis and appointed special course of treatment.
7. Last week I caught a cold and now I am ill with flu: I have cough, runny nose, watery eyes, fever, chilliness, headache, muscular ache, general weakness and I was ordered to follow a bed regimen and a course of medication.
8. Patient N was treated for severe abdominal aches at home, soon his condition got worse and he developed purulent peritonitis. It is dangerous!
9. Doctor made his final diagnosis after head-to-toe examination, auscultation, palpation and percussion, then he got the results of X-ray, ECG, US assessment, CAT and tests of blood, urine, feces and gastric juice.
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3. ; : , R- , , ; , , ; , .
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Medicine is the science and art of diagnosing, treating, and preventing disease and injury. Its goals are to help people live longer, happier, more active lives with less suffering and disability. Medicine goes beyond the bedside of patients. Medical scientists engage in a constant search for new drugs, effective treatments, and more advanced technology. In addition, medicine is a business. It is part of the health care industry, one of the largest industries in most communities. Disease has been one of humanity's greatest enemies. Only during the last 100 years has medicine developed weapons to fight disease effectively. Vaccines, better drugs and surgical procedures, new instruments, and understanding of sanitation and nutrition have had a huge impact on human well-being. Like detectives, physicians and other health care professionals use clues to identify, or diagnose, a specific disease or injury. They check the patient's medical history for past symptoms or diseases, perform a physical examination, and check the results of various tests. After making a diagnosis, physicians pick the best treatment. Some treatments cure a disease. Others are palliativethat is, they relieve symptoms but do not reverse the underlying disease. Sometimes no treatment is needed because the disease will get better by itself. While diagnosing disease and choosing the best treatment certainly require scientific knowledge and technical skills, health care professionals must apply these abilities in imaginative ways. The same disease may present very different symptoms in two patients, and a treatment that cures one patient may not work on another. At the turn of the 20th century, many men and women were feeble by age 40. The average person born in 1900 had a life expectancy of 47.3 years. Effective treatments for disease were so scarce that doctors could carry all their drugs and instruments in a small black bag. By the end of the 20th century, medical advances had caused life expectancy to increase to 76 years. Modern health care practitioners can prevent, control, or cure hundreds of diseases. People today remain independent and physically active into their 80s and 90s. The fastest-growing age group in the population now consists of people aged 85 and over.
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9. AT THE DOCTOR'S
DOCTOR-PATIENT
, . Come in, please.
, . Please, come over here.
. Sit down here.
? What can I do for you?
? Can I help you?
How do you feel? (Howre you feeling?)
? What do you complain of?
? What are your complaints?
? Whats the matter with you?
? Whats wrong with you?
()? Any problems (complaints)?
? What are the symptoms?
? When did the first symptoms appear?
? How long have you been ill?
? What is your temperature?
? Where is the pain?
. Ill examine you.
. Let me examine you.
, . Will you strip to the waist, please?
, . Take your clothes off, please.
, . Give me your hand, please.
. Will you roll your sleeve up?
. Let me take your temperature.
. Let me take your BP.
. Open your moth and say Ah, please.
, . Show me your tongue, please.
, . Swallow, please.
. Let me examine your throat.
(, ). Lie down flat on your stomach (back, side), please.
, . Lie down on the couch, please.
, . Relax, please.
. Let me examine your abdomen.
. Stand still. (Keep still.)
. Bend your body forward.
(). Look up (down).
. Let me listen to your heart.
. Let me listen to your lungs.
. Inhale, please.
. Exhale, please.
. Let me palpate your liver.
. Put on your clothes, please.
(). Ill write out a sick-leave (certificate) for you.
. Here is your certificate.
() Ill refer you to a surgeon (oncologist)
, . Dont worry, nothing serious.
. Ill refer you to X-ray.
. Follow all my administrations.
. It will pass soon.
. You will feel better soon.
. Everything will be all right (OK).
. You should not smoke.
. You must give up smoking.
. Try to sleep more.
. Dont walk much.
. Stay in bed.
. Follow the bed regimen
. Follow the diet. (Keep to a diet).
. You must eat normally.
. Ill right you out a prescription.
. Here is a recipe for you.
. Ill prescribe you drugs for cold.
? Are you allergic to analgesic?
1 .4 . . . Take one tablet 4 times a day before meals.
. You should: gargle your throat and smear it with .l
. Apply cups or mustered plasters.
. Drink a lot of non-alcoholic fluids.
Take ..
Follow (Keep to )
Try to
Avoid
You must
You should
Apply (Use )
You should not
Control
. Never
PATIENT-DOCTOR
? May I come in?
? May I see a doctor?
. I feel bad. (I feel ill.)
. I am ill. (I am sick.)
. I have cold.
. I have a bad headache.
. I have problems with my stomach.
. I have pains in my abdomen.
. I cant move my fingers.
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! It hurts me!
! My hand hurts!
. Ive injured my foot.
? Where can I do MRI of my head?
? Should I do US assessment of my stomach?
? Where can I do blood test?
. I am allergic to aspirin.
. I feel nausea.
. I have vomit.
, ? Whats wrong with me, doctor?
? Whats my diagnosis?
? Is it catching?
? Is it dangerous?
? What drug should I take?
? What diet should I follow?
? Must I stay in bed?
? What treatment do you appoint?
? When should I come back?
? Can I ?
? Should I ?
? Shall I ?
? Do I ?
? How much do I pay you?
? How much will it cost?
? What is the price of ?
