Prof. E Garbey Savigne, BEd, Cert TEB, MA

Aim of the lessonAim of the lesson

The lesson looks at the language used The lesson looks at the language used forfor

nurses at work, andnurses at work, and

developing health-related skills, anddeveloping health-related skills, and

intercultural issues in the nurses´ work.intercultural issues in the nurses´ work.

HomeworkHomework When is the international nurses day

celebrated?

Every 12th May, celebrating Florence

Nightingale´s birthday.

What do nurses do in UK to celebrate such date?

A symbolic lamp is taken from the Nurses' Chapel in the Westminster Abbey and handed from one nurse to another, thence to the Dean.

This signifies the passing of knowledge from one nurse to another.

Do you rememberDo you rememberwhat a handover is?what a handover is?

Watch the video excerpt againWatch the video excerpt againand try to remember the main and try to remember the main

information. information.

This is the main information This is the main information from the shift handoverfrom the shift handover

Patient´s name Daniel Jones

General Health Insulin dependent diabetic

Reason for admission Hernia reduction

Doctor Dr. Oliedes

Age 22

Comprehension task.Comprehension task.Look at the video excerpt. Look at the video excerpt.

Answer the questions. Answer the questions.

A: What does Mary say when she meets A: What does Mary say when she meets Daniel?Daniel?

B. Did she ask Daniel to rate his pain?B. Did she ask Daniel to rate his pain?

C. What did Mary do then?C. What did Mary do then?

Answers to the questions. Answers to the questions.

A: “Good afternoon Daniel. I'm Mary and I A: “Good afternoon Daniel. I'm Mary and I will be your nurse for this afternoon”will be your nurse for this afternoon”

B. Yes, she did. B. Yes, she did.

C. She told him clearly what she was C. She told him clearly what she was going to do, and gave him clear going to do, and gave him clear instructions, and reassured him. instructions, and reassured him.

Language for NursingLanguage for NursingProviding Providing PsychologicalPsychological

ComfortComfort

I am here to help if you need I am here to help if you need anything.anything.

Is there anything I can do to make Is there anything I can do to make you more comfortable?you more comfortable?

ReassuringReassuring

the patientthe patient

You mustn´t worry about that.You mustn´t worry about that.

I am sure you will be all right.I am sure you will be all right.

Explaining Explaining proceduresprocedures

I'm going to check your blood I'm going to check your blood pressure, pulse and temperature.pressure, pulse and temperature.

I need to have a look at your I need to have a look at your wound.wound.

Comprehension task. Comprehension task. Watch the video excerpt and answer the Watch the video excerpt and answer the

questionsquestions

1.1. Why does Mary make the phone call?Why does Mary make the phone call?2.2. Was it successful in terms of Was it successful in terms of

communication?communication?3.3. What are the outcomes for Daniel?What are the outcomes for Daniel?

Comprehension task. Comprehension task. Answers to the questions Answers to the questions

1.1. Because she wants to report about Because she wants to report about Daniel’s condition.Daniel’s condition.

2.2. Yes, it was successful in terms of Yes, it was successful in terms of communication. communication.

3.3. He has to remain another night.He has to remain another night.

Read the text and decide if these Read the text and decide if these statements are true (T) or false (F).statements are true (T) or false (F).

1.1. Pain starts in the brain____.Pain starts in the brain____.2.2. To feel pain is important for our To feel pain is important for our

body___.body___.3.3. Pain gives us information ____.Pain gives us information ____.4.4. Chronic pain lasts longer than acute Chronic pain lasts longer than acute

pain____.pain____.

PAINPAIN

Pain is a vital part of our body's defenses, Pain is a vital part of our body's defenses, It warns us what things are dangerous,It warns us what things are dangerous,and so helps us avoid damage to our body.and so helps us avoid damage to our body.Pain happens when nerve endings in ourPain happens when nerve endings in ourskin and our internal organs send skin and our internal organs send messages through the central nervousmessages through the central nervoussystem to our brain. There are two types of system to our brain. There are two types of pain: acute which usually lasts a short timepain: acute which usually lasts a short timeand chronic, lasting a lifetime.and chronic, lasting a lifetime.

These are the answers according to the These are the answers according to the text.text.

1.1. Pain starts in the brain. Pain starts in the brain. FF2.2. To feel pain is important for our body. To feel pain is important for our body. TT3.3. Pain gives us information. Pain gives us information. TT4.4. Acute pain lasts longer than chronic Acute pain lasts longer than chronic

pain. pain. FF

Read the text about pain again and Read the text about pain again and find the following find the following

1.1. A verb meaning duration.A verb meaning duration.2.2. Three (3) cognate words.Three (3) cognate words.3.3. The name of two organs of the body.The name of two organs of the body.4.4. The translation of The translation of ““nos ayuda a evitar nos ayuda a evitar

daños”daños”..

PAINPAIN

Pain is a vital part of our body's defenses, Pain is a vital part of our body's defenses, It warns us what things are dangerous,It warns us what things are dangerous,and so helps us avoid damage to our body.and so helps us avoid damage to our body.Pain happens when nerve endings in ourPain happens when nerve endings in ourskin and our internal organs send skin and our internal organs send messages through the central nervousmessages through the central nervoussystem to our brain. There are two types of system to our brain. There are two types of pain: acute which usually lasts a short timepain: acute which usually lasts a short timeand chronic, lasting a lifetime.and chronic, lasting a lifetime.

What I found in the textWhat I found in the text

1.1. LastLastss (in third person singular) (in third person singular)2.2. Vital, central, systemVital, central, system3.3. Skin, brainSkin, brain4.4. helps us avoid damage helps us avoid damage

PAINPAIN

Pain is a Pain is a vitalvital part of our body's defenses, part of our body's defenses, It warns us what things are dangerous,It warns us what things are dangerous,and so and so helps us avoid damage helps us avoid damage to our body.to our body.Pain happens when nerve endings in ourPain happens when nerve endings in ourskinskin and our internal organs send and our internal organs send messages through the messages through the centralcentral nervous nervoussystemsystem to our to our brainbrain. There are two types of . There are two types of pain: acute which usually lasts a short timepain: acute which usually lasts a short timeand chronic, lasting a lifetime.and chronic, lasting a lifetime.

ACHES AND PAINSACHES AND PAINSACHEACHE: Continuous pain.: Continuous pain.BITEBITE: Cut into with the teeth.: Cut into with the teeth.BRUISEBRUISE: Injury by a blow or knock to the body.: Injury by a blow or knock to the body.GRAZEGRAZE: a slight rub or touch.: a slight rub or touch.HURTHURT: cause bodily injury or damage to the body.: cause bodily injury or damage to the body.ITCHITCH: Feeling of irritation of the skin, causing a desire : Feeling of irritation of the skin, causing a desire

to scratch.to scratch.PAINPAIN: suffering of mind or body.: suffering of mind or body.RASHRASH: A slight cutaneous eruption.: A slight cutaneous eruption.SCARSCAR: a mark caused by a wound.: a mark caused by a wound.STIFFSTIFF: rigid, not easily bent.: rigid, not easily bent.SPRAINSPRAIN:: An excessive strain of the muscles of a joint An excessive strain of the muscles of a joint

without dislocation.without dislocation.SWELLSWELL: To become greater in volume, thickness. : To become greater in volume, thickness.

Talking to patient about painTalking to patient about pain. .

LLOCATIONOCATION

OONSETNSET

TTYPEYPE

RRADIATIONADIATION

AASSOCIATEDSSOCIATED

SYMPTOMSSYMPTOMS

DDURATIONURATION

IINTENSITYNTENSITY

OOFFSETFFSET

• Where is the pain?Where is the pain?• When did it start?When did it start?• What kind of pain is it… an ache, What kind of pain is it… an ache,

a burning pain, etc?a burning pain, etc?• How far does it spread?How far does it spread?• Do you notice anything elseDo you notice anything else

associated with it?associated with it?• How long have you had it ?How long have you had it ?• On a scale of 1 to 10, how do On a scale of 1 to 10, how do

you rate it?you rate it?• Does anything make it better?Does anything make it better?

LOT RADIOLOT RADIO

Match the different parts of the Match the different parts of the questions when assessing pain.questions when assessing pain.

1.1. Where doesWhere does

2.2. Does itDoes it

3.3. When did it When did it startstart

4.4. How muchHow much

5.5. Can youCan you

a.a. hurting?hurting?

b.b. describe the describe the pain?pain?

c.c. does it hurt?does it hurt?

d.d. hurt all the hurt all the time?time?

e.e. it hurt?it hurt?

Match the different parts of the Match the different parts of the questions when assessing painquestions when assessing pain..

1.1. Where doesWhere does

2.2. Does itDoes it

3.3. When did it When did it startstart

4.4. How muchHow much

5.5. Can youCan you

a.a. hurting?hurting?

b.b. describe the describe the pain?pain?

c.c. does it hurt?does it hurt?

d.d. hurt all the hurt all the time?time?

e.e. it hurt?it hurt?

Asking about type of pain and Asking about type of pain and severity of problems.severity of problems.

1.1. What´s the pain like?What´s the pain like?2.2. What kind of pain is it?What kind of pain is it?3.3. Can you describe the pain?Can you describe the pain?4.4. Is it bad enough to (wake you up)?Is it bad enough to (wake you up)?5.5. Does it affect your work?Does it affect your work?6.6. Is it continuous or does it come and go?Is it continuous or does it come and go?7.7. How long does it last?How long does it last?

Pains and parts of the bodyPains and parts of the bodyHe has a stiff He has a stiff neckneck

She has got a rash on her She has got a rash on her breastbreast

He has a cut on his He has a cut on his fingerfinger

She has a scar on her She has a scar on her thighthigh

He has a sore He has a sore throat throat

She has a swollen She has a swollen armarm

He has a bruised He has a bruised forearmforearm

He has a sprained He has a sprained ankleankle

His His headhead achesaches

What should a nurse do after administering medication to a patient?

Purpose of Nursing Purpose of Nursing DocumentationDocumentation

Documentation supports and reports Documentation supports and reports that nursing action was performed and that nursing action was performed and indicates the client’s resulting condition.indicates the client’s resulting condition.

“ “ If it isn’t documented, it wasn’t done”If it isn’t documented, it wasn’t done”

Progress notes

Oriented by 3 c/o constant dull pain in Rt. ankleOriented by 3 c/o constant dull pain in Rt. ankle

Tylenol 2 tabs given p.o.Tylenol 2 tabs given p.o.

States no relief States no relief

Rt. foot elevated on 2 pillowsRt. foot elevated on 2 pillows

ProgressProgress Notes NotesDData aloneata alone

DD - Oriented by 3, c/o constant dull pain in Rt. - Oriented by 3, c/o constant dull pain in Rt. Ankle.Ankle.

D – Oriented by (time, place and person)D – Oriented by (time, place and person)

complains of constant dull pain in constant dull pain in RightRight Ankle Ankle

DData & ata & AActionction

DD - Oriented by 3, c/o constant dull pain in Rt. - Oriented by 3, c/o constant dull pain in Rt. ankleankle

AA - Tylenol 2 tabs given p.o. - Tylenol 2 tabs given p.o.

A - Tylenol: brand name of a pain killer

2 tabs given by mouth

RResponse & esponse & AActionction

RR - States no relief - States no relief

Refers he(she) does not feel betterRefers he(she) does not feel better

AA - Rt. foot elevated on 2 pillows - Rt. foot elevated on 2 pillows

A - A - RightRight foot elevated on 2 pillows foot elevated on 2 pillows

DData, ata, AAction, ction, RResponse & esponse & AActionction

DD - Oriented by 3 c/o constant dull pain - Oriented by 3 c/o constant dull pain

in Rt. anklein Rt. ankle

AA - Tylenol 2 tabs given p.o. - Tylenol 2 tabs given p.o.

RR - States no relief - States no relief

AA - Rt. foot elevated on 2 pillows - Rt. foot elevated on 2 pillows

Intercultural awareness. Intercultural awareness.

Death is a cultural as well as a Death is a cultural as well as a biological event. It is important for biological event. It is important for health care professionals to be aware health care professionals to be aware of the cultural and religious beliefs of the cultural and religious beliefs and customs of the dying patients and and customs of the dying patients and their relatives.their relatives.

Read the following texts and answer Read the following texts and answer the questionsthe questions. .

1.1. Who is this information for?Who is this information for?

a)a) PatientsPatients

b)b) Healthcare professionalsHealthcare professionals

c)c) Religious leadersReligious leaders

2.2. What is the writer´s intention?What is the writer´s intention?

a) to describe the process of dying.a) to describe the process of dying.

b) to help people from different religions deal b) to help people from different religions deal with grief.with grief.

c) to explain how different religions view c) to explain how different religions view dying and death.dying and death.

JUDAISMJUDAISM By religion, someone By religion, someone

should stay with the should stay with the dying person so that dying person so that the soul does not feel the soul does not feel alone. Wound alone. Wound dressings and drains dressings and drains

should be left in should be left in place. The body is place. The body is prepared by the prepared by the burial society.burial society.

CHRISTIANITYCHRISTIANITY Christians always use rites Christians always use rites

after death before the after death before the corpse is safely buried and corpse is safely buried and the soul set on its journey the soul set on its journey to the other world. to the other world. Watching by the dead (the Watching by the dead (the wake) is usual. Then the wake) is usual. Then the procession sets out for the procession sets out for the church. There is a cycle of church. There is a cycle of prayers, mass and prayers, mass and absolution. Catholics are absolution. Catholics are now able to be cremated. now able to be cremated.

DEATH AND SOME RELIGIONSDEATH AND SOME RELIGIONS

AAnswers to the questionsnswers to the questions. .

1.1. Who is this information for?Who is this information for?

a)a) PatientsPatients

b)b) Healthcare professionalsHealthcare professionals

c)c) Religious leadersReligious leaders

2.2. What is the writer´s intention?What is the writer´s intention?

a) to describe the process of dying.a) to describe the process of dying.

b) to help people from different religions deal b) to help people from different religions deal with griefwith grief..

c) c) to explain how different religions view to explain how different religions view dying and deathdying and death..

Read these other texts and answer Read these other texts and answer the following questionsthe following questions. .

1. In which of the two religions, is 1. In which of the two religions, is cremation not accepted yet?cremation not accepted yet?

2. In which of the two religions does the 2. In which of the two religions does the funeral process last longer?funeral process last longer?

DEATH AND SOME RELIGIONSDEATH AND SOME RELIGIONS

ISLAMISLAM When a Muslim dies, When a Muslim dies,

the corpse should not the corpse should not be touched directly be touched directly unless gloves are unless gloves are worn. The face worn. The face should be turned should be turned towards Mecca and towards Mecca and buried as soon as buried as soon as possible, never possible, never cremated.cremated.

BUDDHISMBUDDHISM According to their According to their

beliefs, consciousness beliefs, consciousness separates from the separates from the body and begins a body and begins a journey into another journey into another new life. Let the body new life. Let the body rest in a peaceful rest in a peaceful state, and be taken state, and be taken home for 3 days for home for 3 days for prayers, then they can prayers, then they can be cremated or buried. be cremated or buried.

AAnswers to the questionsnswers to the questions. .

1. In the Islamic religion.1. In the Islamic religion.

2. In Buddhism, which lasts about three 2. In Buddhism, which lasts about three days.days.

SummarySummary

The lesson dealt with the language used The lesson dealt with the language used forfor

nurses at work, nurses at work,

developing health-related matters, andeveloping health-related matters, andd

intercultural issues in the nurses´ work.intercultural issues in the nurses´ work.