Work of an In-patient Department

When patients are admitted to the hospital first of all they are received by a nurse on duty at the reception ward.

Those patients who are to be hospitalized have already received the direction from the polyclinic. The nurse on duty fills in patients’ case histories in which she writes down their names, age, place of work, occupation, address and the initial diagnosis made by a doctor at the polyclinic.

Then a doctor on duty examines the hospitalized patients and gives his instructions what department and wards the patients are to be admitted to.

At the in-patient departments of a hospital life begins early in the morning. The nurses on duty take the patients’ temperature, give them intramuscular and intravenous injections, take stomach juice for analysis, apply cups and give all the prescribed remedies in the doses indicated by the ward doctors.

The nurses keep all the drugs in special drug cabinets. The names of drugs are indicated on them. Patients are not allowed to take the medicines themselves because some drugs are poisonous, the overdosage of some other drugs may cause unfavourable reactions and even death.

At about nine o’clock in the morning the doctors begin the daily rounds of the wards during which they examine all the patients. After the medical examination the doctors administer the patients different procedures: electrocardiograms are taken, laboratory analyses of blood, urine and gastric juice are made. Some patients are administered a bed regimen, others are allowed to walk; some are to follow a diet to relieve stomachache or prevent unfavourable results in case of stomach troubles.

Assignments:

1. Use the active vocabulary of the lesson instead of the following:

1. to advise and order the patient some medicine;

2. to produce;

3. to put cups;

4. a definite amount of the drug;

5. to stop the spread of inflammation;

6. a toxic medicine;

7. to make the pain less;

8. to be allowed and used

2. Choose the sentences corresponding to the text “Work of the In-patient Department”:

1) a) At the in-patient department the nurses give the patient intramuscular and intravenous injections. b) At the in-patient department the ward doctors give the patient intramuscular and intravenous injections.

2) a) Some patients are to follow a diet to decrease weight. b) Some patients are to follow a diet to relieve stomachache.

3) a) The overdosage of some drugs may cause a considerable change in the white blood cell count. b) The overdosage of some drugs may cause unfavourable reactions.

3.* Answer the following questions according to the model:

Model A:

Who takes an electrocardiogram at the out-patient department?

It is a laboratory assistant who takes an electrocardiogram at the out-patient department.

1) Who makes an evening round of the wards?

2) Who applies cups to patients at the in-patient department?

3) Who performs operations in the hospital?

4) Who makes an initial diagnosis at the polyclinic?

Model B:

What may cause death? (the overdosage of a poisonous drug)

It is the overdosage of a poisonous drug that may cause death.

1) What may relieve pain? (the injection of pontopone)

2) What may prevent the development of complications? (the proper treatment)

3) What may help the patient to make a good recovery (due care)

4) What may the physician administer the patient with a bad stomachache? (a light diet)

4. Translate the following word combinations:

1) я пошел в стационар; он ходит в аптеку; он только что ушел амбулаторию;

2) врач прощупал пульс; я чувствую себя хорошо; испытываемая боль;

3) снять электрокардиограмму; сестра измерила температуру; сестра только что взяла у меня кровь для анализа;

4) врач выписывает рецепты; вчера врач выписал рецепты этому больному; врач только что выписал мне рецепт на микстуру

5. Read the passages and answer the questions:

1) Patient Ivanov was treated at the hospital. His temperature was taken every morning. He was given the prescribed medicine and intramuscular injection of vitamin B₆. Who carried out the administrations?

2) My sister has a high temperature. Her blood analysis shows a considerable increase of white blood cell count. Her first and second heart sounds are greatly decreased. Her electrocardiogram shows abnormal findings. Where must she be treated?

6. Make up sentences corresponding to the Russian ones, out of the words given in brackets:

1) Ядовитые лекарства могут вызывать неблагоприятные реакции. (reactions, poisonous, drugs, unfavourable, cause, may)

2) Названия лекарств указываются на этикетках. (on, the, of, names, medicines, the, labels, are, indicated)

3) Назначенное лекарство не снимало боль в загрудинной области. (in, area, the, administered, the, drug, failed, substernal, pain, to relieve, the)

7. Find the sentences where “if” is translated as “если” and then – as particle “ли”:

1) The surgeon asked the patient if he had been operated on last year.

2) If you have a sore throat you must gargle several times a day. – to change !

3) I will investigate this case again if the findings are not clear.

4) I asked the nurse if all the findings were clear.

8.* Translate paying attention to the words in bold type:

A.

1) Врач спросил больного, живы ли его родители?

2) Невропатолог не знал, принимал ли больной такое лекарство раньше.

3) Лечащий врач должен был знать, были ли у больного такие симптомы раньше.

B.

1) Если лечащий врач дает сестре указания, она должна выполнять их точно.

2) Это лекарство снимет боль, если вы будете принимать его регулярно.

3) Если ваше состояние не улучшится, мне придется вас госпитализировать.

9.* Ask questions:

A. Ask your patient about:

1) his age; 2) his occupation; 3) his address; 4) his blood group; 5) his sensitivity to antibiotics; 6) his complaints; 7) his symptoms; 8) his previous diseases; 9) his present troubles.

B. Ask your patient if:

B. Ask your patient if:

1) his parents are living; 2) any of the members of his family has ever been ill with tuberculosis; 3) any of his parents or members of the family has had any mental or emotional impairments.

IV. Переведите текст “Disease” со словарем.