Module 4

A bed-rest patient (part 1)

In this module you will:

• learn about patients in bed,

• read and listen to dialogues,

• give a nursing report,

• teach a discharging patient.

Words:

linen -pościel

bottom sheets -pościel spodnia/prześcieradło + podkład

sheet -prześcieradło

draw sheet -podkład

bed rails- barierki łóżkowe

tauten- naciągnąć, taut - naciągnięty

contraindicated- przeciwwskazany

flat position- pozycja płaska na plecach

lumbar puncture -punkcja lędźwiowa

tuck- zebrać w fałd (zwinąć)

prześcielenie, posłanie łóżka, poprawienie pościeli to: making a bed

Abbreviations

Read and listen to the dialogue: (1)

Często pielęgniarki dodają do BR, słówko „complete", aby podkreślić informację, że pacjent nie powinien absolutnie wstawać z łóżka, np: „Patient is comple­te bed-rest for 24 hours". Powstaje wtedy skrót CBR.

Przekazując informację o aktywności pacjenta pracownikowi medycznemu, pielęgniar­ka stosuje powyższe nazwy w całości, natomiast pisząc o pacjencie raport pielęgniarski, używa skrótów:

BR - bed rest - pacjent obłożnie chory

BRP - bed rest with bathroom privile­ges - pacjent z prawem pójścia do toalety

U&A - up and about - pacjent chodzący

RR - Recovery Room - sala poopera­cyjna

Conversation: The patient needs bed rest because he's just come from Recovery Room.

Nursing Report: Patient with BR came from RR.

Nurse 1: The patient has bed rest privileges, keep an eye on him. Nurse 2: OK, 1 will.

RN: Hello, Mr. Collins, how is it going today?

Pt: Hello, nurse. I can't complain. I slept all night,

even in the flat position.

RN: What about making your bed and changing all the linen?

Pt: Okay, I'll be glad.

RN: Let's do it. Move closer to the other side of the bed,

so that I can remove the soiled linen and put the fresh one.

Pt: (the patient is turning over) Is it enough?

RN: Perfect. Stay like this for a while and let me replace the bottom sheet and draw-sheet. It's done, now turn back, please. I'm going to the other tide of the bed to tauten the draw-sheet. Hold the bed rails for a

minute. So far, you are doing very well, Mr. Collins. I'm almost done.

Now, you can turn back again.

Pt: It's so comfortable now. I don't feel any wrinkles on my sheet, you did it very accurately, thanks nurse.

RN: You're welcome, Mr. Collins, but I haven't finished yet. Let me replace the pillow cases and the blanket. For your protection, I have to raise the side rails and leave the bed in flat position, as your doctor ordered.

You must stay in this position for 6 more hours; other positions are

contraindicated, as you know.

Pt: I hope, I can stand it, I know this is for my good. Thanks again, nurse.

RN: You're welcome; I'll Ik back in a while.

Assessing a patient:

After the lumbar puncture, the nurse assesses the patient q2hrs for s/s of complications, such as:

Listen and repeat an examplary Nursing Report of Mr. Collins condition: (2)

Collins didn't complain of a headache, didn't vomit either. He was able to e all his extremities. The dressing was not changed yet. No bleeding or any I noted from the puncture side. If he is from pain, he will be discharged a.m.

• ability to move his extremities

• severe headache,

• vomiting, fatigue or anxiety,

• condition of the dressing on patient's back.

Patient's dressing may be:

• wet,

• dray,

• blood-stained.

Key words:

suffer - cierpieć (na coś)

prevent -zapobiegać

complain of (about) - narzekać (na coś), skarżyć się (na coś)

Mr. ( Collins is discharged from hospital and a nurse is giving him advice

about self-care.

This action is called „patient education".

Nurse: Lift your right leg, please. Patient: I'll lift both if you wish!

Read and listen to Patient Education by RN: (3)

RN: Mr. Collins, if you see any fluid flowing out of the puncture side, put a dry dressing on and visit us as soon as possible.

Observe signs and symptoms, or the so-called „aura" of a headache, for example: anxiety or fatigue. If aura occurs, it means that you suffer from migraine. Taking a painkiller when aura is present is the best way to prevent from headaches.

Match the phrases with their meanings:

1. bed rest patient a. patient can go to the bathroom

2. up and about patient b. patient in the bed all the time

3. complete best rest patient c. laying patient

4. bed rest with bathroom privileges d. ambulatory patient patient

Put the phrases in the correct order:

To make an occupied bed a nurse should:

1. tuck the soiled linen 9. loosen the bottom linen

2. turn back (patient) 10. replace the draw-sheet

3. put the fresh linen 11. turn over (patient)

4. remove the soiled linen 12. replace the blanket case

5. replace the pillow case 13. cover the patient

6. replace the bottom sheet 14. pull the bottom sheet

7. tauten the draw-sheet 15. go to the other side

8. move closer to the other bed edge

Complete the sentences with the appropriate words: either or neither

1. The nurse doesn't have time now, and does the doctor.

2. The patient didn't complain of a headache or fatigue

3. The doctor hasn't seen the patient wound yet, and has the nurse.

Match the part of body with the symptoms:

1. head 5. joint a. vomiting e. infection

2. puncture side 6. abdomen b. abrasion f. bleeding

3. knee wound 7. extremities c. migraine g. dislocation

4. skin d. edema

Complete the written Nursing Report:

1. Mr. Collins came from RR having a Lumbar at 8 a.m.

2 ordered for 12 hrs.

3. A back dressing in good condition: no noted.

4. Pt didn't c/o and either.

5. The bed was and all the linen

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