English For Nursing Topic 13 Explaining Medication [PDF]

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English for Nursing 1 Topic 13



EXPLAINING MEDICATION Instructional objective The students are expected to be able: 1. to pronunce well vocabularies relating to medicines, and 2. to act out the practice and therapeutic communication of explaining doctor’s prescription and instructional labels.



Reading Direction. Read the nursing note below and get some useful informations regarding explaining medications. Then, answer the following questions.



NURSING NOTE According to the American Medical Association, one of the reasons patients don’t take their medication is due to a lack of understanding. This means they are not reaching positive health outcomes because they may not understand the how’s and the why’s of nurse’s orders. Why is it important to explain medications to patients? 1. Preventing nurses from being sued for malpractice 2. Preventing medication errors 3. Giving patients more power and control over their health 4. Improving patients health If you prescribe a medication: 1. Explain why you chose that specific medication; 2. Tell them how the medicine will improve their health. 3. Tell them what effects to notice and how long until they appear. 4. Explain to your patients what side effects are normal and which ones are abnormal. 5. Instruct them on what to do if they have negative side effects, which ones need emergency room help and which ones need a call to your office. 6. Explain exactly how the medicine works with your body. 7. Explain what can happen if they do not take their medicine. (Source: proficientrx.com)



Questions: 1. Why do patients not take their medication? 2. Why is it important to explain medications to patients? 3. How to explain a medication? 1



Related Vocabularies Direction. The followings are the vocabularies related to medicines. Study the meaning and the example in a sentence. Found and practice the proper pronunciation. Word Drug (n)



Meaning A medicine or other substance which has a physiological effect when ingested or otherwise introduced into the body



Example in a sentence A new drug aimed at sufferers from Parkinson’s disease.



Capsule (n)



A small container which has a measured amount of medicine inside and which dissolves when you swallow it



Take these capsules three times a day.



Pill (syn. Tablet) (n)



A small falt round piece of medicine that you swallow without chewing it



Here are some pills you are to take one of every eight hours.



Syrup (n)



a liquid medicine containing a sugar solution for flavouring or preservation



The doctor prescribed a cough syrup for my son.



Ampoule (n)



A small container usually made of glass containing a drug that will be used for an injection



An ampoule of epinephrine was injected through the patient’s vein.



Drops (n)



A liquid medicine which is given in the form of globules



Eye-drops are the most common medication for treating infection in the eye.



Effervescent tablet (np)



A tablet which dissolves in water giving off small bubbles



Effervescence tablets are one of the most popular forms of vitamin supplement.



Generic (n)



A product which is directly comparable to aa brand name without trademark



Generic drugs are usually much lower in cost than brand name drugs.



Liniment (n)



A liquid or semi-liquid preparation which is applied directly to the skin



Liniments are most commonly used in the treatment of bruises or sprains.



Suppository (n)



A solid mass of medicinal substance which melts when inserted into the rectum or vagina A solution of alcohol and animal, vegetable, or chemical drugs



Suppositories are often used to treat infants for whom orally administered treatment is not option. Most herbal extracts in the form of liquids are tinctures.



Tincture (n)



2



Transdermal (adj)



Topical (adj)



Dietary supplement (np)



Active ingredients (np) Contraindications (n) Side effects (np)



Over-the-counter (np)



Applied to the skin for absorption into the blood stream Local, applied externally to a specific part of the body A product containing ingredients with nutritional value, designed to compensate for a lack of this ingredient in a person’s diet The chemically active part of a drug Something which makes a particular course of treatment unadvisable A negative or detrimental effect which accompanies a drugs intended effect Without a doctor’s prescription but within the law



Nicotine patches are the most common transdermal patches in the US. Topical anesthetics are used to relieve pain from sunburn, burns and insect bites. More and more people are taking dietary supplements to ensure that they meet the recommended daily allowance of vitamins and minerals. Benadryl’s active ingredient is diphenhydramine. Most drugs contain a list of contraindications on the instructions. Patients often feel quite concerned when they see a long list of possible side effects. A lot of over-the-counter medicines can now be bought online.



Medication Administration Routes and Abbreviations Cara pemberian Obat dan Singkatan 1. Mouth  P.O. (Per Os) means by mouth/through mouth.  SL (Sublingual): Sub (under); lingual (tongue)  BUCC (Buccal) means between cheek and gums.  N.P.O (Nil Per Os) means nothing by mouth. 2. Vein  IV (Intravenous)  IVPB (Intravenous Piggyback)  IVP (Intravenous Push) 3. Injection or Skin  IM (Intramuscular)  Subq (Subcutaneous)  ID (Intradermal)  TD (Transdermal) 4. Miscellaneous Lain-Lain  INH (Inhalation)  IO (Intraosseous) 3



       



ETT (Endotracheal Tube) Eye Ear RECT or PR (Rectum or Per Rectum) VAG or PV (Vaginally or Per Vagina) Nose: nasally NGT (Nasogastric Tube) PEG (Percutaneous Endoscopic Gastronomy)



Useful Expressions Direction. Study the communication procedure and the useful expressions of explaining medications to patients. A.      



Explaining what you are going to do I am here to .... I am going to .... It is time for me to .... I need to .... I just want to .... I would like to ....







B. Assessment  Are you allergic to ...?







C. Giving instructions  Please take this ..........



 











Here are .........



D. Explaining the use of medicine  They are .........



E. Telling patiens the side effects  Some potential side effects are ......... 



Some urgent are .........



I’d like to explain your medication



side



Please take this one tablet three times a day every eight hours before meal. Please take this syrup one spoonful three times a day after meal. Here are some pills you are to take one of every eight hours.  



They are used for your leg pain. They are used to reduce your nausea.







Some potential side effects are stomach pain, diarrhea, constipation, and ringing in ears. Some urgent side effects are chest-pain, shortness of breath, weaknesses, bleeding or coughing of blood.







effects



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Are you allergic to aspirin?



F. Instructing patients what to do if negative side effects appear 



You should ....... if negative side effects appear.



G. Giving caution  Take these .........  Don’t take this .........







You should go to emergency room if negative side effects appear.



 



Take these antibiotics all up. Don’t take this more than three times in 24 hours. Don’t use it if it makes a skin rash. Discontinue if an adverse reaction occurs. In case the tablets give you indigestion, please take them after meals.



 



Don’t use it if ......... Discontinue if .........



 







In case ......... give you .........., please .........







Listening Exercise Direction. Accomplish the following conversation by listening to the audio file on UFLearn. Then, act out the dialogue.



Nurse



: Good morning, Mr. Jenkins.



Patient



: Good morning, Nurse.



Nurse



: Did you sleep well last night?



Patient



: I’m afraid not.



Nurse



: Have you had your breakfast?



Patient



: Yes.



Nurse



: Did you eat them all?



Patient



: Yes, I did.



Nurse



: That’s good. Now, Mr. Jenkins (1) ....................................................... Please take two every six hours. (2) ................................................... if possible to avoid indigestion. (3) ................................................... if you are experiencing pain.



(The conversations were taken from English for Professional Nurses 1 written by Leo A. Pamudya.) Nursing Communication Practice 5



Direction. Work in pair. Write a nurse-patient conversation of explaining medications. Submit your conversation scenario on UFLearn. Then, practice the conversation together. You are not allowed to read aloud the scenario.



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